Renaissance Addiction Services, Inc.

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

License

E140311830 Issued in NY

Legal business name

RENAISSANCE ADDICTION SERVICES, INC.

Practice address

920 Harlem Rd
West Seneca, NY 14224-1008

Phone

(716) 827-9462

Fax

(716) 827-6465

NPI assigned

Jan 20, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Robin Ann Clouden

Title

Executive Director

Phone

(716) 827-9462

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390176000000",
    "number": "1699197053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142240643",
            "telephone_number": "716-827-6432",
            "fax_number": "716-827-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 HARLEM RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241008",
            "telephone_number": "716-827-9462",
            "fax_number": "716-827-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE ADDICTION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-20",
        "last_updated": "2014-01-20",
        "status": "A",
        "authorized_official_last_name": "CLOUDEN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "716-827-9462",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NY",
            "license": "E140311830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A. Reedy, LMSW
• Kaitlyn Ann Reese
• Tiffany Regdos, PT DPT
• Antonio Regulier
• Richard Julius Reiter, PMHNP
• Catherine Repertorio, LMHC
• Susan P. Resman, LCSWR, ACSW
• Catherine Maria Reville, OTR
• John Herbert Reynolds, PT
• Julissa Reynoso

• Children's Substance Abuse Rehabilitation Facility in West Seneca, NY
• Providers in West Seneca, 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 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.