CLINICAL CARE ASSOCIATES, P.C. (NPI# 1144674359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144674359 |
| Entity Type | Organization |
| Organization Name | CLINICAL CARE ASSOCIATES, P.C. |
| Practice Address |
20 Peachtree Ct Suite 100 Holbrook NY 11741-4616 |
| Practice Telephone | 6314758641 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |
| Authorized Official Name | PABLO GUEVARA (DIRECTOR) |
| Authorized Official Telephone | 6312895353 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 73047593 | NY | Agencies |
| Street Address |
20 PEACHTREE CT SUITE 100 |
| City | HOLBROOK |
| State | NY |
| Zip Code | 11741-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063497717 | Stephen Michael Joseph | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2005-12-14 |
| 1124569967 | Kathryn Dibenedetto | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2017-03-13 |
| 1548625601 | Tatyana Prusakova | Occupational Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-12-16 |
| 1922481555 | Jean Paul Lo | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-07-01 |
| 1487032017 | Estrellita Ammirati | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-05-15 |
| 1942687579 | Prn Physical & Occupational Therapy Network | Residential Treatment Facility, Physical Disabilities | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-05-04 |
| 1588041636 | Susan Peel | Occupational Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-04-28 |
| 1013315407 | Teresita Corpus | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2014-12-17 |
| 1134522931 | Youssef Boles | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2014-10-07 |
| 1336487909 | Jessica Guevara | Social Worker | 20 Peachtree Ct, Suite 100, Holbrook, NY 11741-4616 | 2013-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591199 | Rebecca Neville | Occupational Therapist | 302 Patchogue Hobrook Rd, Sunrise of Holbrook, Holbrook, NY 11741 | 2019-11-05 |
| 1437630258 | Church Street Acupuncture Pllc | Acupuncturist | 1720 Church St, Holbrook, NY 11741 | 2018-08-29 |
| 1780191288 | Mid-island Speech Language Pathology, Pllc | Speech-Language Pathologist | 24 Donald Street, Holbrook, NY 11741 | 2018-01-05 |
| 1871013177 | Melissa Blom | Massage Therapist | 19 Charles Ave, Holbrook, NY 11741 | 2017-06-27 |
| 1215392329 | Laura Glotzer | Registered Nurse | 812 Greenbelt Pkwy W, Holbrook, NY 11741 | 2015-12-17 |
| 1437524758 | Shakim Rivera | Licensed Practical Nurse | 445 Furrows Road, Box 443, Holbrook, NY 11741 | 2015-12-11 |
| 1700255965 | Nancy Inanir | Nurse Practitioner | 59 Avenue E, Holbrook, NY 11741 | 2015-09-17 |
| 1003298233 | Eileen M Murphy | Early Intervention Provider Agency | 1606 Grundy Avenue, Holbrook, NY 11741 | 2015-06-24 |
| 1386052090 | Allison Dunne | Specialist/Technologist | 9 Circeldale Lane, Holbrook, NY 11741 | 2014-07-25 |
| 1396173258 | Valerie Guidone | Registered Nurse | 24 Gainsborough Rd, Holbrook, NY 11741 | 2013-10-30 |
| Find all providers in zip 11741 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164975058 | Resilience Counseling LLC | Community/Behavioral Health | 71727 Rd 420, Holbrook, NE 68948 | 2016-07-27 |
| 1144675539 | Kady Reid | Community/Behavioral Health | 22 Washington Cir, Holbrook, MA 02343-1333 | 2016-05-04 |
| 1679979736 | A and J Behavioral Health | Community/Behavioral Health | 8 Halfcircle Dr, Holbrook, NY 11741-1330 | 2014-11-17 |
| 1063960235 | Till Inc | Community/Behavioral Health | 67 Juniper Rd, Holbrook, MA 02343-2148 | 2016-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538152 | Monette Counseling Services LLC | Community/Behavioral Health | 159 Margaret St Ste 225, Plattsburgh, NY 12901-1874 | 2020-11-06 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1407462948 | Shawn Muthersbaugh Lcsw Pllc | Community/Behavioral Health | 120 Defreest Dr Ste 175, Troy, NY 12180-7608 | 2020-09-21 |
| 1245845932 | Grow Healthcare Group Pa | Community/Behavioral Health | 2196 3rd Ave # 20071, New York, NY 10035-3501 | 2020-09-10 |
| 1104439728 | Andrea Brennan Licensed Mental Health Counseling, Pllc | Community/Behavioral Health | 245 Old Meadow Dr, Rochester, NY 14626-3548 | 2020-08-24 |
| 1831701630 | Debra L. Terry Lcsw, P.C. | Community/Behavioral Health | 4 Phyllis Dr Ste G, Patchogue, NY 11772-2900 | 2020-08-21 |
| 1750992079 | Trauma and Resiliency Resources, Inc. | Community/Behavioral Health | Winslow Therapeutic Center, 1433 Ny-17a, Warwick, NY 10990 | 2020-08-11 |
| 1598383796 | Chemung-schuyler Counties Chapter, Nysarc, Inc. | Community/Behavioral Health | 5297 Parkside Dr Ste 304, Canandaigua, NY 14424-7504 | 2020-07-14 |
| 1033737895 | Grow Care Inc | Community/Behavioral Health | 141 W 24th St Apt 5, New York, NY 10011-1958 | 2020-07-08 |
| 1043836943 | Cornerstone Behavioral Services, LLC. | Community/Behavioral Health | 3670 Orchard Rd, Wantagh, NY 11793-3131 | 2020-06-17 |
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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.