NPIMap

Organization Active NPI

Quality Addiction Management Inc

Doing business as Kenosha Comprehensive Treatment Center

  • Methadone Clinic
  • Kenosha, WI
National Provider Identifier
1184354979
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
QUALITY ADDICTION MANAGEMENT INC
Doing business as
Kenosha Comprehensive Treatment Center
Practice address
7991 Sheridan Rd
Kenosha, WI 53143-5943
Phone
(262) 649-9966
Fax
(262) 395-7661
NPI assigned
Jun 14, 2022
Last updated
Jul 25, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ACADIA HEALTHCARE COMPAMY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Brian Phillip Farley
Title
VP & Secretary
Phone
(156) 716-9335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

7991 Sheridan Rd
Kenosha, WI 53143-5943

Mailing address

6183 Paseo del Norte
Ste 200
Carlsbad, CA 92011-1155
Phone (855) 259-2288

Other names 1

  • Kenosha Comprehensive Treatment Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200213000036 WI Part B Supplier - Opioid Treatment Program (Otp) 4688691868 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mount Pleasant, WI; West Milwaukee, WI; Waukesha, WI; Sheboygan, WI; Kenosha, WI; Green Bay, WI; Fitchburg, WI; Beloit, WI

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Professional Rec Net SC8 organizations share this tax ID, including this one
Part of
Acadia Healthcare

Other organizations with this tax ID 7

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

Locations

2357 W Mason St
Green Bay, WI 54303
Phone (920) 265-5704

5735 Durand Ave
Mount Pleasant, WI 53406
Phone (262) 598-1392

2842 S Business Dr
Sheboygan, WI 53081
Phone (920) 458-6527

Practitioners & affiliated clinicians

Practitioners 169

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.

View all 169

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1184354979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6183 PASEO DEL NORTE",
            "address_2": "STE 200",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111155",
            "telephone_number": "855-259-2288",
            "fax_number": "877-552-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7991 SHERIDAN RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435943",
            "telephone_number": "262-649-9966",
            "fax_number": "262-395-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY ADDICTION MANAGEMENT INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADIA HEALTHCARE COMPAMY, INC",
        "enumeration_date": "2022-06-14",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "156-716-9335"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenosha Comprehensive Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kenosha Comprehensive Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.