Trehab Drug and Alcohol Outpatient Program

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

H6526601 Issued in PA

Legal business name

TREHAB DRUG AND ALCOHOL OUTPATIENT PROGRAM

Practice address

36 Public Ave
Box 366
Montrose, PA 18801-1220

Phone

(570) 278-3338

NPI assigned

Nov 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dennis Phelps

Title

Program Director

Phone

(570) 278-5227

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Trehab Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Trehab Drug and Alcohol Outpatient Program6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• The Trehab Center Inc

  • Case Management Agency
  • Montrose, PA
  • NPI 1831313444
  NPD tax ID
• Trehab

  • Community/Behavioral Health Agency
  • Susquehanna, PA
  • NPI 1326598616
  NPD tax ID
• Trehab

  • Community/Behavioral Health Agency
  • Tunkhannock, PA
  • NPI 1538618202
  NPD tax ID
• Trehab Drug and Alcohol Outpatient Center

  • Community/Behavioral Health Agency
  • Montrose, PA
  • NPI 1174749220
  NPD tax ID
• Trehab Drug and Alcohol Outpatient Program

  • Community/Behavioral Health Agency
  • Susquehanna, PA
  • NPI 1053791566
  NPD tax ID

Locations

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1124209440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PUBLIC AVE",
            "address_2": "2ND FLOOR",
            "city": "MONTROSE",
            "state": "PA",
            "postal_code": "188011220",
            "telephone_number": "570-278-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 PUBLIC AVE",
            "address_2": "BOX 366",
            "city": "MONTROSE",
            "state": "PA",
            "postal_code": "188011220",
            "telephone_number": "570-278-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREHAB DRUG AND ALCOHOL OUTPATIENT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "570-278-5227",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "H6526601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "100-730-1450005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "100-730-1450007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "100-730-1450006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• The Kaleidoscope Center LLC
• The Montrose Minute Men
• The Trehab Center Inc
• Alison Anne Tokos, NP
• Trehab Drug and Alcohol Outpatient Center
• Tri County Human Services Center Inc
• Thomas Vaccaro, DPT, PT
• Lydia Grace Vincent, R.D., L.D.N.
• Vision Innovation Centers of Pennsylvania LLC
• Pamela J Walker, LCSW

• Community/Behavioral Health Agency in Montrose, PA
• Providers in Montrose, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.