Active NPI
Drug and Alcohol Treatment Serv
- Substance Use Disorder Rehabilitation Hospital Unit
- Scranton, PA
National Provider Identifier
1013982008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Hospital Unit
- Legal business name
- DRUG AND ALCOHOL TREATMENT SERV
- Practice address
- 441 Wyoming Avenue
Scranton, PA 18503-1800 - Phone
- (570) 344-3877
- Fax
- (570) 344-1090
- NPI assigned
- Feb 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kevin J. McLaughlin, LSW
- Title
- Executive Director
- Phone
- (570) 344-3877
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | PA | Primary |
Addresses
Primary practice location
441 Wyoming Avenue
Scranton, PA 18503-1800
Mailing address
116 N Washington Ave
Suite 3a
Scranton, PA 18503-1800
Phone (570) 961-1997
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 999022 | Other | PA | BCBS ID # |
| 90006 | Other | PA | GEISINGER HEALTH ID# |
| 093511 | Other | PA | FPH ID # |
| 1007465840002 | Medicaid | PA | |
| 4544717 | Other | PA | AETNA ID# |
National Provider Directory
National Provider DirectoryLocations
441 Wyoming Ave
Scranton, PA 18503
Phone (570) 504-7337
116 N Washington Ave
Ste 3A
Scranton, PA 18503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276560000000",
"number": "1013982008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 N WASHINGTON AVE",
"address_2": "SUITE 3A",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185031800",
"telephone_number": "570-961-1997",
"fax_number": "570-344-9632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 WYOMING AVENUE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185031800",
"telephone_number": "570-344-3877",
"fax_number": "570-344-1090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRUG AND ALCOHOL TREATMENT SERV",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-22",
"last_updated": "2010-06-15",
"status": "A",
"authorized_official_last_name": "MCLAUGHLIN",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "570-344-3877",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LSW"
},
"taxonomies": [
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID #",
"identifier": "999022",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH ID#",
"identifier": "90006",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FPH ID #",
"identifier": "093511",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007465840002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID#",
"identifier": "4544717",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.