NPIMap

Organization Active NPI

Pinnacle Treatment Centers Oh-I, LLC

  • Clinic/Center
  • Athens, OH
National Provider Identifier
1275003022
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PINNACLE TREATMENT CENTERS OH-I, LLC
Practice address
1005 E State St
Athens, OH 45701-2151
Phone
(740) 628-0181
NPI assigned
Dec 4, 2018
Last updated
Sep 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Robyn Tanis
Title
Executive Director Contract Managem
Phone
(856) 533-8762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1005 E State St
Athens, OH 45701-2151

Mailing address

1317 Route 73
Mount Laurel, NJ 08054-2202
Phone (856) 439-6111

Other practice location 1

303 E Cherry St
Georgetown, OH 45121-1338
Phone (740) 273-4417

Other practice location 2

6693 N Chestnut St Ste 268B
Ravenna, OH 44266-3900
Phone (234) 718-8118

National Provider Directory

National Provider Directory

Locations

1005 E State St
Athens, OH 45701
Phone (740) 249-9276

6693 N Chestnut St
Ste 268B
Ravenna, OH 44266
Phone (234) 718-8118

Practitioners & affiliated clinicians

Practitioners 5

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": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1275003022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 ROUTE 73",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542202",
            "telephone_number": "856-439-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E STATE ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012151",
            "telephone_number": "740-628-0181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 E Cherry St",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "OH",
            "postal_code": "451211338",
            "country_code": "US",
            "telephone_number": "740-273-4417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6693 N Chestnut St Ste 268B",
            "address_purpose": "LOCATION",
            "city": "Ravenna",
            "state": "OH",
            "postal_code": "442663900",
            "country_code": "US",
            "telephone_number": "234-718-8118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINNACLE TREATMENT CENTERS OH-I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "TANIS",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR CONTRACT MANAGEM",
        "authorized_official_telephone_number": "856-533-8762"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.