Organization Active NPI

The Renaissance Project Inc Mt Vernon

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mount Vernon, NY
National Provider Identifier
1548567738
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
THE RENAISSANCE PROJECT INC MT VERNON
Practice address
3 South 6TH. Ave.
Mt Vernon, NY 10551
Phone
(914) 664-3730
Fax
(914) 664-1397
NPI assigned
Feb 24, 2011
Last updated
Feb 24, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
THE RENAISSANCE PROJECT INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Paula Preston
Title
Office MGR
Phone
(914) 345-1312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

3 South 6TH. Ave.
Mt Vernon, NY 10551

Mailing address

250 Clearbrook Rd
Elmsford, NY 10523-1305
Phone (914) 345-1312

Other identifiers 1

IdentifierTypeStateIssuer
01302538MedicaidNY

National Provider Directory

National Provider Directory
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.

Locations

3 S 6th Ave
Mount Vernon, NY 10550
Phone (914) 361-6239

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1548567738",
    "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": "3 SOUTH 6TH. AVE.",
            "city": "MT VERNON",
            "state": "NY",
            "postal_code": "10551",
            "telephone_number": "914-664-3730",
            "fax_number": "914-664-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RENAISSANCE PROJECT INC MT VERNON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE RENAISSANCE PROJECT INC",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01302538",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.