Twin Lakes Center Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

561089 Issued in PA

Legal business name

TWIN LAKES CENTER INC

Doing business as

UPMC Behavioral Health Services at Twin Lakes

Practice address

224 Twin Lakes Road
Somerset, PA 15501-7727

Phone

(814) 443-3639

Fax

(814) 443-2737

NPI assigned

Feb 23, 2006

Last updated

Jul 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Cannon

Title

Director, Clinical Services

Phone

(814) 443-3639

Specialties & licenses 5

Addresses

Other identifiers 4

Other names 1

• UPMC Behavioral Health Services at Twin Lakes Doing business as

Tax ID family

Twin Lakes Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Twin Lakes Center Inc

  dba UPMC Behavioral Health Services at Twin Lakes

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Somerset, PA
  • NPI 1629702550
  NPD tax ID
• Twin Lakes Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Somerset, PA
  • NPI 1235458472
  NPD tax ID

Locations

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.

• John William Kasckow, MD

  • Psychiatry Physician
  • Pittsburgh, PA
  • NPI 1508879842
  NPD (past)
• John Nicholson

  • Family Medicine Physician
  • Somerset, PA
  • NPI 1336152842
  NPD (past)
• Jessica Thomas, MSW

  • Addiction (Substance Use Disorder) Counselor
  • Bedford, PA
  • NPI 1205503273
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1881669612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 TWIN LAKES ROAD",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155017727",
            "telephone_number": "814-443-3639",
            "fax_number": "814-443-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 TWIN LAKES ROAD",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155017727",
            "telephone_number": "814-443-3639",
            "fax_number": "814-443-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN LAKES CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR, CLINICAL SERVICES",
        "authorized_official_telephone_number": "814-443-3639"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "561089",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "117037",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "051089",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": "561089",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": "561089",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "327974",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007733110004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100773311",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "103501",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPMC Behavioral Health Services at Twin Lakes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Tomlinson
• Total Renal Care Inc (Somerset County Dialysis)
• Charles David Tullius, MD
• Adam W Turinsky, PA -C
• Twin Lakes Center Inc (UPMC Behavioral Health Services at Twin Lakes)
• Twin Lakes Center, Inc.
• Ebere Maxwell Ugwanyi, M.D.
• Univesity of Pittsburgh Physicians
• Upmc Somerset
• Upmc Somerset

• Substance Use Disorder Rehabilitation Clinic/Center in Somerset, PA
• Providers in Somerset, PA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.