ADVANCED BEHAVIORAL HEALTH P C (NPI# 1346462850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346462850 |
| Entity Type | Organization |
| Organization Name | ADVANCED BEHAVIORAL HEALTH P C |
| Practice Address |
8600 Route 91, North Suite 240 Peoria IL 61615 |
| Mailing Address |
20607 N Fawn Ct Chillicothe IL 61523-9761 |
| Practice Telephone | 3096835094 |
| Practice Fax Number | 3096835095 |
| Mailing Telephone | 3096489587 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-08-27 |
| Authorized Official Name | DR. LISA LYNNE ROGERS (PRESIDENT CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 3096489587 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| Street Address |
8600 ROUTE 91, NORTH SUITE 240 |
| City | PEORIA |
| State | IL |
| Zip Code | 61615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139251 | Shirley Yang | Psychologist | 9165 W Thunderbird Rd Ste 201, Peoria, AZ 85381-4847 | 2020-03-18 |
| 1619523479 | Emma Kathryn Bucher | Psychologist | 6615 N. Big Hollow Rd, Peoria, IL 61615-2451 | 2019-08-16 |
| 1164076709 | Dawn C Roberts | Psychologist | 4307 W Rustic Hollow Dr, Peoria, IL 61615-2430 | 2019-07-31 |
| 1548624950 | David Francis Adams | Psychologist | 7617 N Villa Wood Ln Ste 1, Peoria, IL 61614-1595 | 2016-04-12 |
| 1780050476 | Kaysha Richards | Psychologist | 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 | 2015-08-17 |
| 1528453826 | Robert Mastikian | Psychologist | 16165 N 83rd Ave Ste 200, Peoria, AZ 85382-5816 | 2015-04-02 |
| 1891122636 | William Barker | Psychologist | 900 Main St Ste 780, Peoria, IL 61602-1067 | 2013-10-10 |
| 1922359629 | Ashurina Ream | Psychologist | 20403 N Lake Pleasant Rd # 117-134, Peoria, AZ 85382-9702 | 2012-09-21 |
| 1093907180 | Amy L Kaminski | Psychologist | 7747 W Deer Valley Rd, Suite 255, Peoria, AZ 85382-2117 | 2007-08-13 |
| 1871660217 | Thomas S Merrill | Psychologist | 12682 W Bajada Rd, Peoria, AZ 85383-2808 | 2006-11-29 |
| Find all providers in PEORIA | ||||
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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.