Active NPI
Northeast Treatment Center, Inc
- Community/Behavioral Health Agency
- Philadelphia, PA
National Provider Identifier
1740438944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 104870
- Legal business name
- NORTHEAST TREATMENT CENTER, INC
- Practice address
- 499 N 5TH St
Suite a
Philadelphia, PA 19123-4005 - Phone
- (215) 451-7000
- Fax
- (215) 925-6897
- NPI assigned
- Sep 3, 2008
- 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
- Mr. Jonathan Solomons
- Title
- Chief Financial Officer
- Phone
- (215) 451-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 104870 | PA | Primary |
Addresses
Primary practice location
499 N 5TH St
Suite a
Philadelphia, PA 19123-4005
Mailing address
499 N 5TH St
Suite a
Philadelphia, PA 19123-4005
Phone (215) 451-7000
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273261 | Other | DE | MANAGEG HEALTH NETWORK |
| 159997 | Other | DE | BLUE CROSS OF DELWARE |
| 1000838 | Other | PA | COMMUNITY BEHAVIORAL HEALTH |
| 311749 | Other | PA | MAGELLAN - KEYSTONE HEALTH PLAN EAST |
| 1000022246 | Other | DE | DIAMOND STATE PARTNERS |
| 100773572 | Medicaid | PA | |
| 217465 | Other | DE | UNISON HEALTH PLAN |
| 296503000 | Other | PA | MAGELLAN HEALTH CHOICES DELAWARE CTY |
| 0004972000 | Other | PA | MAGELLAN - PERSONAL CHOICE |
| 462315000 | Other | PA | MAGELLAN HEALTH CHOICES BUCKS/MONTGOMERY CTY'S |
| 100022246 | Medicaid | DE | |
| 046410000 | Other | PA | MAGELLAN - COMMERCIAL |
National Provider Directory
National Provider Directory- Tax ID family
- Northeast Treatment Centers Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Philadelphia, PA
- NPI 1477701670
-
- Community/Behavioral Health Agency
- Philadelphia, PA
- NPI 1386892578
-
- Substance Abuse Rehabilitation Facility
- Philadelphia, PA
- NPI 1053436212
-
- Foster Care Agency
- Philadelphia, PA
- NPI 1770925992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220400000000",
"number": "1740438944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "499 N 5TH ST",
"address_2": "SUITE A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191234005",
"telephone_number": "215-451-7000",
"fax_number": "215-925-6897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "499 N 5TH ST",
"address_2": "SUITE A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191234005",
"telephone_number": "215-451-7000",
"fax_number": "215-925-6897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST TREATMENT CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-03",
"last_updated": "2008-09-03",
"status": "A",
"authorized_official_last_name": "SOLOMONS",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "215-451-7000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "104870",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGEG HEALTH NETWORK",
"identifier": "273261",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF DELWARE",
"identifier": "159997",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY BEHAVIORAL HEALTH",
"identifier": "1000838",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN - KEYSTONE HEALTH PLAN EAST",
"identifier": "311749",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIAMOND STATE PARTNERS",
"identifier": "1000022246",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100773572",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON HEALTH PLAN",
"identifier": "217465",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTH CHOICES DELAWARE CTY",
"identifier": "296503000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN - PERSONAL CHOICE",
"identifier": "0004972000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTH CHOICES BUCKS/MONTGOMERY CTY'S",
"identifier": "462315000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100022246",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN - COMMERCIAL",
"identifier": "046410000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
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- Northeast Treatment Center, Inc
- Northeast Treatment Center, Inc.
- Northeast Treatment Centers
- Northeast Treatment Centers, Inc
- Northeast Treatment Centers, Inc
- Northeast Treatment Centers, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.