Organization Active NPI

American Addiction Treatment Center, Inc

Doing business as American Addiction Treatment Center-Gloucester

  • Methadone Clinic
  • Hayes, VA
National Provider Identifier
1710540919
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
AMERICAN ADDICTION TREATMENT CENTER, INC
Doing business as
American Addiction Treatment Center-Gloucester
Pinnacle Treatment Services of Gloucester
Practice address
6983C Mid County LN
Hayes, VA 23072-2833
Phone
(804) 824-2814
Fax
(804) 824-2817
NPI assigned
Apr 15, 2019
Last updated
Oct 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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 MGMT
Phone
(856) 533-8762

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X NU Primary
Recovery Care Clinic/Center 261QR0800X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

6983C Mid County LN
Hayes, VA 23072-2833

Mailing address

1317 Route 73
Mount Laurel, NJ 08054-2202
Phone (856) 439-6111

Other names 2

  • American Addiction Treatment Center-Gloucester Doing business as
  • Pinnacle Treatment Services of Gloucester Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200130001005 VA Part B Supplier - Opioid Treatment Program (Otp) 1658707286 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hayes, VA; Newport News, VA; Williamsburg, VA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2163554American Addiction Treatment Center, Hayes6983C Mid County Drive, Hayes, VA 23072Certificate of waiverMar 17, 2027

National Provider Directory

National Provider Directory

Locations

6983C Mid County Ln
Hayes, VA 23072
Phone (804) 824-2814

12695 McManus Blvd
Bldg 2
Newport News, VA 23602
Phone (757) 234-4139

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1710540919",
    "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": "6983C MID COUNTY LN",
            "city": "HAYES",
            "state": "VA",
            "postal_code": "230722833",
            "telephone_number": "804-824-2814",
            "fax_number": "804-824-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN ADDICTION TREATMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "TANIS",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF CONTRACT MGMT",
        "authorized_official_telephone_number": "856-533-8762"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Addiction Treatment Center-Gloucester",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pinnacle Treatment Services of Gloucester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayes, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.