NPIMap

Organization Active NPI

Advantage Psychiatric Services LLC

  • Clinic/Center
  • Havre de Grace, MD
National Provider Identifier
1700515236
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ADVANTAGE PSYCHIATRIC SERVICES LLC
Practice address
253 Lewis LN Ste 101
Havre de Grace, MD 21078-3755
Phone
(410) 686-3629
Fax
(410) 780-7178
NPI assigned
Jun 9, 2022
Last updated
Jun 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cynthia Lynn Pixton
Title
Ceo
Phone
(410) 686-3629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

253 Lewis LN Ste 101
Havre de Grace, MD 21078-3755

Mailing address

5024 Campbell Blvd Ste a
Nottingham, MD 21236-5974
Phone (410) 686-3629

Other identifiers 1

IdentifierTypeStateIssuer
220512567OtherMDLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address www.information@advantagepsyc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190326001310 MD Part B Supplier - Clinic/Group Practice 2860732039 Receives reassigned benefits from 27 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Nottingham, MD; Prince Frederick, MD; Havre de Grace, MD; Elkton, MD; Annapolis, MD

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Advantage Psychiatric Services LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1114 Benfield Blvd
Ste H
Millersville, MD 21108
Phone (410) 686-3626

7133 Rutherford Rd
Ste 101
Windsor Mill, MD 21244
Phone (443) 551-3249

Interoperability endpoints

  • Direct secure messaging: www.information@advantagepsyc.com

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1700515236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 CAMPBELL BLVD STE A",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365974",
            "telephone_number": "410-686-3629",
            "fax_number": "410-780-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 LEWIS LN STE 101",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783755",
            "telephone_number": "410-686-3629",
            "fax_number": "410-780-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "PIXTON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-686-3629"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "220512567",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "www.information@advantagepsyc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5024 Campbell Blvd",
            "city": "Nottingham",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212365974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.