ADVANCED BEHAVIORAL HEALTH, INC. (NPI# 1275978165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275978165 |
| Entity Type | Organization |
| Organization Name | ADVANCED BEHAVIORAL HEALTH, INC. |
| Other Organization Name | ABH, INC. |
| Practice Address |
5820 York Rd Ste 202 Baltimore MD 21212-3620 |
| Mailing Address |
1003 W 7th St Ste 500 Frederick MD 21701-8512 |
| Practice Telephone | 3013451022 |
| Practice Fax Number | 3016822472 |
| Mailing Telephone | 3013451022 |
| Mailing Fax Number | 3016822472 |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | VERA KURDIAN (DIRECTOR) |
| Authorized Official Telephone | 3013451022 |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVANCED BEHAVIORAL HEALTH, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ABH, Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302442 | Advanced Behavioral Health, Inc. | Psychiatry & Neurology | 532 Baltimore Blvd Ste 403, Westminster, MD 21157-6146 | 2020-10-07 |
| 1518405166 | Advanced Behavioral Health, Inc. | Community/Behavioral Health | 18685 Main St Ste 101-459, Huntington Beach, CA 92648-1723 | 2017-02-03 |
| 1639534951 | Advanced Behavioral Health, Inc. | Counselor | 1003 W 7th St Ste 500, Frederick, MD 21701-8512 | 2015-12-31 |
| 1154799559 | Advanced Behavioral Health, Inc. | Clinic/Center | 1003 W 7th St Ste 500, Frederick, MD 21701-8512 | 2015-09-02 |
| 1538455381 | Advanced Behavioral Health, Inc. | Psychiatry & Neurology | 7474 Greenway Center Dr Ste 730, Greenbelt, MD 20770-3523 | 2011-06-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | ADVANCED BEHAVIORAL HEALTH, INC. | Middlesex Corporate Center, 213 Court St 8th Flr, Middletown, CT 06457 |
| Street Address |
5820 YORK RD STE 202 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21212-3620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750915484 | Katrina Belarmino | Social Worker | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2020-03-03 |
| 1912558412 | Tawana Wilson | Counselor | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2019-09-25 |
| 1619529310 | Tewedaj Kebede Molla | Social Worker | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2019-07-12 |
| 1619431947 | Matthew Richard Sampson | Counselor | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2019-01-31 |
| 1275025926 | Vaughan R Wimberley | Social Worker | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2018-05-30 |
| 1528556586 | Jazmone Sherece Taylor | Counselor | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2018-04-25 |
| 1629584222 | Elizabeth Adolph | Counselor | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2017-12-18 |
| 1790299709 | Amy Lee Kirby | Social Worker | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2017-11-29 |
| 1114437928 | Daniel J Udo | Social Worker | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2017-10-06 |
| 1821538224 | Jonathan Englard | Nurse Practitioner | 5820 York Rd Ste 202, Baltimore, MD 21212 | 2017-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935227 | Leigh Anne Tabernero | Counselor | 6600 York Rd Suite 110, Towson, MD 21212 | 2019-08-01 |
| 1245734250 | Jeri Michele Mankye | Counselor | 814 Radnor Ave, Baltimore, MD 21212 | 2018-03-23 |
| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1063927622 | Janice Furst | Psychologist | 421 Old Trail, Baltimore, MD 21212 | 2017-12-05 |
| 1689196537 | Huber Rehabilitation Services | Counselor | 500 Woodbourne, Baltimore, MD 21212 | 2017-07-12 |
| 1639608037 | Christina Joy Antolick | Behavior Technician | 1007 Lenton Ave, Baltimore, MD 21212 | 2017-06-08 |
| 1902359979 | Miriam Trader | Speech-Language Pathologist | 500 Overbrook Road, Baltimore, MD 21212 | 2016-07-26 |
| 1497137269 | Candy Carter | Social Worker | 5900 York Rd Ste 108, Baltimore, MD 21212 | 2015-06-29 |
| 1053703298 | Cathryne L. Maciolek, Psy.d., LLC | Psychologist | 540 E. Belvedere Avenue, Suite 203, Baltimore, MD 21212 | 2015-02-25 |
| 1891034831 | Ashley Martin | Social Worker | 6401 York Road Third Floor, Towson, MD 21212 | 2013-02-12 |
| Find all providers in zip 21212 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578979951 | Sa Eun Park | Psychiatry & Neurology | 1800 Orleans St Fl Center12, Baltimore, MD 21287-0010 | 2014-07-07 |
| 1902171374 | Coleen Marie Schrepfer | Psychiatry & Neurology | 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209 | 2012-03-18 |
| 1639366032 | Joseph S Bierman | Psychiatry & Neurology | 2 Olmstead Green Ct, Baltimore, MD 21210-1508 | 2007-09-28 |
| 1790905826 | Carla Stephanie Brown | Psychiatry & Neurology | 6501 N Charles Street, Baltimore, MD 21285-6815 | 2007-04-30 |
| 1093861221 | Evanne Loh Hoehn-saric | Psychiatry & Neurology | 2700 Washington Ave, Baltimore, MD 21227-3115 | 2007-01-29 |
| 1194767491 | Roma Vasa | Psychiatry & Neurology | 3901 Greenspring Ave, Kennedy Krieger Institute, Deptartment of Psychiatry, Baltimore, MD 21211 | 2006-06-12 |
| 1639701956 | Johns Hopkins Bayview Medical Center, Inc. | Psychiatry & Neurology | 5500 E Lombard St Rm 1025, Baltimore, MD 21224-1731 | 2020-02-05 |
| 1265951404 | Faye Park | Psychiatry & Neurology | 716 N Broadway, Baltimore, MD 21205-1806 | 2017-09-19 |
| 1245625318 | Raheela Sultan | Psychiatry & Neurology | 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209-3650 | 2015-04-05 |
| 1639437668 | Hal Kronsberg | Psychiatry & Neurology | 5500 E Lombard St, Baltimore, MD 21224-1731 | 2012-04-27 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.