Active NPI
Advanced Behavioral Health Services, LLC
- Community/Behavioral Health Agency
- North Chesterfield, VA
National Provider Identifier
1780923292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 0810004544
- Legal business name
- ADVANCED BEHAVIORAL HEALTH SERVICES, LLC
- Practice address
- 1241 Mall Dr
North Chesterfield, VA 23235-4879 - Phone
- (804) 539-2557
- NPI assigned
- Feb 4, 2013
- Last updated
- Feb 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alan Thomas Von Kleiss, PSYD
- Title
- Ceo- Clinical Psychologist
- Phone
- (804) 539-2557
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 0810004544 | VA | Primary |
Addresses
Primary practice location
1241 Mall Dr
North Chesterfield, VA 23235-4879
Mailing address
7514 Van Hoy Dr
North Chesterfield, VA 23235-6454
Phone (804) 539-2557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1215 Mall Dr
North Chesterfield, VA 23235
Phone (804) 539-2557
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Clinical Neuropsychologist
- North Chesterfield, VA
- NPI 1790058899
-
- Psychologist
- North Chesterfield, VA
- NPI 1629868799
-
- Professional Counselor
- North Chesterfield, VA
- NPI 1114647500
-
- Mental Health Counselor
- North Chesterfield, VA
- NPI 1174122428
-
- Professional Counselor
- North Chesterfield, VA
- NPI 1346078664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359936000000",
"number": "1780923292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7514 VAN HOY DR",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232356454",
"telephone_number": "804-539-2557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 MALL DR",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232354879",
"telephone_number": "804-539-2557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED BEHAVIORAL HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-04",
"last_updated": "2013-02-04",
"status": "A",
"authorized_official_last_name": "VON KLEISS",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "CEO- CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "804-539-2557",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "VA",
"license": "0810004544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.