Active NPI
Richmond Treatment Center, LLC
- Methadone Clinic
- Richmond, IN
National Provider Identifier
1003969767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- License
- 1382-0-ASR
- Legal business name
- RICHMOND TREATMENT CENTER, LLC
- Practice address
- 4265 S a St
Richmond, IN 47374-6049 - Phone
- (765) 962-8843
- Fax
- (765) 965-4564
- NPI assigned
- Jan 18, 2007
- Organization subpart
- Yes
- Parent organization
- ACADIA HEALTHCARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Phillip Farley
- Title
- VP & Secretary
- Phone
- (615) 861-6000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | 1382-0-ASR | IN | Primary |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 1382-0-ASR | IN |
Addresses
Primary practice location
4265 S a St
Richmond, IN 47374-6049
Mailing address
PO Box 682669
Franklin, TN 37068-2669
Phone (760) 710-0819
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201346320A | Medicaid | IN | |
| 0279188 | Medicaid | OH | |
| 300007804 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191223001524 | IN | Part B Supplier - Opioid Treatment Program (Otp) | 1951735000 | Practice locations: Richmond, IN |
National Provider Directory
National Provider Directory- Tax ID family
- Richmond Treatment CNTR LLC
- Part of
- Haven Behavioral Healthcare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Richmond, IN
- NPI 1881810273
Locations
4265 S A St
Richmond, IN 47374
Phone (765) 962-8843
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community/Behavioral Health Agency
- Charlestown, IN
- NPI 1548708142
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Medicine (Internal Medicine) Physician
- Richmond, IN
- NPI 1639170509
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1558354449
-
- Addiction Medicine (Family Medicine) Physician
- Shelbyville, KY
- NPI 1891833380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775520000000",
"number": "1003969767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 682669",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370682669",
"telephone_number": "760-710-0819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4265 S A ST",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473746049",
"telephone_number": "765-962-8843",
"fax_number": "765-965-4564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHMOND TREATMENT CENTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ACADIA HEALTHCARE",
"enumeration_date": "2007-01-18",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A",
"authorized_official_last_name": "FARLEY",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "PHILLIP",
"authorized_official_title_or_position": "VP & SECRETARY",
"authorized_official_telephone_number": "615-861-6000"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "IN",
"license": "1382-0-ASR",
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "IN",
"license": "1382-0-ASR",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201346320A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0279188",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300007804",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.