Active NPI
Pinnacle Treatment Centers PA-III, LLC
- Methadone Clinic
- Johnstown, PA
National Provider Identifier
1528288362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- PINNACLE TREATMENT CENTERS PA-III, LLC
- Doing business as
- Alliance Medical Services
- Practice address
- 1425 Scalp Ave
Suite 175
Johnstown, PA 15904-3324 - Phone
- (814) 269-4700
- Fax
- (814) 269-4800
- NPI assigned
- Apr 26, 2007
- 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 Contract MGMT
- Phone
- (856) 533-8762
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 117048 | PA | |
| Methadone Clinic | 261QM2800X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
1425 Scalp Ave
Suite 175
Johnstown, PA 15904-3324
Mailing address
1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202
Phone (856) 439-6111
Other names 1
- Alliance Medical Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200507001278 | PA | Part B Supplier - Opioid Treatment Program (Otp) | 9032540067 | Practice locations: Johnstown, PA |
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 |
|---|---|---|---|
| 39D2125309 | Alliance Medical Services | Certificate of waiver | Feb 5, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Alliance Medical Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Johnstown, PA
- NPI 1417383571
Locations
1425 Scalp Ave
Ste 175
Johnstown, PA 15904
Phone (814) 200-0998
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Johnstown, PA
- NPI 1316903487
-
- Psychiatric/Mental Health Nurse Practitioner
- Johnstown, PA
- NPI 1740162205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726444800000",
"number": "1528288362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 ROUTE 73 STE 200",
"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": "1425 SCALP AVE",
"address_2": "SUITE 175",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159043324",
"telephone_number": "814-269-4700",
"fax_number": "814-269-4800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE TREATMENT CENTERS PA-III, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A",
"authorized_official_last_name": "TANIS",
"authorized_official_first_name": "ROBYN",
"authorized_official_title_or_position": "EXECUTIVE CONTRACT MGMT",
"authorized_official_telephone_number": "856-533-8762"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "PA",
"license": "117048",
"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
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Alliance Medical Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Alliance Medical Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.