NORTHEAST TREATMENT CENTERS.INC (NPI# 1225327018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225327018 |
| Entity Type | Organization |
| Organization Name | NORTHEAST TREATMENT CENTERS.INC |
| Practice Address |
5501 Chestnut St Philadelphia PA 19139-3205 |
| 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 | Agencies | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
807359 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MAGELLAN HEALTH CHOICES | 100773886 | 01 |
| PA | COMMUNITY BEHAVIORAL HEALTH (CBH) | 100773886 | 01 |
| PA | 100773886 | 05 |
| 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 |
5501 CHESTNUT ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19139-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770517922 | Riverside Care, Inc | Clinic/Center | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2006-07-11 |
| 1962037937 | Reanna Noor | Counselor | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2020-03-10 |
| 1740821222 | Susan Charlotte Poole | Nurse Practitioner | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2019-10-04 |
| 1265081780 | Rena Linden | Nurse Practitioner | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2019-09-06 |
| 1659768307 | Gwendolyn Deem Morris | Registered Nurse | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2015-04-21 |
| 1518221852 | William E Sautter | Social Worker | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2012-07-02 |
| 1932429610 | Roselyn Japes-shuebrook | Counselor | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2010-06-04 |
| 1407179260 | West Phila Mn Hlth Consortium, Inc | Clinic/Center | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2010-03-09 |
| 1790945848 | Sarah Elizabeth Johnson | Social Worker | 5501 Chestnut St, The Consortium, Philadelphia, PA 19139 | 2008-06-12 |
| 1932228426 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1770192890 | Michael Pappano LLC | Social Worker | 31 South 51st St, Philadelphia, PA 19139 | 2020-07-24 |
| 1912419581 | Christina Lipuma | Dietitian, Registered | 5210 Haverford Ave, Philadelphia, PA 19139 | 2017-11-03 |
| 1538515564 | New Vitae Inc | Public Health or Welfare | 27 S 55th Street, Philadelphia, PA 19139 | 2016-05-09 |
| 1982058681 | Phyllis Mwaura | In Home Supportive Care | 5338 Vine Street, Basement, Philadelphia, PA 19139 | 2016-04-19 |
| 1861879322 | Barbara Joette Hegarty | Counselor | 4508 Chestnut Street, Philadelphia, PA 19139 | 2015-05-04 |
| 1336533454 | Julie Magallanes-montone | Family Medicine | 5201 Haverford Avenue, Philadelphia, PA 19139 | 2015-03-26 |
| 1134494909 | The Children's Hospital of Philadelphia | Pediatrics | 4865 Market Street, Philadelphia, PA 19139 | 2012-03-13 |
| 1467757443 | Nouman Bashir | Dentist | 5139 Chestnut Stree, Philadelphia, PA 19139 | 2011-01-21 |
| 1720396732 | Serena Denise Johnson | Contractor | 5151a Walnut Street, Philadelphia, PA 19139 | 2010-09-24 |
| Find all providers in zip 19139 | ||||
| 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 | 19139 |
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.