NPIMap

Organization Active NPI

Northeast Treatment Centers, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1407145295
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
807327 Issued in PA
Legal business name
NORTHEAST TREATMENT CENTERS, INC
Practice address
2701 N Broad St
Philadelphia, PA 19132-2743
Phone
(215) 451-7000
Fax
(215) 451-7010
NPI assigned
Apr 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 807327 PA
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 807327 PA Primary

Addresses

Primary practice location

2701 N Broad St
Philadelphia, PA 19132-2743

Mailing address

499 N 5TH St
Suite a
Philadelphia, PA 19123-4005
Phone (215) 451-7000

Other identifiers 3

IdentifierTypeStateIssuer
100773886OtherPAMAGELLAN HEALTH CHOICES
100773886OtherPACOMMUNITY BEHAVIORAL HEALTH (CBH)
100773886MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1407145295",
    "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": "2701 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191322743",
            "telephone_number": "215-451-7000",
            "fax_number": "215-451-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST TREATMENT CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2013-07-03",
        "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": "807327",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": "807327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH CHOICES",
            "identifier": "100773886",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BEHAVIORAL HEALTH (CBH)",
            "identifier": "100773886",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100773886",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.