NPIMap

Organization Active NPI

Bureau of Drug Abuse,Cleveland Treatment Center,Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cleveland, OH
National Provider Identifier
1619934676
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
020263800 Issued in OH
Legal business name
BUREAU OF DRUG ABUSE,CLEVELAND TREATMENT CENTER,INC.
Doing business as
Bureau of Drug Abuse,Cleveland Treatment Center,Inc.
Practice address
1127 Carnegie Ave
Cleveland, OH 44115-2805
Phone
(216) 861-4246
Fax
(216) 861-1156
NPI assigned
Apr 26, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
OHIO BUREAU OF DRUG ABUSE,CLEVELAND TREATMENT CENTER,INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Leonard Charles Lee Collins, OCPS II
Title
Executive Director
Phone
(216) 861-4246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 020263800 OH Primary

Addresses

Primary practice location

1127 Carnegie Ave
Cleveland, OH 44115-2805

Mailing address

1127 Carnegie Ave
Cleveland, OH 44115-2805
Phone (216) 861-4246

Other identifiers 6

IdentifierTypeStateIssuer
38743OtherCARF(OPIOIDOTP)
79198OtherCARF (PREVENTION ATOD)
1094MedicaidOH
980477OtherOHODADAS
35056916OtherOHSTATE BOARD OF PHARMACY
1522088OtherFDA

Other names 1

  • Bureau of Drug Abuse,Cleveland Treatment Center,Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Opioid treatment program
Medicare-enrolled since Feb 9, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200320002025 OH Part B Supplier - Opioid Treatment Program (Otp) 4385072503 Practice locations: Cleveland, OH

National Provider Directory

National Provider Directory
Part of
Bureau of Drug Abuseclevela

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1619934676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 CARNEGIE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152805",
            "telephone_number": "216-861-4246",
            "fax_number": "216-861-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 CARNEGIE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152805",
            "telephone_number": "216-861-4246",
            "fax_number": "216-861-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUREAU OF DRUG ABUSE,CLEVELAND TREATMENT CENTER,INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO BUREAU OF DRUG ABUSE,CLEVELAND TREATMENT CENTER,INC",
        "enumeration_date": "2006-04-26",
        "last_updated": "2023-03-07",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "CHARLES LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-861-4246",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OCPS II"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "OH",
            "license": "020263800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARF(OPIOIDOTP)",
            "identifier": "38743",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARF (PREVENTION ATOD)",
            "identifier": "79198",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1094",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODADAS",
            "identifier": "980477",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "35056916",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDA",
            "identifier": "1522088",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bureau of Drug Abuse,Cleveland Treatment Center,Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bureau of Drug Abuse,Cleveland Treatment Center,Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.