MARY PHELAN (NPI# 1073028379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073028379 |
| Entity Type | Individual |
| Full Name | MARY PHELAN |
| Practice Address |
330 Delaware Ave Buffalo NY 14202-1804 |
| Practice Telephone | 7168422750 |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013387620 | Mary Catherine Phelan Iv | Medical Genetics, Ph.D. Medical Genetics | 1430 Tulane Ave, Sl31, New Orleans, LA 70112-2632 | 2015-09-25 |
| 1366818239 | Mary Kathleen Phelan | Physical Therapist | 345 E Superior St, Chicago, IL 60611-2654 | 2015-08-14 |
| 1295082881 | Mary M. Phelan | Occupational Therapist | 4750 Wesley Ave, Norwood, OH 45212-2244 | 2012-08-14 |
| 1356580112 | Mary P. Phelan | Skilled Nursing Facility | 590 6th Ave, New York, NY 10011-2019 | 2009-02-18 |
| 1164660627 | Mary Catherine Phelan | Specialist | 16500 Se 15th St, Suite 160, Vancouver, WA 98683-9665 | 2009-01-21 |
| 1790793321 | Mary T Phelan | Nurse Practitioner | 85 High St, Buffalo, NY 14203 | 2006-08-03 |
| Street Address |
330 DELAWARE AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14202-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437242203 | Reed C Stewart | Social Worker | 330 Delaware Ave, Buffalo, NY 14202-1804 | 2006-10-02 |
| 1467053397 | Arianna Coppola | Social Worker | 330 Delaware Ave, Buffalo, NY 14202-1868 | 2020-11-06 |
| 1336746387 | Rachel Eastlack | Social Worker | 330 Delaware Ave, Buffalo, NY 14202-1804 | 2020-10-02 |
| 1265039358 | Mariah Shervelle Okenwa | Counselor | 330 Delaware Ave, Buffalo, NY 14202-1804 | 2020-10-02 |
| 1174139125 | Sarah Lynn Mauer | Licensed Practical Nurse | 330 Delaware Ave, Buffalo, NY 14202-1804 | 2020-09-16 |
| 1215559463 | Jordan Alexander Nittoli | Counselor | 330 Delaware Ave, Buffalo, NY 14202-1804 | 2020-05-11 |
| 1174142566 | Kiara Marie Dreyer | Counselor | 330 Delaware Ave, Buffalo, NY 14202-1804 | 2020-04-15 |
| 1578100897 | Rachel Lynn Martinez | Counselor | 330 Delaware Ave, Buffalo, NY 14202-1804 | 2019-12-05 |
| 1194373191 | Brea Borynski | Counselor | 330 Delaware Ave, Buffalo, NY 14202-1804 | 2019-09-03 |
| 1649828054 | Aima Syed | Counselor | 330 Delaware Ave, Buffalo, NY 14202-1868 | 2019-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376141655 | Deborah Elaine Ricci | Counselor | 43o Niagara Sq, Buffalo, NY 14202 | 2020-10-09 |
| 1831716208 | Meagan Licata | Counselor | Bestself Behavioral Health, 255 Delaware Ave Ste 300, Buffalo, NY 14202 | 2020-07-01 |
| 1962022483 | Autumn Marie Hayes I | Counselor | 625 Deleware Avenue, Suite 204, Buffalo, NY 14202 | 2020-04-24 |
| 1861012742 | Natasha Qutab | Student in an Organized Health Care Education/Training Program | Department of Neurology, 1010 Main Street, 2nd Floor, Buffalo, NY 14202 | 2020-04-21 |
| 1396232245 | Wood Dental LLC | Dentist | 564 Franklin Street, Buffalo, NY 14202 | 2018-04-17 |
| 1083130728 | Lydia Heeeun Doublestein | Advanced Practice Midwife | 367 Delaware Ave, Buffalo, NY 14202 | 2017-08-15 |
| 1356861652 | Michelle Cheesman | Speech-Language Pathologist | 801 City Hall, Buffalo, NY 14202 | 2017-06-27 |
| 1275082075 | Tempresst Nycole Batts Ravenell | Registered Nurse | 69 Delaware Ave Suite 1200, Interim Healthcare, Buffalo, NY 14202 | 2016-09-22 |
| 1972974764 | Tiffany Tyran | Registered Nurse | 69 Delaware Ave, Suite 1200, Buffalo, NY 14202 | 2015-10-19 |
| 1487044368 | Katherine Jeffries-coppola | Registered Nurse | 69 Delaware Ave. Suite 1200, Buffalo, NY 14202 | 2015-01-29 |
| Find all providers in zip 14202 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933042 | Jeanie Herman | Case Manager/Care Coordinator | 170 S Lobban Ave, Buffalo, WY 82834-1915 | 2020-08-20 |
| 1780202739 | Karen Kristina Younus | Case Manager/Care Coordinator | 255 Delaware Ave Ste 204, Buffalo, NY 14202-2017 | 2020-07-07 |
| 1275008963 | Priscilla Celeste Delgado | Case Manager/Care Coordinator | 777 Fort St, Buffalo, WY 82834-2369 | 2018-10-09 |
| 1548756562 | Amber Fortunato | Case Manager/Care Coordinator | 338 Harris Road Suite 101, Buffalo, NY 14221 | 2018-07-02 |
| 1154849305 | Yasmin Rivera | Case Manager/Care Coordinator | 368 Rhode Island St, Apt 2, Buffalo, NY 14213 | 2017-09-07 |
| 1205370590 | Mary Ann Jones | Case Manager/Care Coordinator | 1964 Brooks Rd, 1964 Brooks Rd, Buffalo, KY 42716-8124 | 2016-12-06 |
| 1063960169 | Amanda Simondi | Case Manager/Care Coordinator | 174 Glencoe Way, Buffalo, WY 82834-9389 | 2016-09-17 |
| 1124576319 | Melody Donahue | Case Manager/Care Coordinator | 155 E Keays St, Buffalo, WY 82834-1900 | 2016-09-15 |
| 1710396668 | Kathleen Brown | Case Manager/Care Coordinator | 2643 Main St, Buffalo, NY 14214-2015 | 2014-08-05 |
| 1215286265 | Janel M Delair | Case Manager/Care Coordinator | 95 Franklin St Rm 828, Buffalo, NY 14202-3904 | 2012-09-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.