DEERFIELD BEHAVIORAL HEALTH OF WARREN (NPI# 1962532374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962532374 |
| Entity Type | Organization |
| Organization Name | DEERFIELD BEHAVIORAL HEALTH OF WARREN |
| Other Organization Name | DEERFIELD CENTERS FOR ADDICTIONS TREATMENT |
| Practice Address |
1003 Pennsylvania Ave W Fl 2 Warren PA 16365-1876 |
| Practice Telephone | 8147235545 |
| Practice Fax Number | 8143625245 |
| Mailing Telephone | 8147235545 |
| Mailing Fax Number | 8143625245 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | TINA CARY (EX DIR) |
| Authorized Official Telephone | 8147235545 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
627023 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | VALUE OPTIONS | 330194 | 01 |
| PA | 0015930840014 | 05 | |
| PA | HIGHMARK BLUE CROSS | 0828 | 01 |
| Other Name | Type Code |
|---|---|
| Deerfield Centers for Addictions Treatment | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477684264 | Deerfield Behavioral Health of Warren | Clinic/Center | Chestnut Street, Marienville Medical Center, Marienville, PA 16239 | 2007-03-07 |
| 1740310184 | Deerfield Behavioral Health of Warren | Clinic/Center | 623 Elm St, Tionesta, PA 16353-8803 | 2007-03-06 |
| 1740310176 | Deerfield Behavioral Health of Warren | Clinic/Center | 115 W Spring St, Titusville, PA 16354-1763 | 2007-03-06 |
| Street Address |
1003 PENNSYLVANIA AVE W FL 2 |
| City | WARREN |
| State | PA |
| Zip Code | 16365-1876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1437674579 | Theresa Elizabeth Cook | Speech-Language Pathologist | Rehabworks At Warren General Hospital, Two Crescent Park West, Warren, PA 16365 | 2017-08-10 |
| 1891160982 | Vanessa Frank Humphrey | Occupational Therapy Assistant | 682 Pleasant Drive, Warren, PA 16365 | 2015-12-01 |
| 1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
| 1992046569 | Carrie Lynn Vaughn | Physical Therapy Assistant | 1048 Pennslvania Ave West, Warren, PA 16365 | 2013-03-07 |
| 1750664488 | William Frederick Menz | Pharmacist | 2901 Market Street, (walmart), Warren, PA 16365 | 2011-09-20 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1013187558 | Chad Michael Ristau | Nurse Anesthetist, Certified Registered | 2 Crescent Park West., Warren General Hospital, Warren, PA 16365 | 2008-03-11 |
| 1407072473 | Family Physical Therapy | Physical Therapist | 218 Liberty St, Warren, PA 16365 | 2007-04-18 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
| Find all providers in zip 16365 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255736450 | First Step Recovery of Warren | Clinic/Center | 2737 Youngstown Warren Rd Se, Warren, OH 44484 | 2014-10-30 |
| 1487168084 | Fsr of Parkman LLC | Clinic/Center | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2017-11-20 |
| 1558363929 | Youngstown Committee On Alcoholism | Clinic/Center | 160 Clifton Dr Ne, Warren, OH 44484-1802 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816204 | Source Behavioral Health Services, LLC | Clinic/Center | 301 Oxford Valley Rd Ste 1302, Yardley, PA 19067-7706 | 2020-06-22 |
| 1780218594 | Davis Archway Centers for Addiction Treatment, Inc. | Clinic/Center | 114 Courson Ln, Emlenton, PA 16373-2502 | 2020-03-02 |
| 1871125625 | New Hope Community Medical Care LLC | Clinic/Center | 2602 W 9th St Ste 101, Chester, PA 19013-2089 | 2020-02-10 |
| 1528699931 | Caron Outpatient Services, LLC | Clinic/Center | 401 Plymouth Rd Ste 325, Plymouth Meeting, PA 19462-1650 | 2020-02-04 |
| 1124658331 | White Oak Wellness | Clinic/Center | 1966 Lincoln Way Ste 100, White Oak, PA 15131-2416 | 2020-01-16 |
| 1518517283 | Peace Valley Recovery | Clinic/Center | 5230 York Rd, Doylestown, PA 18902-1736 | 2019-09-16 |
| 1841853256 | Trinity Recovery LLP | Clinic/Center | 1311 E State St, Sharon, PA 16146-3246 | 2019-04-22 |
| 1861950909 | Advanced Treatment Centers LLC | Clinic/Center | 60 Abele Rd Ste 1103, Bridgeville, PA 15017-3467 | 2019-03-07 |
| 1467918722 | Melissa Francomacaro | Clinic/Center | 1035 W Walnut St Apt 2, Allentown, PA 18102-4847 | 2019-02-12 |
| 1205390325 | Pyramid Health Care Inc. | Clinic/Center | 100 Upper Demunds Rd, Dallas, PA 18612-8811 | 2019-01-23 |
| Find all providers with the same taxonomy | ||||
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| 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.