Pyramid Healthcare Massachusetts, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PYRAMID HEALTHCARE MASSACHUSETTS, LLC

Practice address

1200 Suffield St
Agawam, MA 01001-2933

Phone

(413) 301-9300

NPI assigned

Sep 10, 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 SPRINGFIELD 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
  • Concord, MA
  • NPI 1013721547
  NPD tax ID

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1093696627",
    "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": "1200 SUFFIELD ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012933",
            "telephone_number": "413-301-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYRAMID HEALTHCARE MASSACHUSETTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "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 SPRINGFIELD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kara A Phillips, PTA
• Kimberly Ann Pilon, COTA
• Kristin Pisano, PA-C
• Joy A. Poggi, L.M.T.
• Progress Above Perfection PC
• R Vanderhoof Inc.
• John Ragno
• Almina Raneses
• Jason Christian Ravizza, M.ED.,LMHC
• Ellen Price Reidy, PT

• Substance Use Disorder Rehabilitation Clinic/Center in Agawam, MA
• Providers in Agawam, 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 Sep 10, 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.