Organization Active NPI

Renaissance Project

  • Community/Behavioral Health Agency
  • Port Chester, NY
National Provider Identifier
1144551680
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
077918 Issued in NY
Legal business name
RENAISSANCE PROJECT
Practice address
132 Pearl St
Port Chester, NY 10573-7614
Phone
(914) 939-2700
Fax
(914) 939-5352
NPI assigned
Jan 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Ms. Susan Maria Byrnes, LMSW
Title
Social Worker
Phone
(914) 939-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 077918 NY Primary

Addresses

Primary practice location

132 Pearl St
Port Chester, NY 10573-7614

Mailing address

132 Pearl St
Port Chester, NY 10573-7614
Phone (914) 939-2700

Other identifiers 1

IdentifierTypeStateIssuer
01302538MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1144551680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 PEARL ST",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105737614",
            "telephone_number": "914-939-2700",
            "fax_number": "914-939-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 PEARL ST",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105737614",
            "telephone_number": "914-939-2700",
            "fax_number": "914-939-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "BYRNES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "914-939-2700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "077918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01302538",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Chester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.