Greenwood Residences, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

8879430 Issued in NY

Legal business name

GREENWOOD RESIDENCES, INC.

Practice address

660 Mineral Springs Rd
West Seneca, NY 14224-1018

Phone

(716) 827-4060

Fax

(716) 827-4063

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Ciocca-Braciszewski

Title

Program Director

Phone

(716) 827-4060

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1831119122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N FOREST RD",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681527",
            "telephone_number": "716-639-3311",
            "fax_number": "716-639-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 MINERAL SPRINGS RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241018",
            "telephone_number": "716-827-4060",
            "fax_number": "716-827-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD RESIDENCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "CIOCCA-BRACISZEWSKI",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "716-827-4060",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NY",
            "license": "8879430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01543535",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Paul Grant, D.D.S.
• Michael Thomas Grant, M D
• Taylor Grayson
• Great Lakes NP of Psychiatry, PLLC
• Sally Green
• Lessie B Grey, CDN
• Carrie Griffin-Owens
• Amy Jean Griffin, PA-C
• Emily Griffin
• Matthew Griffith

• Mental Illness Community Based Residential Treatment Facility in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Mental Illness Community Based Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.