Pinnacle Treatment Centers Oh-Xix, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

PINNACLE TREATMENT CENTERS OH-XIX, LLC

Doing business as

Painesville Treatment Services

Practice address

1544 Mentor Ave
Painesville, OH 44077-1705

Phone

(440) 210-9529

Fax

(440) 551-9820

NPI assigned

Feb 3, 2022

Organization subpart

No

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

Authorized official

Name

Robyn Tanis

Title

Executive Director of Contract Mana

Phone

(856) 533-8762

Specialties & licenses 2

Addresses

Other names 1

• Painesville Treatment Services Doing business as

Locations

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1659024107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 ROUTE 73",
            "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": "1544 MENTOR AVE",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771705",
            "telephone_number": "440-210-9529",
            "fax_number": "440-551-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE TREATMENT CENTERS OH-XIX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "TANIS",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF CONTRACT MANA",
        "authorized_official_telephone_number": "856-533-8762"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Painesville Treatment Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phoenix Residential Centers, Inc.
• Physicians Plus Inc
• Stephanie Pichler, DMD
• Pieces of You Home Therapy Services
• Michelle Claire Pierce, RN
• Vincent P Pinto, LISW
• Jamie Lynn Piorkowski, LSW
• Alexandra Pirrone, OTR/L
• Podiatry Associates of Lake County, Inc.
• Jaime M Polt, CRNA

• Methadone Clinic in Painesville, OH
• Providers in Painesville, OH by specialty
• Methadone Clinic in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.