Pyramid Healthcare Massachusetts, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PYRAMID HEALTHCARE MASSACHUSETTS, LLC

Practice address

785 Main St
Concord, MA 01742-3310

Phone

(814) 940-0407

NPI assigned

Feb 5, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason Hendricks

Title

Ceo

Phone

(814) 940-0407

Specialties & licenses 1

Addresses

Other names 1

• Pyramid Healthcare, Inc. Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Pyramid Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pyramid Healthcare Massachusetts, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Agawam, MA
  • NPI 1093696627
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1013721547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166350967",
            "telephone_number": "814-940-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 MAIN ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423310",
            "telephone_number": "814-940-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYRAMID HEALTHCARE MASSACHUSETTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-940-0407"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pyramid Healthcare, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Protestant Guild for Human Services, Inc.
• Inger-Marie R Pu, MD
• Michael M Pugliese, MD
• Joyce Ann Pulcini, PHD, RN, FNP-BC
• Joseph Puliafico, RN
• Jennifer Erin Quest-Stern, MS, LMHC
• Joanna Radziejowska, RDN, RD
• Tracy Elizabeth Rafferty, PTA
• David Ramsay III, RN
• Prerna D Rao, PHARMACIST

• Substance Use Disorder Rehabilitation Clinic/Center in Concord, MA
• Providers in Concord, MA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.