NPIMap

Organization Active NPI

Specialized Treatment Services, Inc.

Doing business as Specialized Treatment Services, Inc. - St. Paul

  • Methadone Clinic
  • Saint Paul, MN
National Provider Identifier
1225464134
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
1063318 Issued in MN
Legal business name
SPECIALIZED TREATMENT SERVICES, INC.
Doing business as
Specialized Treatment Services, Inc. - St. Paul
Practice address
311 Spruce St
Saint Paul, MN 55101-2446
Phone
(763) 236-1700
Fax
(763) 236-1701
NPI assigned
Sep 24, 2013
Last updated
Sep 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Glenn McGregor
Title
Vice President
Phone
(612) 236-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 1063318 MN Primary

Addresses

Primary practice location

311 Spruce St
Saint Paul, MN 55101-2446

Mailing address

1132 Central Ave NE
Minneapolis, MN 55413-1512
Phone (763) 236-1700

Other names 1

  • Specialized Treatment Services, Inc. - St. Paul Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200623000876 MN Part B Supplier - Opioid Treatment Program (Otp) 2466874342 2 other NPIs on this enrollment
Practice locations: Brooklyn Park, MN; Minneapolis, MN; Saint Paul, MN

Other NPIs on the same Medicare enrollment 2

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2120741Specialized Treatment Services/SP311 Spruce Street, Saint Paul, MN 55101Certificate of waiverOct 23, 2026

National Provider Directory

National Provider Directory
Tax ID family
Specialized Treatment Services Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1225464134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 CENTRAL AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131512",
            "telephone_number": "763-236-1700",
            "fax_number": "763-236-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 SPRUCE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012446",
            "telephone_number": "763-236-1700",
            "fax_number": "763-236-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED TREATMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "MCGREGOR",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "612-236-1700"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "MN",
            "license": "1063318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialized Treatment Services, Inc. - St. Paul",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.