Methadone clinic New York City
A methadone clinic in New York City is an opioid treatment program that dispenses medication and offers counseling with medical oversight. In New York City, 40 SAMHSA-listed facilities provide this level of care as of November 2026. Deciding is about fitting daily structure to your life, not about willpower.
- programs in New York City
- 40
- take Medicaid
- 39
- use private coverage
- 29
Methadone clinics, also called opioid treatment programs or OTPs, are licensed outpatient programs that dispense methadone or other medications for opioid use disorder and pair them with counseling and regular drug testing. A day typically starts with a brief nursing visit for your dose, followed by a counseling session or a check-in with your care team. As you stabilize, take-home doses may become possible under federal and state rules. The 40 SAMHSA-listed methadone clinics in New York City are outpatient programs with daily structure.
Most people arrive early, before work or school. Some programs offer evening or weekend dosing hours, and 33 of the 40 listed clinics provide telehealth for counseling or intake, which can reduce travel. At the start, you will typically see a counselor weekly, then less often as you progress. The program is intended to be long-term, and there is no fixed deadline for tapering. Clinician oversight is important because methadone carries risks, especially when combined with other substances.
What to expect when you reach a clinic
- 1
Call and ask about intake
Ask what documents to bring, whether same-day dosing is possible, and what the first visit involves. Confirm payment options such as Medicaid or sliding fees. A short call can clarify whether a program fits your needs.
- 2
Complete an assessment
A clinician will ask about your substance use, your health history, and any prior treatment. This is a medical evaluation, not a judgment. The assessment determines whether methadone is a fit and what starting dose to use.
- 3
Start medication and counseling
You will receive your first dose under supervision and meet your counselor. Expect regular drug testing and scheduled counseling. As you stabilize, the program may adjust your dose and visit frequency.
- 4
Plan for ongoing care
Methadone treatment is ongoing, and take-home doses are earned over time. Stay in contact with your counselor about any side effects or changes. If you are also working with a mental health provider, coordinate care.
Methadone clinic options in the city
Across the five boroughs, 40 SAMHSA-listed facilities offer methadone clinic services. Payment options vary: 39 accept Medicaid, 34 accept Medicare, 29 accept private insurance, and 21 offer a sliding fee scale. New York State has adopted Medicaid expansion, so many low-income adults may qualify. If you need a methadone clinic in New York City that accepts Medicaid, then 39 SAMHSA-listed programs are an option. When you are comparing methadone clinics in New York City, then check whether the program offers Spanish (33 do) or telehealth (33 do).
You can search by borough or ZIP code to narrow the list. Some programs are in Manhattan, others in Brooklyn, Queens, the Bronx, and Staten Island. Dual diagnosis services are available at 25 of the 40 listed clinics, which matters if you also need mental health support. For methadone programs in New York City that treat both addiction and a co-occurring mental health condition, then 25 SAMHSA-listed clinics offer dual diagnosis care.
- take Medicaid
- 39
- use private health insurance
- 29
- take Medicare
- 34
- have a sliding-scale option
- 21
| Location | Town | Levels of care | Takes |
|---|---|---|---|
| Lower East Side Service Ctr Inc | Manhattan | PHP, Outpatient, OTP | Medicaid, Medicare, Sliding fee |
| Lower Eastside Service Center | Manhattan | Outpatient, OTP | Medicaid, Medicare, Sliding fee |
| Lafayette Medical Approach LLC | Manhattan | Outpatient, OTP | Medicaid, Medicare, Insurance |
| OTP Avenue A Clinic | Manhattan | Outpatient, OTP | Medicaid, Medicare, Insurance, Sliding fee |
| Brooklyn Hospital Center | Brooklyn | Detox, OTP | Medicaid, Medicare, Insurance |
| VA NY Harbor Healthcare System | Manhattan | Detox, IOP, Outpatient, OTP | Insurance |
| Bellevue Hospital Center (HHC) | Manhattan | Outpatient, OTP | Medicaid, Medicare, Insurance, Sliding fee |
| Urban Recovery House LLC | Brooklyn | Residential, OTP | Medicaid, Insurance |
| Vincent P Dole Clinic | Brooklyn | Outpatient, OTP | Medicaid, Medicare, Insurance |
| START Treatment and Recovery Centers | Brooklyn | Outpatient, OTP | Medicaid, Sliding fee |
Covering the cost of methadone care
Insurance or public funding is how most people pay. Of the 40 listed clinics, 39 take Medicaid, 34 take Medicare, and 29 take private insurance. If you lack insurance ask about sliding fees, which 21 clinics offer. Federal parity law requires many plans to cover addiction treatment similarly to medical care, though you should verify benefits directly with the program. Medicaid is accepted at 39 of the 40 SAMHSA-listed methadone clinics in New York City. The helpline can help you narrow down choices, though it cannot promise coverage.
Who methadone treatment can fit
- Adults with an opioid use disorder who prefer a structured daily medication and counseling program over short-term detox.
- People who have tried outpatient care without medication and want to add a medication-assisted approach under medical supervision.
- New York City residents who need a program that accepts Medicaid (39 of 40 listed clinics do) or a sliding fee (21 do).
- People who want Spanish-language services (33 listed clinics offer Spanish) or telehealth options (33 offer telehealth).
Questions people ask
How many methadone clinics are in New York City?
As of November 2026, there are 40 SAMHSA-listed methadone clinics in New York City. That count comes from SAMHSA FindTreatment.gov and includes opioid treatment programs across the five boroughs. The number can change, so use the listing as a starting point and call ahead to confirm availability.
Does Medicaid cover methadone treatment in New York City?
Medicaid often does cover methadone treatment, and 39 of the 40 listed clinics in New York City accept Medicaid. Since New York State adopted Medicaid expansion, more adults may qualify. Coverage details differ by plan, so confirm with the clinic and with your Medicaid managed care plan.
What is the difference between methadone and Suboxone?
Methadone and Suboxone (buprenorphine) are both medicines for opioid use disorder. Methadone comes through opioid treatment programs, whereas Suboxone can be prescribed in other settings. Your health history and circumstances shape the choice. A medical provider can walk you through the risks and benefits. In New York City, 165 facilities offer medication for opioid use disorder, covering both types.
Can I get take-home doses from a methadone clinic?
Take-home doses are possible after a period of stability, according to federal and state rules. Your program will evaluate factors like negative drug tests and consistent attendance. The timeline varies. Ask your clinic about their specific take-home policy and what steps you need to take.
How long does methadone treatment last?
There is no fixed duration. Some people stay on methadone for months, others for years. Treatment is individualized, and decisions about tapering should be made with your medical provider. Do not stop suddenly without medical advice, as withdrawal can be dangerous.
Do methadone clinics in New York City offer Spanish-language services?
Yes, 33 of the 40 listed clinics offer Spanish-language services. That means you can receive intake, counseling, and dosing instructions in Spanish. When you call, confirm that a Spanish-speaking staff member is available at the times you need.