NPIMap

Organization Active NPI

Northeast Addictions Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Quincy, MA
National Provider Identifier
1679094684
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
NORTHEAST ADDICTIONS TREATMENT CENTER
Practice address
36 Miller Stile Rd
Quincy, MA 02169-5423
Phone
(617) 302-3487
NPI assigned
Jun 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Authorized official

Name
Dan McArdle
Title
Authorized Official
Phone
(617) 302-3487

Specialties & licenses 1

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

Addresses

Primary practice location

36 Miller Stile Rd
Quincy, MA 02169-5423

Mailing address

PO Box 690635
Quincy, MA 02269-0635

National Provider Directory

National Provider Directory
Tax ID family
Northeast Addictions Treatment Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

36 Miller Stile Rd
Quincy, MA 02169
Phone (617) 302-3487

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1679094684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690635",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "022690635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MILLER STILE RD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695423",
            "telephone_number": "617-302-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ADDICTIONS TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2021-06-09",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "MCARDLE",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "617-302-3487"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.