The Renaissance Project Inc Palisades

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

111011482 Issued in NY

Legal business name

THE RENAISSANCE PROJECT INC PALISADES

Practice address

10 Palisade Ave
Yonkers, NY 10701-8315

Phone

(914) 423-4466

Fax

(914) 423-4346

NPI assigned

Feb 3, 2011

Last updated

Feb 14, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

THE RENAISSANCE PROJECT INCAs reported in NPPES

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

Authorized official

Name

Mrs. Paula Preston

Title

Office MGR.

Phone

(914) 345-1312

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

The Renaissance Project Inc Mt Vernon6 organizations share this tax ID, including this one

Part of

The Renaissance Project Inc Mt Vernon

Other organizations with this tax ID 5

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

• The Renaissance Project Inc Mt Vernon

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mount Vernon, NY
  • NPI 1548567738
  NPD tax ID
• The Renaissance Project Inc Port Chester

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Port Chester, NY
  • NPI 1083910392
  NPD tax ID
• The Renaissance Project Inc.

  • Community/Behavioral Health Agency
  • New Rochelle, NY
  • NPI 1417072893
  NPD tax ID
• The Renaissance Project Jan Peek

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Peekskill, NY
  • NPI 1700184793
  NPD tax ID
• The Renaissance Project New Rochelle

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New Rochelle, NY
  • NPI 1609174663
  NPD tax ID

Practitioners 1

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.

• Peter Saetta, L.C.S.W

  • Clinical Social Worker
  • Yonkers, NY
  • NPI 1679804066
  NPD (past)

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1255637583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CLEARBROOK RD",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105231305",
            "telephone_number": "914-345-1312",
            "fax_number": "914-345-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PALISADE AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107018315",
            "telephone_number": "914-423-4466",
            "fax_number": "914-423-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RENAISSANCE PROJECT INC PALISADES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE RENAISSANCE PROJECT INC",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OFFICE MGR.",
        "authorized_official_telephone_number": "914-345-1312",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NY",
            "license": "111011482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01302538",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.