NORTHEAST TREATMENT CENTERS, INC (NPI# 1407145295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407145295 |
| Entity Type | Organization |
| Organization Name | NORTHEAST TREATMENT CENTERS, INC |
| Practice Address |
2701 N Broad St Philadelphia PA 19132-2743 |
| Mailing Address |
499 N 5th St Suite A Philadelphia PA 19123-4005 |
| Practice Telephone | 2154517000 |
| Practice Fax Number | 2154517010 |
| Mailing Telephone | 2154517000 |
| Mailing Fax Number | 2159256897 |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2013-07-03 |
| Authorized Official Name | MR. JONATHAN SOLOMONS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2154517000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 807327 | PA | Agencies |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
807327 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100773886 | 05 | |
| PA | COMMUNITY BEHAVIORAL HEALTH (CBH) | 100773886 | 01 |
| PA | MAGELLAN HEALTH CHOICES | 100773886 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750854790 | Northeast Treatment Centers, Inc | Community/Behavioral Health | 154 E Huntingdon St, Philadelphia, PA 19125-1030 | 2019-01-02 |
| 1851699631 | Northeast Treatment Centers, Inc | Clinic/Center | 300 S 7th St, Easton, PA 18042-4362 | 2011-03-03 |
| 1770925992 | Northeast Treatment Centers, Inc | Foster Care Agency | 1709 Washington Ave, Philadelphia, PA 19146-1913 | 2013-07-30 |
| 1134418924 | Northeast Treatment Centers, Inc | Clinic/Center | 44 E Broad St, Suite 020, Bethlehem, PA 18018-5947 | 2011-04-01 |
| 1720102569 | Northeast Treatment Centers, Inc | Clinic/Center | 499 N 5th St, Suite A, Philadelphia, PA 19123-4005 | 2007-03-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHEAST TREATMENT CENTERS, INC. | 499 N 5th St Ste A, Philadelphia, PA 19123-4005 |
| Street Address |
2701 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19132-2743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497236251 | Cedar Wood Care Management, Inc. | Case Management | 2701 N Broad St, Philadelphia, PA 19132-2743 | 2018-08-28 |
| 1295237626 | Blessings4ever Home Care Agency | Home Health | 2701 N Broad St, Philadelphia, PA 19132-2743 | 2018-03-01 |
| 1952555815 | Temple University of The Commonwealth System of Higher Education | Clinic/Center | 2701 N Broad St, Philadelphia, PA 19132-2743 | 2008-11-05 |
| 1760647804 | West Philadelphia Rehab and Medical | Chiropractor | 2701 N Broad St, Philadelphia, PA 19132-2743 | 2008-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811511017 | Irene Maria Clark | Social Worker | 3101 N. 29th St., Philadelphia, PA 19132 | 2020-06-03 |
| 1518407519 | Forget Me Knot Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 2321 N Broad Street, Philadelphia, PA 19132 | 2017-02-24 |
| 1609322437 | Shaakira Gillette | Social Worker | 2514 N. Broad St, Philadelphia, PA 19132 | 2016-08-31 |
| 1578017042 | Education Plus, Inc. | Nurse Practitioner | 3217 W. Clearfield Street, Philadelphia, PA 19132 | 2016-08-12 |
| 1972958544 | Rittenhouse Health LLC | Substance Abuse Rehabilitation Facility | 2321 N. Broad St, Philadelphia, PA 19132 | 2016-05-02 |
| 1336593458 | Jamal Vann | Counselor | 2233-43 West Allegheny Avenue, Philadelphia, PA 19132 | 2016-04-14 |
| 1487027132 | Jazzmin Devine | Specialist/Technologist | 200 Prospect St Hemlock 430a, East Stroudsburg University, PA 19132 | 2015-11-03 |
| 1609282508 | Lawrence Petitfrere | Pharmacist | 2801 W Dauphin St, Philadelphia, PA 19132 | 2014-07-11 |
| 1437565157 | Mental Health Partnerships | Community/Behavioral Health | 2709 N. Broad Street, Philadelphia, PA 19132 | 2014-07-02 |
| 1477977346 | Randy Morman | Counselor | 2514 N. Broad Street, 1st Floor, Philadelphia, PA 19132 | 2014-02-12 |
| Find all providers in zip 19132 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679050900 | Limitless Recovery Center LLC | Clinic/Center | 1206 E Palmer St, Philadelphia, PA 19125-3308 | 2018-07-19 |
| 1922273564 | Gaudenzia | Clinic/Center | 1834 W Tioga St, Philadelphia, PA 19140-4939 | 2008-04-24 |
| 1437377181 | Gaudenzia Inc | Clinic/Center | 607 East Church Lane, Apt. B-6, Philadelphia, PA 19144 | 2007-04-20 |
| 1174741821 | Gaudenzia Inc | Clinic/Center | 1300 Spring Garden Street, Philadelphia, PA 19123 | 2007-04-20 |
| 1629295076 | Gaudenzia Inc | Clinic/Center | 701 North 63rd Street, Philadelphia, PA 19151 | 2007-04-19 |
| 1316086655 | Minsec Treatment Center | Clinic/Center | 3768 L St, Philadelphia, PA 19124-5530 | 2007-02-05 |
| 1063577989 | Resources for Human Development | Clinic/Center | 5000 Jackson St, Philadelphia, PA 19124-2117 | 2006-12-22 |
| 1477660470 | Riverside Care, Inc | Clinic/Center | 2701 N. Broad St, Philadelphia, PA 19132-2743 | 2006-08-24 |
| 1770517922 | Riverside Care, Inc | Clinic/Center | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2006-07-11 |
| 1245759943 | Merakey Recovery Services | Clinic/Center | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2017-09-13 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19132 |
Please comment or provide details below to improve the information on NORTHEAST TREATMENT CENTERS, INC.
| 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.