Active NPI
Parkersburg Treatment Center, LLC
- Methadone Clinic
- Parkersburg, WV
National Provider Identifier
1669987475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- PARKERSBURG TREATMENT CENTER, LLC
- Practice address
- 184 Holiday Hills Dr
Parkersburg, WV 26104-8006 - Phone
- (304) 420-2400
- Fax
- (304) 420-9014
- NPI assigned
- Dec 4, 2017
- Last updated
- Aug 23, 2023
- Organization subpart
- Yes
- Parent organization
- ACADIA HEALTHCARE COMPANY, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Phillip Farley
- Title
- VP & Secretary
- Phone
- (615) 861-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | Primary |
Addresses
Primary practice location
184 Holiday Hills Dr
Parkersburg, WV 26104-8006
Mailing address
6183 Paseo del Norte Ste 200
Carlsbad, CA 92011-1155
Phone (855) 259-2288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200107002536 | WV | Part B Supplier - Opioid Treatment Program (Otp) | 3678907235 | Practice locations: Parkersburg, WV |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Parkersburg, WV
- NPI 1396756078
3678907235
National Provider Directory
National Provider Directory- Tax ID family
- Parkersburg Treatment Center LLC
- Part of
- Acadia Healthcare
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Methadone Clinic
- Parkersburg, WV
- NPI 1356743298
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Parkersburg, WV
- NPI 1396756078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692748800000",
"number": "1669987475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6183 PASEO DEL NORTE STE 200",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920111155",
"telephone_number": "855-259-2288",
"fax_number": "877-552-0439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 HOLIDAY HILLS DR",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261048006",
"telephone_number": "304-420-2400",
"fax_number": "304-420-9014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKERSBURG TREATMENT CENTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ACADIA HEALTHCARE COMPANY, INC.",
"enumeration_date": "2017-12-04",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A",
"authorized_official_last_name": "FARLEY",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "PHILLIP",
"authorized_official_title_or_position": "VP & SECRETARY",
"authorized_official_telephone_number": "615-861-6000"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parkersburg, WV
- Parkersburg Primary Care PLLC
- Parkersburg Psychological Services, PLLC
- Parkersburg Radiology Services, Inc.
- Parkersburg Treatment Center, LLC
- Parkersburg Treatment Center, LLC
- Maria Parks, RBA
- Parrish Hearing Aid Center, Inc.
- Cynthia Rae Parrish, SPEECH PATHOLOGIST
- William C Parrish Jr., MS CCCA
- Pars Neurosurgical Associates (Pars Brain and Spine Institute)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.