FAMILY SERVICE ROCHESTER, INC (NPI# 1275746083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275746083 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICE ROCHESTER, INC |
| Other Organization Name | FAMILY SERVICE ROCHESTER |
| Practice Address |
4600 18th Ave Nw Rochester MN 55901 |
| Practice Telephone | 5072872010 |
| Practice Fax Number | 5072877805 |
| Mailing Telephone | (507) 287-2010 |
| Mailing Fax Number | 5072877805 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2017-05-15 |
| Authorized Official Name | MR. SCOTT MALONEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5072872010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Family Service Rochester | Other Name - Individual/Organization |
| Street Address |
4600 18TH AVE NW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295351617 | Hannah Busebee | Social Worker | 4600 18th Ave Nw, Rochester, MN 55901-2116 | 2020-06-22 |
| 1457984304 | Katrina Perry | Counselor | 4600 18th Ave Nw, Rochester, MN 55901-2116 | 2020-02-19 |
| 1235772476 | Jennifer Ann Ozcan | Counselor | 4600 18th Ave Nw, Rochester, MN 55901-2116 | 2019-10-21 |
| 1467093005 | Emma Marie Massman | Social Worker | 4600 18th Ave Nw, Rochester, MN 55901-2116 | 2019-10-04 |
| 1013558667 | Janet Mason | Social Worker | 4600 18th Ave Nw, Rochester, MN 55901-2116 | 2019-10-04 |
| 1912554403 | Boonmee Pakviset Edwards | Social Worker | 4600 18th Ave Nw, Rochester, MN 55901-2116 | 2019-08-20 |
| 1285106146 | Marion Mae Sanchez | Counselor | 4600 18th Ave Nw, Rochester, MN 55901-2116 | 2018-12-17 |
| 1538642160 | Rachel Ann Maley | Social Worker | 4600 18th Ave Nw, Rochester, MN 55901 | 2018-09-10 |
| 1235673880 | Katrina Musech | Social Worker | 4600 18th Ave Nw, Rochester, MN 55901-2116 | 2016-12-15 |
| 1497052948 | Ashleigh Hinner Dowis | Counselor | 4600 18th Ave Nw, Rochester, MN 55901 | 2011-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1629566872 | Juan Simon Rico Mesa | Student in an Organized Health Care Education/Training Program | 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901 | 2018-04-24 |
| 1336658277 | Minnesota Teen Challenge | Exclusive Provider Organization | 1542 Assisi Drive Nw, Rochester, MN 55901 | 2017-09-22 |
| 1235648270 | Mariah Adanene | Registered Nurse | 915 41st Street Nw, Rochester, MN 55901 | 2017-09-21 |
| 1912420639 | Anna Maria Schuman | Speech-Language Pathologist | 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 | 2017-07-25 |
| 1871013870 | Rhonda Keith | Counselor | 602 11th Avenue Nw #300, Rochester, MN 55901 | 2017-06-21 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1659810844 | Rx Team Home Health Care LLC | Home Health | 1027 7th St Nw Unit #204, Rochester, MN 55901 | 2017-02-21 |
| 1457713109 | Joshua Carter | Chiropractor | 3270 19th St Nw Ste 203, Rochester, MN 55901 | 2016-03-22 |
| Find all providers in zip 55901 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760023733 | Amanda Regan Mental Health Counseling, Pllc. | Clinic/Center | 722 Weiland Rd Ste 200, Rochester, NY 14626-3957 | 2019-10-01 |
| 1386209245 | Boice Counseling Lcsw PC | Clinic/Center | 572 Titus Ave Ste B, Rochester, NY 14617-3519 | 2019-05-07 |
| 1699251579 | Essential Insight Marriage and Family Therapy | Clinic/Center | 2300 Buffalo Rd Bldg 500a, Rochester, NY 14624-1370 | 2018-07-13 |
| 1700110079 | Britney Meyers | Clinic/Center | 40 16th St Se Ste D, Rochester, MN 55904-7987 | 2009-09-19 |
| 1205064680 | Heather Muxworthy Dnp(s), Pmhnp-bc, LLC | Clinic/Center | 3300 Monroe Ave Ste 309, Rochester, NY 14618-4615 | 2009-06-24 |
| 1962687921 | Valley Medical Facilities, Inc. | Clinic/Center | 176 Virginia Avenue, Heritage Valley Staunton Clinic Rochester, Rochester, PA 15074-1723 | 2008-01-08 |
| 1437365384 | Psychotherapy Associates, Inc. | Clinic/Center | 165 Rochester Hill Rd, Rochester, NH 03867-1728 | 2007-05-15 |
| 1164576203 | Cultural Behavior Health Services, LLC | Clinic/Center | 1500 1st Ave Ne Ste 111-bb, Rochester, MN 55906-4170 | 2007-01-23 |
| 1003868167 | Bluestem Center for Child and Family Development, P.a. | Clinic/Center | 124 Elton Hills Ln Nw, Rochester, MN 55901-3577 | 2006-05-17 |
| 1174146088 | Grace and Peace Counseling, LLC | Clinic/Center | 337 Empire Blvd, Rochester, NY 14609-4457 | 2020-05-27 |
| Find all providers in ROCHESTER | ||||
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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.