NORTHEAST TREATMENT CENTER, INC (NPI# 1477701670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477701670 |
| Entity Type | Organization |
| Organization Name | NORTHEAST TREATMENT CENTER, INC |
| Practice Address |
499 N 5th St Suite A Philadelphia PA 19123-4005 |
| Practice Telephone | 2154517000 |
| Practice Fax Number | 2159256897 |
| Mailing Telephone | 2154517000 |
| Mailing Fax Number | 2159256897 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-10-07 |
| 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 | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
807408 | PA | Ambulatory Health Care Facilities |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
807408 | PA | Ambulatory Health Care Facilities |
| Y | 251S00000X | Community/Behavioral Health | 807408 | PA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100773572 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740438944 | Northeast Treatment Center, Inc | Community/Behavioral Health | 499 N 5th St, Suite A, Philadelphia, PA 19123-4005 | 2008-09-03 |
| Street Address |
499 N 5TH ST SUITE A |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19123-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083712830 | Northeast Treatment Centers, Inc. | Case Management | 499 N 5th St, Suite A, Philadelphia, PA 19123 | 2006-09-20 |
| 1770095200 | Doris Jean Holmes | Psychologist | 499 N 5th St, Philadelphia, PA 19123-4005 | 2017-10-24 |
| 1861911752 | Jeanne Lehrer | Psychologist | 499 N 5th St, Philadelphia, PA 19123-4005 | 2017-09-12 |
| 1134561731 | Richard S Neal | Behavioral Analyst | 499 N 5th St, Philadelphia, PA 19123-4005 | 2013-07-23 |
| 1427332204 | Maria Pitale | Psychologist | 499 N 5th St, Philadelphia, PA 19123-4005 | 2011-09-28 |
| 1386892578 | Northeast Treatment Center, Inc. | Community/Behavioral Health | 499 N 5th St, Suite B, Philadelphia, PA 19123-4005 | 2008-09-03 |
| 1740438944 | Northeast Treatment Center, Inc | Community/Behavioral Health | 499 N 5th St, Suite A, Philadelphia, PA 19123-4005 | 2008-09-03 |
| 1962680751 | Northeast Treatment Centers. Inc. | Clinic/Center | 499 N 5th St, Suite D-e, Philadelphia, PA 19123-4005 | 2008-02-05 |
| 1720102569 | Northeast Treatment Centers, Inc | Clinic/Center | 499 N 5th St, Suite A, Philadelphia, PA 19123-4005 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301842 | Regina Ann Griffin | Massage Therapist | 721 West Brown Street, Apt 1r, Philadelphia, PA 19123 | 2020-09-16 |
| 1811453558 | Terence Jones | Counselor | 1200 Callowhill St., Suite 101, Philadelphia, PA 19123 | 2019-02-19 |
| 1750874517 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 456 N 5th St, Philadelphia, PA 19123 | 2018-06-07 |
| 1649761677 | Dawn Webster | Acupuncturist | 466 N 10th St, Philadelphia, PA 19123 | 2018-05-25 |
| 1629566237 | Tri-county Home Health Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 443-45 W. Girard Ave, Ste 2b, Philadelphia, PA 19123 | 2018-04-30 |
| 1508389214 | Greater Delaware Valley Society of Transplant Surgeons | Organ Procurement Organization | 401 N. 3rd Street, Philadelphia, PA 19123 | 2017-07-25 |
| 1770987588 | Eugene Borys | Social Worker | 1217 Spring Garden Street, 1st Fl, Bebashi Transition To Hope, Philadelphia, PA 19123 | 2014-10-22 |
| 1134521255 | 9th & Girard Pharmacy Inc | Pharmacy | 901 W Girard Ave, #105, Philadelphia, PA 19123 | 2014-09-19 |
| 1508271925 | Waleska Santiago, PC | Internal Medicine | 1 Brown Street Unit 1414, Philadelphia, PA 19123 | 2014-06-24 |
| 1366865537 | Keli Hunter | Chiropractor | 683 N. Broad Street, Philadelphia, PA 19123 | 2014-01-24 |
| Find all providers in zip 19123 | ||||
| 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 |
|---|---|---|---|---|
| 1417557174 | Kensington Hospital Non Hospital Short Term/long Term Rehab | Community/Behavioral Health | 136 W. Diamond St, Philadelphia, PA 19122-1721 | 2020-10-30 |
| 1922625789 | Merakey Philadelphia | Community/Behavioral Health | 1414 Shelmire Ave, Philadelphia, PA 19111-3314 | 2020-06-28 |
| 1801417456 | Detention Management Solutions | Community/Behavioral Health | 967 Clyde Ln, Philadelphia, PA 19128-1141 | 2020-05-05 |
| 1316579923 | Community Council for Mental Health & Mental Retardation Inc. | Community/Behavioral Health | 1211 Chestnut St Fl 8, Philadelphia, PA 19107-4103 | 2020-02-11 |
| 1083257133 | Homes of Humanity, LLC | Community/Behavioral Health | 47 N 51st St, Philadelphia, PA 19139-2726 | 2019-10-22 |
| 1376196147 | Hopeworks Wellness, LLC | Community/Behavioral Health | 2449 Golf Rd Ste 2, Philadelphia, PA 19131-1475 | 2019-07-22 |
| 1144873126 | Wmc | Community/Behavioral Health | 4243 Frankford Ave, Philadelphia, PA 19124-4520 | 2019-07-19 |
| 1336792316 | Wedge Medical Center | Community/Behavioral Health | 3600 Germantown Ave, Philadelphia, PA 19140-4226 | 2019-07-19 |
| 1619533098 | Sankofa Healing Studio | Community/Behavioral Health | 1415 N Broad St Ste 221c, Philadelphia, PA 19122-3325 | 2019-05-11 |
| 1902369234 | Resouces for Human Development, Inc. | Community/Behavioral Health | 227 E Garrett St, Philadelphia, PA 19119-2107 | 2019-04-12 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19123 |
Please comment or provide details below to improve the information on NORTHEAST TREATMENT CENTER, 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.