Organization Active NPI

Atlantic Treatment Center, LLC

  • Methadone Clinic
  • Pompano Beach, FL
National Provider Identifier
1740954585
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
ATLANTIC TREATMENT CENTER, LLC
Doing business as
Atlantic Treatment Center, LLC
Practice address
380 SW 12TH Ave
Pompano Beach, FL 33069-3502
Phone
(410) 615-4312
NPI assigned
Aug 5, 2021
Last updated
Aug 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Oluwafemi Shodipe, RN
Title
Ceo
Phone
(410) 615-4312

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Methadone Clinic 261QM2800X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

380 SW 12TH Ave
Pompano Beach, FL 33069-3502

Mailing address

380 SW 12TH Ave
Pompano Beach, FL 33069-3502
Phone (410) 615-4312

Other names 1

  • ATLANTIC TREATMENT CENTER, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WWW.ATLANTICTREATMENTC.COM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230704000285 FL Part B Supplier - Opioid Treatment Program (Otp) 8224497672 Practice locations: Pompano Beach, FL

National Provider Directory

National Provider Directory

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": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1740954585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SW 12TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693502",
            "telephone_number": "410-615-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 SW 12TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693502",
            "telephone_number": "410-615-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "SHODIPE",
        "authorized_official_first_name": "OLUWAFEMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-615-4312",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.ATLANTICTREATMENTC.COM",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "address_1": "380 SW 12th Ave",
            "city": "Pompano Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330693502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ATLANTIC TREATMENT CENTER, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.

Verify at the official NPI Registry.