NPIMap

Organization Active NPI

Hummingbird ABA Therapy, LLC

  • Multi-Specialty Clinic/Center
  • State College, PA
National Provider Identifier
1730831207
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HUMMINGBIRD ABA THERAPY, LLC
Practice address
1500 E Branch Rd Ste 200
State College, PA 16801-6921
Phone
(814) 380-9180
Fax
(814) 406-4244
NPI assigned
Jan 25, 2022
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Julie Angstadt, MA, BCBA, LBS, IBANPI 1770193708
Title
Owner/Clinical Director
Phone
(814) 380-9180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

1500 E Branch Rd Ste 200
State College, PA 16801-6921

Mailing address

318 Bottorf Dr
State College, PA 16801-7128
Phone (814) 380-9180

Other identifiers 1

IdentifierTypeStateIssuer
1038509600002MedicaidPA

Other names 1

  • Hummingbird ABA Therapy Other name

National Provider Directory

National Provider Directory
Tax ID family
Hummingbird ABA Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1500 E Branch Rd
Ste 200
State College, PA 16801
Phone (814) 380-9180

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1730831207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 BOTTORF DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017128",
            "telephone_number": "814-380-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E BRANCH RD STE 200",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016921",
            "telephone_number": "814-380-9180",
            "fax_number": "814-406-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMMINGBIRD ABA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "ANGSTADT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "814-380-9180",
        "authorized_official_credential": "MA, BCBA, LBS, IBA"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038509600002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hummingbird ABA Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.