Organization Active NPI

American Addiction Treatment Center, Inc

  • Methadone Clinic
  • Newport News, VA
National Provider Identifier
1447813639
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
AMERICAN ADDICTION TREATMENT CENTER, INC
Practice address
12695 McManus Boulevard
Building 2 & Suite 6B
Newport News, VA 23602
Phone
(757) 234-4139
NPI assigned
Apr 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Methadone Clinic 261QM2800X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

12695 McManus Boulevard
Building 2 & Suite 6B
Newport News, VA 23602

Mailing address

1317 Route 73
Mount Laurel, NJ 08054-2202
Phone (856) 439-6111

Other practice location 1

12695 McManus Blvd
Suite 6B
Newport News, VA 23602-4476
Phone (757) 234-4139

Other practice location 2

12695 McManus Blvd Bldg 2
Newport News, VA 23602-4458
Phone (757) 234-4139

Other names 1

  • Pinnacle Treatment Services of Newport News Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200130001005 VA Part B Supplier - Opioid Treatment Program (Otp) 1658707286 2 other NPIs on this enrollment
Practice locations: Hayes, VA; Newport News, VA; Williamsburg, VA

Other NPIs on the same Medicare enrollment 2

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2163539American Addiction Treatment Center12695 McManus Blvd, BLDG 2, Newport News, VA 23602Certificate of waiverMar 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
American Addiction Treatment Center Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

12695 McManus Blvd
Bldg 2
Newport News, VA 23602
Phone (757) 234-4139

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1447813639",
    "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": "856-439-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12695 MCMANUS BOULEVARD",
            "address_2": "BUILDING 2 & SUITE 6B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23602",
            "telephone_number": "757-234-4139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12695 McManus Blvd",
            "address_2": "Suite 6B",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236024476",
            "country_code": "US",
            "telephone_number": "757-234-4139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12695 McManus Blvd Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236024458",
            "country_code": "US",
            "telephone_number": "757-234-4139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMERICAN ADDICTION TREATMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "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": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Treatment Services of Newport News",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.