Active NPI
Pinnacle Treatment Centers PA-I, LLC
- Methadone Clinic
- Pittsburgh, PA
National Provider Identifier
1801017652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- PINNACLE TREATMENT CENTERS PA-I, LLC
- Practice address
- 729 Ensign Ave
Pittsburgh, PA 15226-1105 - Phone
- (412) 488-6360
- Fax
- (412) 488-6344
- NPI assigned
- May 1, 2007
- 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
- Robyn Tanis
- Title
- Executive Director of Contract MGMT
- Phone
- (856) 533-8762
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 707223 | PA | |
| Methadone Clinic | 261QM2800X | Primary | ||
| Rehabilitation Clinic/Center | 261QR0400X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
729 Ensign Ave
Pittsburgh, PA 15226-1105
Mailing address
1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202
Phone (856) 439-6111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1018467260001 | Medicaid | PA |
Other names 1
- Alliance Medical Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200506000136 | PA | Part B Supplier - Opioid Treatment Program (Otp) | 5698106730 | Practice locations: Pittsburgh, PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Charleroi, PA
- NPI 1912192568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661817600000",
"number": "1801017652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 ROUTE 73 STE 200",
"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": "729 ENSIGN AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152261105",
"telephone_number": "412-488-6360",
"fax_number": "412-488-6344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE TREATMENT CENTERS PA-I, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"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": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "PA",
"license": "707223",
"primary": false
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1018467260001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Alliance Medical Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.