Discovery House Group

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

1397-0-ASR Issued in IN

Legal business name

DISCOVERY HOUSE GROUP

Doing business as

Discovery House LC

Practice address

4195 Cleveland St
Ranburn Woods Plaza
Gary, IN 46408-2427

Phone

(219) 985-8144

Fax

(219) 985-8146

NPI assigned

Jul 14, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Morris

Title

Vice President of Finance

Phone

(401) 780-2300

Specialties & licenses 1

Addresses

Other names 1

• Discovery House LC Doing business as

Locations

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306845185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 PAVILION AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029051522",
            "telephone_number": "401-780-2300",
            "fax_number": "401-780-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 CLEVELAND ST",
            "address_2": "RANBURN WOODS PLAZA",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464082427",
            "telephone_number": "219-985-8144",
            "fax_number": "219-985-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY HOUSE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "401-780-2300"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IN",
            "license": "1397-0-ASR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discovery House LC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Demitroulas
• Shannon Derico
• Meicell Amor Dacanay Diapana, RPT
• Erich Dickerson
• James Hardey Dimailig, PT
• Willie Timothy Donald Jr., TECHNICIAN
• Che-Ia D Donely-Wilson, RN
• Jordyn Taylor Dooley
• Acquinnetta Doughty
• Kobie I Douglas, MD

• Substance Use Disorder Rehabilitation Clinic/Center in Gary, IN
• Providers in Gary, IN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.