NPIMap

Organization Active NPI

Northeast Treatment Centers, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bethlehem, PA
National Provider Identifier
1134418924
Registry record updated Jun 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
214720 Issued in PA
Legal business name
NORTHEAST TREATMENT CENTERS, INC
Practice address
44 E Broad St
Suite 020
Bethlehem, PA 18018-5947
Phone
(610) 868-0435
Fax
(610) 868-5552
NPI assigned
Apr 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2013

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

Authorized official

Name
Mr. Jonathan Solomons
Title
Chief Financial Officer
Phone
(215) 451-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 214720 PA Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 487031 PA

Addresses

Primary practice location

44 E Broad St
Suite 020
Bethlehem, PA 18018-5947

Mailing address

499 N 5TH St
Suite a
Philadelphia, PA 19123-4005
Phone (215) 451-7000

Other identifiers 3

IdentifierTypeStateIssuer
100773886OtherPACOMMUNITY BEHAVIORAL HEALTH (CBH)
100773886MedicaidPA
100773886OtherPAMAGELLAN HEALTH CHOICES

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372550400000",
    "number": "1134418924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 N 5TH ST",
            "address_2": "SUITE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191234005",
            "telephone_number": "215-451-7000",
            "fax_number": "215-925-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E BROAD ST",
            "address_2": "SUITE 020",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185947",
            "telephone_number": "610-868-0435",
            "fax_number": "610-868-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST TREATMENT CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2013-06-30",
        "status": "A",
        "authorized_official_last_name": "SOLOMONS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "215-451-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": "214720",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": "487031",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BEHAVIORAL HEALTH (CBH)",
            "identifier": "100773886",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100773886",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH CHOICES",
            "identifier": "100773886",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2013; 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.