NPIMap

Organization Active NPI

Council on Addiction Recovery Services Inc

Doing business as Hawthorn House

  • Substance Abuse Rehabilitation Facility
  • Westons Mills, NY
National Provider Identifier
1225443211
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
160310173 Issued in NY
Legal business name
COUNCIL ON ADDICTION RECOVERY SERVICES INC
Doing business as
Hawthorn House
Practice address
1351 Olean - Portville Rd
Westons Mills, NY 14788
Phone
(716) 373-0057
Fax
(716) 373-7910
NPI assigned
Jun 27, 2014
Last updated
Aug 5, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNCIL ON ADDICTION RECOVERY SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Michael H Prutsman, CPP, MA
Title
Executive Director
Phone
(716) 373-4303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 160310173 NY Primary

Addresses

Primary practice location

1351 Olean - Portville Rd
Westons Mills, NY 14788

Mailing address

201 S Union St
Olean, NY 14760-3646
Phone (716) 373-4303

Other identifiers 5

IdentifierTypeStateIssuer
170809255OtherNYDUNS AND BRADSTREET
030770OtherNYNYS CHARITIES REGISTRATION
00933817MedicaidNY
000000816000OtherNYBLUE CROSS
38160OtherOASAS

Other names 1

  • Hawthorn House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Council on Addiction Recovery Services Inc4 organizations share this tax ID, including this one
Part of
Council on Addiction Recovery Services Inc

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1225443211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S UNION ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147603646",
            "telephone_number": "716-373-4303",
            "fax_number": "716-373-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 OLEAN - PORTVILLE RD",
            "city": "WESTONS MILLS",
            "state": "NY",
            "postal_code": "14788",
            "telephone_number": "716-373-0057",
            "fax_number": "716-373-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNCIL ON ADDICTION RECOVERY SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNCIL ON ADDICTION RECOVERY SERVICES, INC.",
        "enumeration_date": "2014-06-27",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "PRUTSMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "716-373-4303",
        "authorized_official_credential": "CPP, MA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NY",
            "license": "160310173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DUNS AND BRADSTREET",
            "identifier": "170809255",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS CHARITIES REGISTRATION",
            "identifier": "030770",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00933817",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000816000",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OASAS",
            "identifier": "38160",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawthorn House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westons Mills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.