St. Clair Shores Treatment Services, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

ST. CLAIR SHORES TREATMENT SERVICES, LLC

Practice address

19611 E 8 Mile Rd
Saint Clair Shores, MI 48080-1655

Phone

(586) 252-2116

NPI assigned

Jun 1, 2016

Last updated

Jun 1, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

PINNACLE TREATMENT CENTERS, INCAs reported in NPPES

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

Authorized official

Name

Scott Cohen

Title

VP Finance

Phone

(412) 281-5303

Specialties & licenses 1

Addresses

Part of

Pinnacle Treatment Centers Oh -Xvii

Locations

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1821446683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 SMALLMAN ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152011425",
            "telephone_number": "412-281-5303",
            "fax_number": "412-281-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19611 E 8 MILE RD",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801655",
            "telephone_number": "586-252-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLAIR SHORES TREATMENT SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE TREATMENT CENTERS, INC",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "412-281-5303"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.