HABIT OPCO, LLC (NPI# 1023175072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023175072 |
| Entity Type | Organization |
| Organization Name | HABIT OPCO, LLC |
| Other Organization Name | HABIT OPCO- SPRINGFIELD |
| Practice Address |
511 East Columbus Ave. Springfield MA 01105 |
| Mailing Address |
6185 Paseo Del Norte, Ste 150 Carlsbad CA 92011 |
| Practice Telephone | 4137333488 |
| Practice Fax Number | 4137317381 |
| Mailing Telephone | 8552592288 |
| Mailing Fax Number | 7609308923 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2019-08-14 |
| Authorized Official Name | KIM SANDERSON (SR. VICE PRESIDENT) |
| Authorized Official Telephone | 8552592288 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACADIA HEALTHCARE COMPANY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1301829 | 05 | |
| MA | 110073229 | 05 |
| Other Name | Type Code |
|---|---|
| HABIT MANAGEMENT | Doing Business As Name - Organization |
| Habit OPCO- Springfield | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386888279 | Habit Opco, LLC | Clinic/Center | 111 Highway 35, Suite 7, Cliffwood, NJ 07721-1515 | 2009-04-23 |
| 1912155516 | Habit Opco, LLC | Clinic/Center | 16 Town Crier Drive, Brattleboro, VT 05304 | 2008-09-08 |
| 1639689292 | Habit Opco, LLC | Clinic/Center | 1 Main St Lowr, South Amboy, NJ 08879-1142 | 2017-10-09 |
| 1861902926 | Habit Opco, LLC | Clinic/Center | 16 Town Crier Dr, Brattleboro, VT 05301-8669 | 2017-10-03 |
| 1043720113 | Habit Opco, LLC | Clinic/Center | 20 Market St, Manchester, NH 03101-1957 | 2017-10-03 |
| 1033629100 | Habit Opco, LLC | Clinic/Center | 254 Plainfield Rd, West Lebanon, NH 03784-2001 | 2017-10-03 |
| Street Address |
511 EAST COLUMBUS AVE. |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295265809 | Quinn Cary Mohlar | Counselor | 511 East Columbus Ave., Springfield, MA 01105 | 2017-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881166551 | Rachael Ellen Buckley | Behavioral Analyst | 1 Federal Street, Stccac Technical Park, Building 101, 1 East-3, Springfield, MA 01105 | 2018-12-19 |
| 1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
| 1508351107 | Breanna Wardwell | Psychologist | 110 Maple St Ste 110, Springfield, MA 01105 | 2018-06-26 |
| 1538689831 | Ruthie May Therrien | Counselor | 140 High St #230, Springfield, MA 01105 | 2017-06-27 |
| 1124483771 | Jane Danette Smith | Counselor | 15 Mulberry Street, Phoenix House, Springfield, MA 01105 | 2015-12-28 |
| 1043682008 | Nancy Hernandez | Social Worker | 140 High Street Suite 230, South Bay Mental Health Springfield Clinic, Springfield, MA 01105 | 2015-10-29 |
| 1205204567 | Yarelis Aquino | Social Worker | 511 Eastt Columbus Ave, Springfield, MA 01105 | 2015-09-03 |
| 1417376419 | Wanda I Perez | Student in an Organized Health Care Education/Training Program | 367 Pine Street, Springfield, MA 01105 | 2014-04-08 |
| 1275968778 | Elizabeth Catherine Grey | Social Worker | 155 Maple St Ste 304, Springfield, MA 01105 | 2013-09-04 |
| 1891033148 | Carol Ouellette | Counselor | 511 East Columbus Avenue, Springfield, MA 01105 | 2013-01-22 |
| Find all providers in zip 01105 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669017653 | Behavioral Health Network, Inc | Clinic/Center | 395 Liberty St, Springfield, MA 01104-3779 | 2019-11-13 |
| 1528398096 | Family Guidance Centers, Inc. | Clinic/Center | 120 N 11th St, Springfield, IL 62703-1002 | 2010-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1245886258 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | 269 Treble Cove Rd., Billerica, MA 01862 | 2019-08-15 |
| 1225680671 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | 20 Manning Rd., Middleton, MA 01949 | 2019-07-15 |
| 1013479708 | Amanda Jeanne Davidson | Clinic/Center | 23 Duncan St, Gloucester, MA 01930-6001 | 2019-04-02 |
| 1295885390 | Catherine Marie Macdonald | Clinic/Center | 20 Forsythe Ave, South Yarmouth, MA 02664-1814 | 2007-01-11 |
| 1154302586 | Northeast Behavioral Health Corporation | Clinic/Center | 800 Cummings Center, Suite 266t, Beverly, MA 01915-6172 | 2005-11-11 |
| 1568078327 | Gifford Street Wellness Center, LLC | Clinic/Center | 34 Gifford Street, New Bedford, MA 02744-2610 | 2020-09-17 |
| 1891142154 | Gifford Street Wellness Center, LLC | Clinic/Center | 34 Gifford St, New Bedford, MA 02744-2610 | 2016-05-17 |
| 1568827962 | Community Health Care Inc | Clinic/Center | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2015-12-30 |
| 1689693343 | Stanley Street Treatment and Resources, Inc. | Clinic/Center | 386 Stanley St, Fall River, MA 02720-6009 | 2006-07-19 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 01105 |
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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.