# HILLSIDE CHILDRENS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215025523
- **Authorized official:** MR. PAUL E PERROTTO (CFO CORPORATE TREASURER)
- **Authorized official phone:** (585) 256-7867

## Contact information

- **Practice address:** 2075 SCOTTSVILLE ROAD, ROCHESTER, NY 14623
- **Practice address phone:** (585) 429-2700
- **Practice address fax:** (585) 429-2800
- **Mailing address:** PO BOX 23805, ROCHESTER, NY 14692-3805
- **Mailing address phone:** (585) 654-1418
- **Mailing address fax:** (585) 654-1450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | — | — |
| 103T00000X | Psychologist | — | — | — |
| 104100000X | Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 08/18/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00343559 | — | NY |
| 05 | — | 00357286 | — | NY |
| 05 | — | 00788041 | — | NY |
| 01 | — | 106345EU | PREFERRED CARE | — |
| 01 | — | 77 | BCBS | — |
| 01 | — | P014005951 | EXCELLUS BLUE CHOICE | — |
