Pinnacle Treatment Centers PA-VIII, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

PINNACLE TREATMENT CENTERS PA-VIII, LLC

Practice address

15 Arentzen Blvd
Charleroi, PA 15022-1060

Phone

(724) 565-1310

NPI assigned

Sep 13, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Robyn Tanis

Title

Exec Dir Contract Management

Phone

(856) 439-6111

Specialties & licenses 1

Addresses

Other names 1

• Charleroi Treatment Services Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert L Belluso, D.O.

  • Family Medicine Physician
  • Charleroi, PA
  • NPI 1912192568
  NPD

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1861911554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 ROUTE 73",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542202",
            "telephone_number": "856-439-6111",
            "fax_number": "856-780-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ARENTZEN BLVD",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150221060",
            "telephone_number": "724-565-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE TREATMENT CENTERS PA-VIII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "TANIS",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "EXEC DIR CONTRACT MANAGEMENT",
        "authorized_official_telephone_number": "856-439-6111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charleroi Treatment Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mohammad F Pathan, MD
• Brent Michael Pelzer, OCCUPATIONAL THERAPY
• Michael James Perozzi, DPM
• Colleen Malena Petitto, RD, LDN, CDE
• Pieri, Inc.
• Preferred Primary Care Physicians, Inc.
• Primary Care Group 12, Inc.,
• Perveen Ab Punjani, MD
• Benjamin H Reuter, ATC
• Julie Rippel, PT

• Methadone Clinic in Charleroi, PA
• Providers in Charleroi, PA by specialty
• Methadone Clinic in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.