Pinnacle Treatment Centers PA-VI, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

PINNACLE TREATMENT CENTERS PA-VI, LLC

Doing business as

Greenfield Counseling

Practice address

11127 Perry Hwy
Meadville, PA 16335-6557

Phone

(814) 337-7431

Fax

(814) 332-0917

NPI assigned

Aug 31, 2015

Last updated

Dec 19, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

PINNACLE TREATMENT CENTERS, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robyn Tanis

Title

Executive Director of Contract MGMT

Phone

(856) 533-8762

Specialties & licenses 1

Addresses

Other names 1

• Greenfield Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Part of

Pinnacle Treatment Centers Oh -Xvii

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas H Turner, MD

  • Family Medicine Physician
  • Fairview, PA
  • NPI 1841377082
  NPD
• Traci Schumacher

  • Psychiatric/Mental Health Nurse Practitioner
  • Erie, PA
  • NPI 1700517901
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1083081616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 ROUTE 73 STE 200",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542202",
            "telephone_number": "856-439-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11127 PERRY HWY",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163356557",
            "telephone_number": "814-337-7431",
            "fax_number": "814-332-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE TREATMENT CENTERS PA-VI, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE TREATMENT CENTERS, INC",
        "enumeration_date": "2015-08-31",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "TANIS",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF CONTRACT MGMT",
        "authorized_official_telephone_number": "856-533-8762"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenfield Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenfield Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert William Petruso II, AUD
• Travis Elijah Petruso
• Philadelphia Eye Care Centre
• Amber Phillips, LCSW
• Jeffrey Thomas Pianta, RPH
• Pioneer Medical Associates
• Pamela Piotrowski
• Stacey Pittner, PA-C
• Peter R. Pless, M.D.
• Erica Lynn Ploski, LPC

• Methadone Clinic in Meadville, PA
• Providers in Meadville, PA by specialty
• Methadone Clinic in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.

Verify at the official NPI Registry.