Northeast Treatment Center, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

807292 Issued in PA

Legal business name

NORTHEAST TREATMENT CENTER, INC.

Practice address

499 N 5TH St
Suite B
Philadelphia, PA 19123-4005

Phone

(215) 451-7100

Fax

(215) 925-6897

NPI assigned

Sep 3, 2008

Last updated

Sep 3, 2008By 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

Mr. Jonathan Solomons

Title

Chief Financial Officer

Phone

(215) 451-7000

Specialties & licenses 1

Addresses

Other identifiers 12

Tax ID family

Northeast Treatment Centers Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Northeast Treatment Center, Inc

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1477701670
  NPD tax ID
• Northeast Treatment Center, Inc

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1740438944
  NPD tax ID
• Northeast Treatment Centers

  • Substance Abuse Rehabilitation Facility
  • Philadelphia, PA
  • NPI 1053436212
  NPD tax ID
• Northeast Treatment Centers, Inc

  • Foster Care Agency
  • Philadelphia, PA
  • NPI 1770925992
  NPD tax ID

Locations

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1386892578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 N 5TH ST",
            "address_2": "SUITE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191234005",
            "telephone_number": "215-451-7000",
            "fax_number": "215-925-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 N 5TH ST",
            "address_2": "SUITE B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191234005",
            "telephone_number": "215-451-7100",
            "fax_number": "215-925-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST TREATMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "SOLOMONS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "215-451-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "807292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN - COMMERCIAL",
            "identifier": "046410000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100022246",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH CHOICES BUCKS/MONTGOMERY COUNTIES",
            "identifier": "462315000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIAMOND STATE PARTNERS",
            "identifier": "1000022246",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "273261",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE BEHAVIORAL HEALTH",
            "identifier": "1000838",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100773572",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF DELAWARE",
            "identifier": "159997",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "217465",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN KEYSTONE HEALTH PLAN EAST",
            "identifier": "311749",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN - PERSONAL CHOICE",
            "identifier": "0004972000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH CHOICES DELAWARE COUNTY",
            "identifier": "296503000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Northeast Treatment Center, Inc
• Northeast Treatment Center, Inc
• Northeast Treatment Centers
• Northeast Treatment Centers, Inc
• Northeast Treatment Centers, Inc
• Northeast Treatment Centers, Inc
• Northeast Treatment Centers, Inc

• 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 Sep 3, 2008; 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.