PRCD, Inc.

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Legal business name

PRCD, INC.

Doing business as

Adolescent Community Residence

Practice address

2654 Ridgeway Ave
Rochester, NY 14626-4209

Phone

(585) 723-7350

Fax

(585) 723-7353

NPI assigned

Jan 15, 2007

Last updated

Jan 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas Stewart

Title

President Health Care Services

Phone

(585) 723-7185

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adolescent Community Residence Doing business as

Tax ID family

PRCD 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.

• PRCD, Inc.

  dba Daisy Marquis Jones Women's Community Residence

  • Substance Abuse Rehabilitation Facility
  • Rochester, NY
  • NPI 1053630731
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• PRCD, Inc.

  dba Daisy Marquis Jones Women's Community Residence

  • Substance Abuse Rehabilitation Facility
  • Rochester, NY
  • NPI 1053630731
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Parmeter, LCSW

  • Mental Health Counselor
  • Rochester, NY
  • NPI 1053567271
  NPD (past)
• Paul Wencek, LMSW

  • Addiction (Substance Use Disorder) Counselor
  • Rochester, NY
  • NPI 1083158471
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1255482535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 RIDGEWAY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264209",
            "telephone_number": "585-723-7350",
            "fax_number": "585-723-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2654 RIDGEWAY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264209",
            "telephone_number": "585-723-7350",
            "fax_number": "585-723-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRCD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT HEALTH CARE SERVICES",
        "authorized_official_telephone_number": "585-723-7185"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02754676",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adolescent Community Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald R Pratt, M.A., M.AC.
• Sarah Elizabeth Pratt, N.P.
• Shonda M Pratt, LPN
• Julie Ann Prattico, DPT
• PRCD, Inc. (Daisy Marquis Jones Women's Community Residence)
• Daniel John Prechtl, FNP-BC
• Kathleen Marie Preish, LPN
• Orjola Prela, MD
• Laura Premo
• Laurie-Jean Marie Premo, RN

• Children's Substance Abuse Rehabilitation Facility in Rochester, NY
• Providers in Rochester, NY by specialty
• Children's Substance Abuse Rehabilitation Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.