NPIMap

Organization Active NPI

Corrections - Comprehensive Treatment Centers, LLC

Doing business as Matador Comprehensive Treatment Center

  • Methadone Clinic
  • Billerica, MA
National Provider Identifier
1245886258
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
CORRECTIONS - COMPREHENSIVE TREATMENT CENTERS, LLC
Doing business as
Matador Comprehensive Treatment Center
Practice address
269 Treble Cove Rd.
Billerica, MA 01862
Phone
(978) 932-3442
NPI assigned
Aug 15, 2019
Last updated
Aug 15, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ACADIA HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Authorized official

Name
Kim Sanderson
Title
Sr. Vice President
Phone
(855) 259-2288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X NU Primary

Addresses

Primary practice location

269 Treble Cove Rd.
Billerica, MA 01862

Mailing address

6185 Paseo del Norte, Ste 150
Carlsbad, CA 92011
Phone (855) 259-2288

Other names 1

  • Matador Comprehensive Treatment Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Corrections - Comprehensive Treatment Centers LLC3 organizations share this tax ID, including this one
Part of
Acadia Healthcare

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1245886258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6185 PASEO DEL NORTE, STE 150",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "92011",
            "telephone_number": "855-259-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 TREBLE COVE RD.",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "01862",
            "telephone_number": "978-932-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIONS - COMPREHENSIVE TREATMENT CENTERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADIA HEALTHCARE",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "855-259-2288"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matador Comprehensive Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Billerica, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.