Provider Demographics
NPI:1922164854
Name:ASSOCIATES IN BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:ASSOCIATES IN BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:RODERICK
Authorized Official - Last Name:STAHL
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:508-822-1690
Mailing Address - Street 1:7 DEAN ST
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-2725
Mailing Address - Country:US
Mailing Address - Phone:508-822-1690
Mailing Address - Fax:508-880-5389
Practice Address - Street 1:7 DEAN ST
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-2725
Practice Address - Country:US
Practice Address - Phone:508-822-1690
Practice Address - Fax:508-880-5389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA974343101Y00000X
MA4317101Y00000X
MA1830103T00000X
MA7981103T00000X
MA102138104100000X
MA1019475104100000X
MA1026603104100000X
MA273292084P0800X
MA1583542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA213470OtherBEACON
RI3317-4OtherBLUE CROSS BLUE SHIELD
MAW10140OtherBLUE CROSS BLUE SHIELD