Organization Active NPI

Amethyst Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Port St Lucie, FL
National Provider Identifier
1396132122
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
AMETHYST RECOVERY CENTER
Practice address
2000 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5546
Phone
(954) 610-7151
NPI assigned
Apr 20, 2015
Last updated
Apr 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Ian Treacy
Title
Ceo
Phone
(954) 610-7151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2000 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5546

Mailing address

2000 SE Port St Lucie Blvd Ste B
Port St Lucie, FL 34952-5546
Phone (954) 610-7151

National Provider Directory

National Provider Directory

Locations

2000 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 398-1522

2000 SE Port St Lucie Blvd
Ste B
Port St Lucie, FL 34952
Phone (772) 207-7604

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1396132122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SE PORT ST LUCIE BLVD STE B",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525546",
            "telephone_number": "954-610-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525546",
            "telephone_number": "954-610-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMETHYST RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "TREACY",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-610-7151"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.