TREHAB DRUG AND ALCOHOL OUTPATIENT PROGRAM (NPI# 1053791566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053791566 |
| Entity Type | Organization |
| Organization Name | TREHAB DRUG AND ALCOHOL OUTPATIENT PROGRAM |
| Practice Address |
1224 Main St Susquehanna PA 18847-2608 |
| Mailing Address |
36 Public Avenue Po Box 366 Montrose PA 18801-1603 |
| Practice Telephone | 5708532303 |
| Mailing Telephone | 5702783338 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-07-28 |
| Authorized Official Name | DENNIS PHELPS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5702783338 |
| Is Organization Subpart | Y |
| Parent Organization Name | TREHAB |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 4JB06601 | PA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124209440 | Trehab Drug and Alcohol Outpatient Program | Community/Behavioral Health | 36 Public Ave, Box 366, Montrose, PA 18801-1220 | 2007-11-15 |
| Street Address |
1224 MAIN ST |
| City | SUSQUEHANNA |
| State | PA |
| Zip Code | 18847-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831631852 | Judith Herschel | Counselor | 1224 Main St, Susquehanna, PA 18847-2608 | 2016-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619320272 | Danielle Marie Barnes | Student in an Organized Health Care Education/Training Program | 593 Prospect Street, Susquehanna, PENNSYLVANIA 18847 | 2016-07-19 |
| 1255770368 | Ravinder Reddy Valadri | Family Medicine | 2872 Turnpike St, Susquehanna, PA 18847 | 2013-06-21 |
| 1043460405 | Reddon Drug Co. Inc. | Pharmacy | 177 Erie Blvd, Susquehanna, PA 18847 | 2008-09-23 |
| 1225239577 | B-k Health Center, Inc. | Podiatrist | 155 Erie Blvd, Susquehanna, PA 18847 | 2007-05-31 |
| 1194267112 | Sara Kolenda | Counselor | 1224 Main Street, Susquehanna, PA 18847-1224 | 2016-11-08 |
| 1205232709 | William David Iveson | Nurse Practitioner | 271 Grand St, Susquehanna, PA 18847-1511 | 2014-11-10 |
| 1245328145 | Warren Dewitt | Family Medicine | 401 Broad Ave, Susquehanna, PA 18847-1611 | 2006-10-10 |
| 1821572660 | Kathryn Nellie Dewitt | Nurse Practitioner | 401 Broad Ave, Susquehanna, PA 18847-1611 | 2018-09-18 |
| 1962680256 | Barnes Kasson County Hospital | Clinic/Center | 401 Broad Ave, Susquehanna, PA 18847-1611 | 2008-02-08 |
| 1972529543 | Family Health Clinic, Inc. | Clinic/Center | 619 Broad Ave, Susquehanna, PA 18847-1615 | 2006-07-15 |
| Find all providers in zip 18847 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326598616 | Trehab | Community/Behavioral Health | 2800 Turnpike Street, Susquehanna, PA 18847-2800 | 2016-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447115 | Forward Plan LLC | Community/Behavioral Health | 900 Macfarlane Dr, Pittsburgh, PA 15235-4230 | 2020-11-06 |
| 1821699240 | Eternal Renewal, LLC | Community/Behavioral Health | 501 N Charlotte St Fl 2, Pottstown, PA 19464-4602 | 2020-11-03 |
| 1417557174 | Kensington Hospital Non Hospital Short Term/long Term Rehab | Community/Behavioral Health | 136 W. Diamond St, Philadelphia, PA 19122-1721 | 2020-10-30 |
| 1699373415 | Maternity Care Coalition | Community/Behavioral Health | 401 Dekalb St, Norristown, PA 19401-4909 | 2020-10-14 |
| 1558969741 | Centerville Clinics Inc | Community/Behavioral Health | Centerville Clinics-intensive Behavioral Health Service, 37 Highland Avenue, Washington, PA 15301-4062 | 2020-10-12 |
| 1023624202 | Allied Health Care Services | Community/Behavioral Health | 1124 Scott St, Wilkes Barre, PA 18705-3737 | 2020-09-22 |
| 1518573708 | Mental Health Solution | Community/Behavioral Health | 2671 Darlington Rd, Beaver Falls, PA 15010-1280 | 2020-09-22 |
| 1629684584 | Peace & Clarity Counseling LLC | Community/Behavioral Health | 1 E Broad St Ste 130-1096, Bethlehem, PA 18018-5913 | 2020-09-16 |
| 1548874746 | Room 2 Grow, LLC | Community/Behavioral Health | 7500 Brooktree Rd Ste 201, Wexford, PA 15090-9285 | 2020-09-04 |
| 1134733819 | Keeping It Real Counseling, LLC | Community/Behavioral Health | 2937 Route 611 Unit 9a, Tannersville, PA 18372-6000 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | SUSQUEHANNA |
| Zip Code | 18847 |
Please comment or provide details below to improve the information on TREHAB DRUG AND ALCOHOL OUTPATIENT PROGRAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.