Active NPI
American Addiction Treatment Center, Inc
- Methadone Clinic
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Methadone Clinic
- Williamsburg, VA
- NPI 1932762127
O20200130001005
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2163539 | American Addiction Treatment Center | Certificate of waiver | Mar 17, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- American Addiction Treatment Center Inc
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Poquoson, VA
- NPI 1548967441
-
- Methadone Clinic
- Williamsburg, VA
- NPI 1932762127
-
- Substance Abuse Rehabilitation Facility
- Poquoson, VA
- NPI 1275230112
-
- Substance Abuse Rehabilitation Facility
- Poquoson, VA
- NPI 1275230187
-
- Substance Abuse Rehabilitation Facility
- Poquoson, VA
- NPI 1629775531
-
- Substance Abuse Rehabilitation Facility
- Poquoson, VA
- NPI 1649978669
-
- Substance Abuse Rehabilitation Facility
- Poquoson, VA
- NPI 1700582442
-
- Substance Abuse Rehabilitation Facility
- Poquoson, VA
- NPI 1952199952
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.