QUALITY ADDICTION MANAGEMENT, INC. (NPI# 1629282470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629282470 |
| Entity Type | Organization |
| Organization Name | QUALITY ADDICTION MANAGEMENT, INC. |
| Practice Address |
2357 W Mason St Green Bay WI 54303-4708 |
| Mailing Address |
6185 Paseo Del Norte Ste 150 Carlsbad CA 92011-1155 |
| Practice Telephone | 9203376740 |
| Practice Fax Number | 9203376741 |
| Mailing Telephone | 7607100831 |
| Mailing Fax Number | 2625496698 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2018-05-18 |
| Authorized Official Name | PETER MORRIS (PRESIDENT, CTC DIVISION) |
| Authorized Official Telephone | 6157211297 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1748 | WI | Behavioral Health & Social Service Providers |
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
1748 | WI | Ambulatory Health Care Facilities |
| Street Address |
2357 W MASON ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303-4708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423528 | Jenna Price | Registered Nurse | 2357 W Mason St, Green Bay, WI 54303-4708 | 2020-06-30 |
| 1366069973 | Nicole Luchterhand | Counselor | 2357 W Mason St, Green Bay, WI 54303-4708 | 2020-06-30 |
| 1295361566 | Tyler Webb | Counselor | 2357 W Mason St, Green Bay, WI 54303-4708 | 2020-03-19 |
| 1285274688 | Jaden Hendzel | Counselor | 2357 W Mason St, Green Bay, WI 54303-4708 | 2020-01-14 |
| 1588218093 | Angel Anderson | Counselor | 2357 W Mason St, Green Bay, WI 54303-4708 | 2019-08-01 |
| 1417512435 | Stacey Van Schyndel | Licensed Practical Nurse | 2357 W Mason St, Green Bay, WI 54303-4708 | 2019-05-06 |
| 1861957714 | Jillian Scott | Counselor | 2357 W Mason St, Green Bay, WI 54303-4708 | 2019-02-05 |
| 1588133698 | Cortlee Plass | Counselor | 2357 W Mason St, Green Bay, WI 54303-4708 | 2018-11-19 |
| 1669940730 | Carrie Quinnell | Licensed Practical Nurse | 2357 W Mason St, Green Bay, WI 54303-4708 | 2018-11-07 |
| 1871075630 | Carrie Dominiczak | Counselor | 2357 W Mason St, Green Bay, WI 54303-4708 | 2018-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
| 1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
| Find all providers in zip 54303 | ||||
| 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 |
|---|---|---|---|---|
| 1356951321 | Premier Care of Wisconsin, LLC. | Clinic/Center | 1333 College Ave Ste M1, South Milwaukee, WI 53172-1150 | 2020-08-05 |
| 1013572353 | Addiction Services and Pharmacotherapy, Sc | Clinic/Center | 11390 W Theo Trekr Way, West Allis, WI 53214-1135 | 2019-05-02 |
| 1740767292 | Ansa Treatment Center Inc | Clinic/Center | 4111 N Port Washington Rd Ste 101a, Milwaukee, WI 53212-1029 | 2018-07-26 |
| 1265922660 | Addiction Services and Pharmacotherapy, Sc | Clinic/Center | 210 E Olin Ave, Madison, WI 53713-1434 | 2018-05-11 |
| 1003150004 | Ams of Wisconsin, LLC | Clinic/Center | 9532 E 16 Frontage Rd, Suite 100, Onalaska, WI 54650-6739 | 2012-11-15 |
| 1194992404 | Milwaukee Health Services System, LLC | Clinic/Center | 5109 World Dairy Dr, Madison, WI 53718-3807 | 2008-05-15 |
| 1780850594 | Milwaukee Health Services System, LLC | Clinic/Center | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2008-05-01 |
| 1174798524 | Milwaukee Health Services System, LLC | Clinic/Center | 4800 S 10th St Unit 1, Milwaukee, WI 53221-2412 | 2008-04-28 |
| 1093912768 | C.o.r.e.,llc | Clinic/Center | 4555 W Schroeder Dr Ste 185, Brown Deer, WI 53223-1494 | 2007-06-27 |
| 1336247139 | Milwaukee Health Services System, LLC | Clinic/Center | 210 Washington St., Wausau, WI 54403-5475 | 2006-09-20 |
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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.