PRIMARY ADDICTION TREATMENT CENTER (P.A.T.) (NPI# 1588264626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588264626 |
| Entity Type | Organization |
| Organization Name | PRIMARY ADDICTION TREATMENT CENTER (P.A.T.) |
| Practice Address |
525 Oyster Point Rd Ste D Newport News VA 23602-6014 |
| Practice Telephone | 7572960444 |
| Mailing Telephone | 7572960444 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | MS. DEMI DE LA VEGA (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 7572960444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
525 OYSTER POINT RD STE D |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23602-6014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789425 | Aishah Naomi Khursheed | Counselor | 727 J Clyde Blvd, Ste A, Newport News, VA 23602 | 2020-04-21 |
| 1962069526 | Boss Inner Child Counseling, LLC | Clinic/Center | 14203 Old Courthouse Way, Suite B, Newport News, VA 23602 | 2019-05-20 |
| 1922598572 | Manoj Chawla | Internal Medicine | 1000 Old Denbigh Blvd # 1020a, Newport News, VA 23602 | 2018-05-18 |
| 1750896999 | Alexandra Paige Jones | Behavioral Analyst | 12727 Mcmanus Blvd., Newport News, VA 23602 | 2017-12-11 |
| 1457712556 | Mary Ellen Lynch | Registered Nurse | American Addiction Treatment Center, 12695 Mcmanus Blvd, Bdg 2, Newport News, VA 23602 | 2016-03-16 |
| 1790159481 | Megan Ashley Burkart Schmidt | Registered Nurse | 903 Kinsale Cres, Newport News, VA 23602 | 2015-11-18 |
| 1962870733 | Natalie Marie Bradshaw-smith | Nurse Practitioner | 401 Oyster Point Rd Ste A, Newport News, VA 23602 | 2015-09-09 |
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1588063663 | Cathy G Cooke | Psychologist | 12695 Mcmanus Blvd. Bldg #8, Newport News, VA 23602 | 2014-08-14 |
| 1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
| Find all providers in zip 23602 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235674151 | Nanas House Newport News | Clinic/Center | 2706 Marshall Ave, Newport News, VA 23607-4120 | 2017-01-01 |
| 1659988525 | Pyramid Health Care Inc. | Clinic/Center | 245 Chesapeake Ave, Newport News, VA 23607-6038 | 2020-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573585 | Culpeper Treatment Services LLC | Clinic/Center | 571 James Madison Hwy Ste D, Culpeper, VA 22701-2367 | 2020-06-24 |
| 1154967214 | Intergrated Medical Services, LLC | Clinic/Center | 7511 Donset Ct, Manassas, VA 20109-6200 | 2019-11-25 |
| 1871136143 | Apex Treatment Centers | Clinic/Center | 1230 Alverser Dr Ste 101, Midlothian, VA 23113-2653 | 2019-10-19 |
| 1598306649 | Catalyst Recovery and Wellness LLC | Clinic/Center | 9309 Center St Ste 101, Manassas, VA 20110-5599 | 2019-09-30 |
| 1073164539 | Southwest Virginia Community Health Systems Inc | Clinic/Center | 416 E Main St Rm 2, Marion, VA 24354-3318 | 2019-09-26 |
| 1134783194 | First Step Medical LLC | Clinic/Center | 754 East Main St., Lebanon, VA 24266-5014 | 2019-04-25 |
| 1740844067 | Appalachian Medical Associates LLC | Clinic/Center | 5453 Gov. G.c. Peery Hwy, Suite 1, Raven, VA 24639 | 2019-04-23 |
| 1386118248 | Pinnacle Treatment Centers Va-ii, LLC | Clinic/Center | 5408 Woolshire Dr, Glen Allen, VA 23059-3412 | 2019-01-14 |
| 1205306537 | Applegate Health Services, Inc | Clinic/Center | 210 Professional Park Dr Se Ste 9, Blacksburg, VA 24060-6649 | 2018-11-29 |
| 1881132231 | Cmb Holdings | Clinic/Center | 4420 Fairfax Dr, Suite 100, Arlington, VA 22203-1645 | 2017-02-06 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT NEWS |
| Zip Code | 23602 |
Please comment or provide details below to improve the information on PRIMARY ADDICTION TREATMENT CENTER (P.A.T.).
| 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.