Parkersburg Treatment Center, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

08 Issued in WV

Legal business name

PARKERSBURG TREATMENT CENTER, LLC

Practice address

184 Holiday Hills Dr
Parkersburg, WV 26104-8006

Phone

(304) 420-2400

Fax

(304) 420-9014

NPI assigned

Sep 23, 2014

Last updated

Aug 23, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

ACADIA HEALTHCARE COMPANY, INC.As reported in NPPES

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

Authorized official

Name

Brian Phillip Farley

Title

VP & Secretary

Phone

(615) 861-6000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Parkersburg Treatment Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parkersburg, WV
  • NPI 1396756078

  O20230525001642

  Same enrollment

Tax ID family

Parkersburg Treatment Center 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.

• Parkersburg Treatment Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parkersburg, WV
  • NPI 1396756078
  NPD tax ID
• Parkersburg Treatment Center, LLC

  • Methadone Clinic
  • Parkersburg, WV
  • NPI 1669987475
  NPD tax ID

Practitioners 2

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.

• Ellen Renee Brown, MD

  • Addiction Medicine (Family Medicine) Physician
  • Parkersburg, WV
  • NPI 1154368447
  NPD
• Michael S Goldstone, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Waukesha, WI
  • NPI 1851505416
  NPD (past)

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1356743298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6183 PASEO DEL NORTE, STE 200",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111155",
            "telephone_number": "855-259-2288",
            "fax_number": "877-552-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 HOLIDAY HILLS DR",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261048006",
            "telephone_number": "304-420-2400",
            "fax_number": "304-420-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKERSBURG TREATMENT CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADIA HEALTHCARE COMPANY, INC.",
        "enumeration_date": "2014-09-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "WV",
            "license": "08",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cynthia Rae Parrish, SPEECH PATHOLOGIST

• Methadone Clinic in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Methadone Clinic in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.