Active NPI
Pinnacle Treatment Centers VA-II, LLC
Doing business as Pinnacle Treatment Services of Richmond
- Substance Use Disorder Rehabilitation Clinic/Center
- Glen Allen, VA
National Provider Identifier
1386118248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- PINNACLE TREATMENT CENTERS VA-II, LLC
- Doing business as
- Pinnacle Treatment Services of Richmond
- Practice address
- 5408 Woolshire Dr
Glen Allen, VA 23059-3412 - Phone
- (804) 533-1330
- NPI assigned
- Jan 14, 2019
- Last updated
- Jan 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robyn Tanis
- Title
- Executive Director of Contract MGMT
- Phone
- (856) 533-8762
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
5408 Woolshire Dr
Glen Allen, VA 23059-3412
Mailing address
1317 Route 73
Mount Laurel, NJ 08054-2202
Phone (856) 533-8762
Other names 1
- Pinnacle Treatment Services of Richmond
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547769600000",
"number": "1386118248",
"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": "856-533-8762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5408 WOOLSHIRE DR",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230593412",
"telephone_number": "804-533-1330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE TREATMENT CENTERS VA-II, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-14",
"last_updated": "2019-01-18",
"status": "A",
"authorized_official_last_name": "TANIS",
"authorized_official_first_name": "ROBYN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF CONTRACT MGMT",
"authorized_official_telephone_number": "856-533-8762"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pinnacle Treatment Services of Richmond",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pinnacle Treatment Services of Richmond",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.