Advantage Psychiatric Services LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Prince Frederick, MD
NPI 1740874296 · NPPES record last updated Feb 26, 2021
Key facts
- NPI
- 1740874296
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- ADVANTAGE PSYCHIATRIC SERVICES LLC
- Practice address
- 493 Main St
Prince Frederick, MD 20678-3186 - Phone
- (410) 686-3629
- NPI assigned
- Feb 25, 2021
- Organization subpart
- No
Authorized official
- Name
- Cynthia Lynn Pixton
- Title
- Ceo
- Phone
- (410) 686-3629
Other NPIs on the same Medicare enrollment 7
Corporate family (same tax ID) 7
Practitioners 25
-
Angelina Argyle, LCSW-C
-
Ethel Ann Bakke, LPC, NCC, LMHC, CAP
-
Burton R Dickerson III, LCSW-C
-
Amanda Emmons, LCPC
-
Doris Stacy Fair, LCPC
-
Erica Hammond, LGPC
-
Frances Horzempa, LCSW-C
-
Christopher John Kronner, LCSW-C
-
Kristine Lyons, LMSW
-
Ronald Tyler Montgomery, LGPC
-
Lydia Moore, LCPC
-
Jartu Nylander, PMHNP-BC
-
Amanda Page, LCSW- C
-
Hannah Elizabeth Rogers, LCSW
-
Kimberly Marie Scroger, LCPC
-
Tiffany Cherie Showells, LMSW
-
Dou Strobach, PMHNP-BC, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Advantage Psychiatric Services LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
493 Main St
Prince Frederick, MD 20678-3186
Mailing address
5024 Campbell Blvd Ste a
Nottingham, MD 21236-5974
Phone (410) 686-3629
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210210588 | Medicaid | MD |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | information@advantagepsyc.com | Health Information Exchange (HIE) |
Other providers in Prince Frederick, MD
- Advanced Orthopaedic Specialists, PC
- Advanced Orthopaedic Specialists, PC
- Advanced Pain Management Specialists LLC
- Advanced Pain Management Specialists, LLC
- Advanced Pain Management Specialists, LLC
- Alaa Ahmed
- Bilal Ahmed
- Sonia Saddaf Ahsan
- Oladipupo Sam Ajayi
- Ramzi S. Alami
All providers in Prince Frederick, MD · Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.