NPIMap

Organization Active NPI

Action Behavior Centers, LLC

  • Psychologist
  • Broomfield, CO
National Provider Identifier
1992422430
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ACTION BEHAVIOR CENTERS, LLC
Practice address
320 E 1St Ave Ste 101
Broomfield, CO 80020-3786
Phone
(720) 259-5500
NPI assigned
Oct 25, 2022
Last updated
Oct 25, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ACTION BEHAVIOR CENTERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Samantha L Gomez
Title
Credentialing Manager
Phone
(512) 551-1717

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

320 E 1St Ave Ste 101
Broomfield, CO 80020-3786

Mailing address

1601 S Mopac Expy Ste C300
Austin, TX 78746
Phone (512) 920-1030

National Provider Directory

National Provider Directory
Tax ID family
Action Behavior Centers LLC92 organizations share this tax ID, including this one
Part of
Action Behavior Centers LLC

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1992422430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S MOPAC EXPY STE C300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-920-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 1ST AVE STE 101",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800203786",
            "telephone_number": "720-259-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION BEHAVIOR CENTERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTION BEHAVIOR CENTERS, LLC",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "512-551-1717"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.