Active NPI
Deerfield Behavioral Health of Warren
- Substance Use Disorder Rehabilitation Clinic/Center
- Warren, PA
National Provider Identifier
1962532374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- 627023
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330194 | Other | PA | VALUE OPTIONS |
| 0015930840014 | Medicaid | PA | |
| 0828 | Other | PA | HIGHMARK BLUE CROSS |
Other names 1
- Deerfield Centers for Addictions Treatment
National Provider Directory
National Provider Directory- Tax ID family
- Deerfield Behavioral Health of Warren
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Marienville, PA
- NPI 1477684264
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Titusville, PA
- NPI 1740310176
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Tionesta, PA
- NPI 1740310184
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.