Minsec Treatment Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MINSEC TREATMENT CENTER

Practice address

3768 L St
Philadelphia, PA 19124-5530

Phone

(215) 744-9601

Fax

(215) 743-7230

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Bertee Thomas Jr., PSY.D

Title

Director of Re-Entry Operations

Phone

(215) 744-9601

Specialties & licenses 2

Addresses

Other names 1

• MinSec Erie Outpatient Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan L. Adams, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Jersey City, NJ
  • NPI 1407145980

  Rehabilitation, Substance Use Disorder

  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1316086655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 FAIRFIELD PL",
            "address_2": "COMMUNITY EDUCATIONS CENTERS",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066206",
            "telephone_number": "973-226-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3768 L ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191245530",
            "telephone_number": "215-744-9601",
            "fax_number": "215-743-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINSEC TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "BERTEE",
        "authorized_official_title_or_position": "DIRECTOR OF RE-ENTRY OPERATIONS",
        "authorized_official_telephone_number": "215-744-9601",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": "807220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MinSec Erie Outpatient",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jade M. Minor, M.D.
• Shanita Minor, RN
• Jillian R Minott, NURSE PRACTITIONER
• Minova Home Care Agency LLC
• Barby Minoza
• Minsec Treatment LLC
• Chelsea Alexandra Minsky, LPC
• Mint Condition Extensions Company
• Mark Douglas Mintline, DDS
• Natalie Minto, M.D.

• Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.