NPIMap

Organization Active NPI

Northeast Treatment Centers, Inc

  • Foster Care Agency
  • Philadelphia, PA
National Provider Identifier
1770925992
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
140040 Issued in PA
Legal business name
NORTHEAST TREATMENT CENTERS, INC
Practice address
1709 Washington Ave
Philadelphia, PA 19146-1913
Phone
(215) 546-8060
Fax
(215) 925-6897
NPI assigned
Jul 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Ms. Annemarie Stinson
Title
Billing Manager
Phone
(215) 451-7015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 140040 PA Primary

Addresses

Primary practice location

1709 Washington Ave
Philadelphia, PA 19146-1913

Mailing address

499 N 5TH St
Suite a
Philadelphia, PA 19123-4005
Phone (215) 451-7000

Other identifiers 3

IdentifierTypeStateIssuer
0004972000OtherPAINDEPENDENCE BLUE CROSS
100773572MedicaidPA
311749OtherPAKEYSTONE HEALTH PLAN EAST

National Provider Directory

National Provider Directory
Tax ID family
Northeast Treatment Centers Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1770925992",
    "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": "1709 WASHINGTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461913",
            "telephone_number": "215-546-8060",
            "fax_number": "215-925-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST TREATMENT CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "STINSON",
        "authorized_official_first_name": "ANNEMARIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "215-451-7015",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "PA",
            "license": "140040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0004972000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100773572",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "311749",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.