Organization Active NPI

Deerfield Behavioral Health of Warren

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Warren, PA
National Provider Identifier
1962532374
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
627023 Issued in PA
Legal business name
DEERFIELD BEHAVIORAL HEALTH OF WARREN
Practice address
1885 Market St
Warren, PA 16365-1277
Phone
(814) 723-5545
Fax
(814) 362-5245
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Tina Hannahs
Title
Director
Phone
(814) 817-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 627023 PA Primary

Addresses

Primary practice location

1885 Market St
Warren, PA 16365-1277

Mailing address

1885 Market St
Warren, PA 16365-1277
Phone (814) 723-5545

Other identifiers 3

IdentifierTypeStateIssuer
330194OtherPAVALUE OPTIONS
0015930840014MedicaidPA
0828OtherPAHIGHMARK BLUE CROSS

Other names 1

  • Deerfield Centers for Addictions Treatment Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Deerfield Behavioral Health of Warren4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1003 Pennsylvania Ave W
Fl 2
Warren, PA 16365

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1962532374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 MARKET ST",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651277",
            "telephone_number": "814-723-5545",
            "fax_number": "814-362-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 MARKET ST",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651277",
            "telephone_number": "814-723-5545",
            "fax_number": "814-362-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD BEHAVIORAL HEALTH OF WARREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "HANNAHS",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "814-817-1400"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": "627023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "330194",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015930840014",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS",
            "identifier": "0828",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deerfield Centers for Addictions Treatment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Deerfield Centers for Addictions Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.