Provider Type Icon

HILLSIDE CHILDRENS CENTER NPI 1639267933


NPI Information

NPI: 1639267933
Provider Name: HILLSIDE CHILDRENS CENTER
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

CLIA Number: 33D0173353

Address:
1183 MONROE AVENUE
ROCHESTER, NY
ZIP 14620
Phone: (585) 256-7500
Get Directions

HILLSIDE CHILDRENS CENTER is an adolescent and children mental health clinic center in Rochester, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. HILLSIDE CHILDRENS CENTER NPI is 1639267933. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1183 MONROE AVENUE
ROCHESTER, NY
ZIP 14620
Phone: (585) 256-7500
Fax: (585) 256-7880

The provider's authorized official is Paul E Perrotto .
The authorized official title is Cfo Corporate Treasurer and has the following contact phone number (585) 256-7867.

The CLIA number assigned to this NPI record is 33D0173353 - ancillary testing site in health care center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/11/2006 and was last updated on 4/19/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2103T00000XPsychologistNo
3104100000XSocial WorkerNo
4106H00000XMarriage & Family TherapistNo
5171M00000XCase Manager/Care CoordinatorNo
62084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
7251S00000XCommunity/Behavioral HealthNo
8322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
9261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101421085MEDICAIDNEW YORK
201934409MEDICAIDNEW YORK
300727573MEDICAIDNEW YORK
402711580MEDICAIDNEW YORK
502494719MEDICAIDNEW YORK
602553708MEDICAIDNEW YORK
702205865MEDICAIDNEW YORK
802247212MEDICAIDNEW YORK
900353219MEDICAIDNEW YORK
1001405729MEDICAIDNEW YORK
1101999540MEDICAIDNEW YORK
12P0120059HSOTHEREXCELLUS
1300969333MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.