NPIMap

Organization Active NPI

Acadia Healthcare

  • Methadone Clinic
  • Harrisburg, PA
National Provider Identifier
1922553429
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
RC0181901 Issued in PA
Legal business name
ACADIA HEALTHCARE
Practice address
99 S Cameron St
Harrisburg, PA 17101-2809
Phone
(717) 233-7290
NPI assigned
Aug 25, 2016
Organization subpart
Yes
Parent organization
ACADIA HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Authorized official

Name
Matthew Kimble
Title
Counselor
Phone
(717) 233-7290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X RC0181901 PA Primary

Addresses

Primary practice location

99 S Cameron St
Harrisburg, PA 17101-2809

Mailing address

99 S Cameron St
Harrisburg, PA 17101-2809

Other names 1

  • Discovery House Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Center for Behavioral Health Ha LLC7 organizations share this tax ID, including this one
Part of
Center for Behavioral Health Ha LLC

Other organizations with this tax ID 6

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": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1922553429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 S CAMERON ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 S CAMERON ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012809",
            "telephone_number": "717-233-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADIA HEALTHCARE",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "KIMBLE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "717-233-7290"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "PA",
            "license": "RC0181901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discovery House",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.