Organization Active NPI

Drug and Alcohol Treatment Serv

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Scranton, PA
National Provider Identifier
1013982008
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
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

Updated by the provider on Jun 15, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
999022OtherPABCBS ID #
90006OtherPAGEISINGER HEALTH ID#
093511OtherPAFPH ID #
1007465840002MedicaidPA
4544717OtherPAAETNA ID#

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.