ADVANTAGE PSYCHIATRIC SERVICES LLC (NPI# 1558843763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558843763 |
| Entity Type | Organization |
| Organization Name | ADVANTAGE PSYCHIATRIC SERVICES LLC |
| Practice Address |
910 Revolution St Havre De Grace MD 21078 |
| Mailing Address |
5024 Campbell Blvd Ste A Nottingham MD 21236-5974 |
| Practice Telephone | 4106863629 |
| Mailing Telephone | 4106863629 |
| Mailing Fax Number | 4107807178 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | CYNTHIA LYNN PIXTON (OWNER/CEO) |
| Authorized Official Telephone | 4106863629 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | BH001084 | MD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | LICENCE | BH001084 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 306 W Pulaski Hwy, Elkton, MD 219215217 | 4106863629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837093 | Advantage Psychiatric Services LLC | Community/Behavioral Health | 1114 Benfield Blvd Ste H, Millersville, MD 21108-2590 | 2019-12-06 |
| 1205473444 | Advantage Psychiatric Services LLC | Community/Behavioral Health | 7133 Rutherford Rd Ste 101, Windsor Mill, MD 21244-2712 | 2019-12-06 |
| 1982246625 | Advantage Psychiatric Services LLC | Community/Behavioral Health | 8229 Cloverleaf Dr Ste 420, Millersville, MD 21108-1593 | 2019-10-15 |
| 1548742554 | Advantage Psychiatric Services LLC | Clinic/Center | 306 W Pulaski Hwy, Elkton, MD 21921-5217 | 2018-09-06 |
| 1982001939 | Advantage Psychiatric Services LLC | Community/Behavioral Health | 1114 Benfield Blvd, Suite H, Millersville, MD 21108-2568 | 2014-11-19 |
| 1518573427 | Advantage Psychiatric Services LLC | Community/Behavioral Health | 5024 Campbell Blvd Ste A, Nottingham, MD 21236-5974 | 2020-09-17 |
| 1831737360 | Advantage Psychiatric Services LLC | Community/Behavioral Health | 306 W Pulaski Hwy, Elkton, MD 21921-5217 | 2019-12-16 |
| 1750929287 | Advantage Psychiatric Services LLC | Community/Behavioral Health | 910 Revolution St, Havre De Grace, MD 21078-3718 | 2019-12-16 |
| 1396382537 | Advantage Psychiatric Services LLC | Community/Behavioral Health | 5024 Campbell Blvd Ste A, Nottingham, MD 21236-5974 | 2019-12-06 |
| 1114572237 | Advantage Psychiatric Services LLC | Community/Behavioral Health | 910 Revolution St, Havre De Grace, MD 21078-3718 | 2019-08-06 |
| Street Address |
910 REVOLUTION ST |
| City | HAVRE DE GRACE |
| State | MD |
| Zip Code | 21078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811283195 | Laura Michelle Kivlen | Physical Therapist | 910 Revolution St, Havre De Grace, MD 21078-3718 | 2011-06-24 |
| 1750929287 | Advantage Psychiatric Services LLC | Community/Behavioral Health | 910 Revolution St, Havre De Grace, MD 21078-3718 | 2019-12-16 |
| 1114572237 | Advantage Psychiatric Services LLC | Community/Behavioral Health | 910 Revolution St, Havre De Grace, MD 21078-3718 | 2019-08-06 |
| 1093297020 | Advantage Psychiatric Services LLC | Community/Behavioral Health | 910 Revolution St, Havre De Grace, MD 21078-3718 | 2018-09-06 |
| 1306364971 | Advantage Psychiatric Services LLC | Case Management | 910 Revolution St, Havre De Grace, MD 21078-3718 | 2017-09-05 |
| 1043696453 | Fine, Bryant & Wah, Inc. | Occupational Therapist | 910 Revolution St, Havre De Grace, MD 21078-3718 | 2015-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265076327 | Shannon Mona Lane | Social Worker | [email protected], 609 Peace Chance Dr., Havre De Grace, MD 21078 | 2019-11-01 |
| 1134699788 | Amanda Graziano | Speech-Language Pathologist | 201 Oakington Rd, Havre De Grace, MD 21078 | 2018-11-27 |
| 1689111551 | Barbara Rene-darbouze | Counselor | 400 Lewis Street, Havre De Grace, MD 21078 | 2017-01-30 |
| 1598136459 | Proud and Positive Treatment Services Inc. | Clinic/Center | 602 Revolution St., Suite 103, Havre De Grace, MD 21078 | 2015-10-16 |
| 1427426337 | Leodegario Ayson Najera Sr. | Surgery | 121 Flying Ebony Place, Havre De Grace, MD 21078 | 2015-09-09 |
| 1669857538 | Connie Dausch | Counselor | 100 St John Street, Suite 1, Havre De Grace, MD 21078 | 2015-07-21 |
| 1659777225 | Doris Stacy Fair | Counselor | 501 South Union Ave., Harford Memorial Hospital, Havre De Grace, MD 21078 | 2014-11-10 |
| 1871995860 | Faith Ku | Pharmacist | 1000 Pulaski Highway, Havre De Grace, MD 21078 | 2014-09-22 |
| 1376889121 | Lorien Life Center Harford II, Inc. | Skilled Nursing Facility | 1501 Blenheim Farm Lane, Havre De Grace, MD 21078 | 2012-12-26 |
| 1396000790 | Pdom Havre De Grace | Dentist | 2021 Pulaski Highway Units A and B, Havre De Grace, MD 21078 | 2012-07-11 |
| Find all providers in zip 21078 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093848780 | Linda Argentino | Community/Behavioral Health | 415 Pennington Ave, Havre De Grace, MD 21078-2903 | 2007-03-13 |
| 1356973952 | Norkris Foundation Inc. | Community/Behavioral Health | 611 S Union Ave, Havre De Grace, MD 21078-3421 | 2020-02-11 |
| 1255963393 | Norkris Foundation Inc. | Community/Behavioral Health | 611 S Union Ave, Havre De Grace, MD 21078-3421 | 2020-02-06 |
| 1750929287 | Advantage Psychiatric Services LLC | Community/Behavioral Health | 910 Revolution St, Havre De Grace, MD 21078-3718 | 2019-12-16 |
| 1114572237 | Advantage Psychiatric Services LLC | Community/Behavioral Health | 910 Revolution St, Havre De Grace, MD 21078-3718 | 2019-08-06 |
| 1093297020 | Advantage Psychiatric Services LLC | Community/Behavioral Health | 910 Revolution St, Havre De Grace, MD 21078-3718 | 2018-09-06 |
| 1306385232 | Norkris Foundation Inc. | Community/Behavioral Health | 611 S Union Ave, Havre De Grace, MD 21078-3421 | 2017-02-12 |
| 1952799207 | Winners' Choice Healthcare Services, LLC | Community/Behavioral Health | 400 Lewis St, Havre De Grace, MD 21078-3405 | 2015-01-08 |
| 1316213341 | Susquehanna Counseling Services LLC | Community/Behavioral Health | 626 Revolution St, Havre De Grace, MD 21078-3320 | 2012-03-23 |
| 1760785521 | Brenda Jaffe, Lcsw-c, LLC | Community/Behavioral Health | 100 Bourbon St, Havre De Grace, MD 21078-3147 | 2010-12-16 |
| Find all providers in HAVRE DE GRACE | ||||
| City | HAVRE DE GRACE |
| Zip Code | 21078 |
Please comment or provide details below to improve the information on ADVANTAGE PSYCHIATRIC SERVICES LLC.
| 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.