NPIMap

Organization Active NPI

Pax Treatment Centers LLC

  • Substance Abuse Rehabilitation Facility
  • Middletown, OH
National Provider Identifier
1609351477
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PAX TREATMENT CENTERS LLC
Practice address
4302 Roosevelt Blvd
Middletown, OH 45044-6625
Phone
(513) 433-1032
Fax
(513) 433-1245
NPI assigned
Sep 27, 2018
Last updated
Mar 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Authorized official

Name
Angie Newman
Title
Billing Manager
Phone
(337) 582-2034

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Methadone Clinic 261QM2800X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

4302 Roosevelt Blvd
Middletown, OH 45044-6625

Mailing address

4302 Roosevelt Blvd
Middletown, OH 45044-6625
Phone (513) 433-1032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments
Opioid treatment program
Medicare-enrolled since Oct 8, 2021

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190404002312 OH Part B Supplier - Clinic/Group Practice 9133460983 Receives reassigned benefits from 4 practitioners
Practice locations: Middletown, OH
O20210506002631 OH Part B Supplier - Opioid Treatment Program (Otp) 9133460983 Practice locations: Middletown, OH

National Provider Directory

National Provider Directory
Tax ID family
Pax Treatment Centers LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1609351477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ROOSEVELT BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446625",
            "telephone_number": "513-433-1032",
            "fax_number": "513-433-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ROOSEVELT BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446625",
            "telephone_number": "513-433-1032",
            "fax_number": "513-433-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAX TREATMENT CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "337-582-2034"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.