Active NPI
Cardinal Treatment Centers Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portsmouth, OH
National Provider Identifier
1679174890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- CARDINAL TREATMENT CENTERS INC
- Practice address
- 4304 Old Scioto TRL
Portsmouth, OH 45662-6672 - Phone
- (740) 351-9298
- NPI assigned
- Nov 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Albert Shklyar
- Title
- Administrator
- Phone
- (740) 351-9298
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
4304 Old Scioto TRL
Portsmouth, OH 45662-6672
Mailing address
4304 Old Scioto TRL
Portsmouth, OH 45662-6672
Phone (740) 351-9298
Other practice location 1
712 S 3rd St
Ironton, OH 45638-1853
Phone (740) 351-9298
Other practice location 2
2266 Wakefield Mound Rd
Piketon, OH 45661-9660
Phone (740) 351-9298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200506000392 | OH | Part B Supplier - Clinic/Group Practice | 3375974421 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Chillicothe, OH; Portsmouth, OH; Ironton, OH |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Portsmouth, OH
- NPI 1215589197
O20200506000392
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783382400000",
"number": "1679174890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4304 OLD SCIOTO TRL",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456626672",
"telephone_number": "740-351-9298",
"fax_number": "740-529-0553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4304 OLD SCIOTO TRL",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456626672",
"telephone_number": "740-351-9298"
}
],
"practiceLocations": [
{
"address_1": "712 S 3rd St",
"address_purpose": "LOCATION",
"city": "Ironton",
"state": "OH",
"postal_code": "456381853",
"country_code": "US",
"telephone_number": "740-351-9298",
"fax_number": "740-351-9298",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2266 Wakefield Mound Rd",
"address_purpose": "LOCATION",
"city": "Piketon",
"state": "OH",
"postal_code": "456619660",
"country_code": "US",
"telephone_number": "740-351-9298",
"fax_number": "740-529-0553",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CARDINAL TREATMENT CENTERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-04",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A",
"authorized_official_last_name": "SHKLYAR",
"authorized_official_first_name": "ALBERT",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "740-351-9298"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.