Luzerne Treatment Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LUZERNE TREATMENT CENTER

Doing business as

Luzerne Treatment Center

Practice address

600 E Luzerne St
Luzerne Treatment Centers
Philadelphia, PA 19124-4228

Phone

(215) 634-8960

Fax

(215) 634-8964

NPI assigned

Apr 13, 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, PSY.D

Title

Director of Re-Entry Operations

Phone

(215) 744-9601

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Luzerne Treatment Center Doing business as

Tax ID family

Luzerne Treatment Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Minsec Companies, LLC

  • Substance Abuse Rehabilitation Facility
  • Hazleton, PA
  • NPI 1942506514
  NPD tax ID
• Minsec Treatment LLC

  • Clinic/Center
  • Philadelphia, PA
  • NPI 1760718472
  NPD tax ID

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
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1316161706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 FAIRFIELD PL",
            "address_2": "COMMUNITY EDUCATION CENTERS",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066206",
            "telephone_number": "973-226-2900",
            "fax_number": "215-634-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E LUZERNE ST",
            "address_2": "LUZERNE TREATMENT CENTERS",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191244228",
            "telephone_number": "215-634-8960",
            "fax_number": "215-634-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZERNE TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2016-08-23",
        "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_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": "807372",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHSI OF PHILADELPHIA",
            "identifier": "D0048",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BH OF PA",
            "identifier": "774372000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBH",
            "identifier": "88868",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01824913",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luzerne Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luxury Medical Transportation Services, LLC
• Mike Cris Bautista Luyun, PT
• Luz Y Vida, Inc.
• Luzerne County Home Care
• Luzerne Homecare Agency LLC
• Sylvie Luzio
• Altagracia Luzon de Vazquez, MS
• LVC C-Class Realty, LLC
• Lvnhope Homecare LLC
• Svetlana Lvovich, D.O.

• Community/Behavioral Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

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