Cardinal Treatment Centers Kentucky LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

CARDINAL TREATMENT CENTERS KENTUCKY LLC

Practice address

378 Diederich Blvd
Suite 177
Ashland, KY 41101

Phone

(516) 343-2772

NPI assigned

Dec 6, 2022

Organization subpart

No

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

Authorized official

Name

Albert Shklyar

Title

Officer

Phone

(516) 343-2772

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1477264091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 LINWOOD PLAZA, RT 9W",
            "address_2": "SUITE 303",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "07024",
            "telephone_number": "201-398-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 DIEDERICH BLVD",
            "address_2": "SUITE 177",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41101",
            "telephone_number": "516-343-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL TREATMENT CENTERS KENTUCKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "SHKLYAR",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "516-343-2772"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Cantrell
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• Addiction (Substance Use Disorder) Counselor in Ashland, KY
• Providers in Ashland, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.