NORTHEAST TREATMENT CENTERS INC. NPI 1083712830

NPI Information

NPI: 1083712830
Provider Name: NORTHEAST TREATMENT CENTERS, INC.

Doing Business As: NORTHEAST TREATMENT CENTERS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
499 N 5TH ST
SUITE A
PHILADELPHIA, PA
ZIP 19123
Phone: (215) 451-7015
Get Directions

NORTHEAST TREATMENT CENTERS, INC. is a mental health (including community mental health center) clinic center in Philadelphia, PA. NORTHEAST TREATMENT CENTERS, INC. NPI is 1083712830. The provider is registered as an organization entity type.
The provider Is Doing Business As Northeast Treatment Centers.

The provider's business location address is:

499 N 5TH ST
SUITE A
PHILADELPHIA, PA
ZIP 19123
Phone: (215) 451-7015
Fax: (215) 451-7110

The provider's authorized official is James Strauss .
The authorized official title is Cheif Financial Officer and has the following contact phone number (215) 240-8298.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 5/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251B00000X	Case Management		104870	PENNSYLVANIA	No
2	251S00000X	Community/Behavioral Health		104870	PENNSYLVANIA	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100022246	MEDICAID	DELAWARE
2	100773886	MEDICAID	PENNSYLVANIA
3	311749	OTHER	DELAWARE	MAGELLAN KEYSTONE HEALTH
4	0004972000	OTHER	PENNSYLVANIA	MAGELLAN PERSONAL CHOICE
5	273261	OTHER	DELAWARE	MANAGED HEALTH NETWORK
6	0004972000	OTHER	DELAWARE	MAGELLAN PERSONAL CHOICE
7	046410000	OTHER	DELAWARE	MAGELLAN COMMERCIAL
8	1000838	OTHER	PENNSYLVANIA	COMMUNITY CARE BEHAVIORAL
9	296503000	OTHER	PENNSYLVANIA	MAGELLAN HEALTH CHOICES
10	311749	OTHER	PENNSYLVANIA	MAGELLAN KEYSTONE HEALTH
11	462315000	OTHER	PENNSYLVANIA	MAGELLAN HEALTH CHOICES
12	046410000	OTHER	PENNSYLVANIA	MAGELLAN COMMERCIAL
13	159997	OTHER		BLUE CROSS OF DELAWARE
14	1000022246	OTHER		DIAMOND STATE PARTNERS ME
15	273261	OTHER	PENNSYLVANIA	MANAGED HEALTH NETWORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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