Active NPI
Seacrest Recovery Center Cincinnati, LLC
- Adult Mental Health Clinic/Center
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- SEACREST RECOVERY CENTER CINCINNATI, LLC
- Practice address
- 1 Triangle Park Dr
Cincinnati, OH 45246-3423 - Phone
- (561) 990-2620
- NPI assigned
- Jun 6, 2024
- Last updated
- Jun 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jared Pruzan
- Title
- Owner
- Phone
- (954) 415-3608
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
1 Triangle Park Dr
Cincinnati, OH 45246-3423
Mailing address
5300 Atlantic Ave Ste 400
Delray Beach, FL 33484-8141
Phone (833) 820-2922
National Provider Directory
National Provider Directory- Tax ID family
- Seacrest Recovery Center Cincinnati LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Cincinnati, OH
- NPI 1427724475
Locations
5300 Atlantic Ave
Ste 400
Delray Beach, FL 33484
Phone (866) 445-1015
1 Triangle Park Dr
Cincinnati, OH 45246
Phone (614) 657-3246
Practitioners & affiliated clinicians
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.
-
- Addiction (Substance Use Disorder) Counselor
- Cincinnati, OH
- NPI 1154130433
-
- Addiction (Substance Use Disorder) Counselor
- Cincinnati, OH
- NPI 1376224428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717632000000",
"number": "1568203032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 ATLANTIC AVE STE 400",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334848141",
"telephone_number": "833-820-2922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TRIANGLE PARK DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452463423",
"telephone_number": "561-990-2620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEACREST RECOVERY CENTER CINCINNATI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-06",
"last_updated": "2024-06-06",
"certification_date": "2021-08-05",
"status": "A",
"authorized_official_last_name": "PRUZAN",
"authorized_official_first_name": "JARED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-415-3608"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.