NPIMap

Organization Active NPI

Millennium Treatment Services LLC

  • Methadone Clinic
  • Warren, MI
National Provider Identifier
1619148897
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
500371 Issued in MI
Legal business name
MILLENNIUM TREATMENT SERVICES LLC
Practice address
23700 Van Dyke Ave
Warren, MI 48089-1669
Phone
(586) 758-6670
Fax
(586) 758-0243
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Mr. Anthony Cosimo Clemente, LMSW
Title
Executive Director
Phone
(586) 758-6670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 500371 MI Primary

Addresses

Primary practice location

23700 Van Dyke Ave
Warren, MI 48089-1669

Mailing address

1400 E 12 Mile Rd
Madison Heights, MI 48071-2651
Phone (248) 547-2223

Other identifiers 1

IdentifierTypeStateIssuer
500371MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Millennium Treatment Services LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

23700 Van Dyke Ave
Warren, MI 48089
Phone (586) 758-6670

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1619148897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E 12 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712651",
            "telephone_number": "248-547-2223",
            "fax_number": "248-547-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23700 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891669",
            "telephone_number": "586-758-6670",
            "fax_number": "586-758-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM TREATMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "CLEMENTE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "COSIMO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "586-758-6670",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "MI",
            "license": "500371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500371",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.