INDIVIDUALIZED FAMILY CARE LLC (NPI# 1295194116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295194116 |
| Entity Type | Organization |
| Organization Name | INDIVIDUALIZED FAMILY CARE LLC |
| Practice Address |
12-22 30th Ave Apt 4h Astoria NY 11102 |
| Mailing Address |
12-22 30th Ave 4 H Astoria NY 11102 |
| Practice Telephone | 3473692733 |
| Mailing Telephone | 3473692733 |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-06-20 |
| Authorized Official Name | YOCHEVED POLISHUK (OWNER/PRACTICE MANAGER) |
| Authorized Official Telephone | 3473692733 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | INDIVIDUALIZED FAMILY CARE LLC | 12-22 30th Avenue, Apartment 4-h, Astoria, New York 11102 |
| Street Address |
12-22 30TH AVE APT 4H |
| City | ASTORIA |
| State | NY |
| Zip Code | 11102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301444 | Stephanie Angela Van Rossem | Nurse Practitioner | 28-18 Astoria Blvd, Astoria, Ny 11102, Astoria, NY 11102 | 2019-08-15 |
| 1831754118 | Ahmed Mohamed Sayed Zedan | Pharmacist | 3014 14th St, Astoria, NY 11102 | 2019-05-02 |
| 1841758927 | Prohealth Care Associates, LLP | Occupational Therapist | 27-17 Cresecent Street, Suite 1, Astoria, NY 11102 | 2019-03-07 |
| 1598231292 | Mayuri Ardak | Student in an Organized Health Care Education/Training Program | 25-40 30th Road Suite A1, Astoria, NY 11102 | 2018-10-19 |
| 1134626740 | Claudia Ahumada, Lcsw, Pllc | Social Worker | 2556 31st St Ste 302, Astoria, NY 11102 | 2018-04-10 |
| 1255840039 | Ashley Taylor Curaba | Physician Assistant | 25-10 30th Rd, Queens, NY 11102 | 2017-09-25 |
| 1265953517 | Kathleen Yetman | Student in an Organized Health Care Education/Training Program | 2707 8th Street, The Astoria Blue Feather Profram, Astoria, NY 11102 | 2017-06-27 |
| 1679933998 | Tarek R Khater | Clinic/Center | 2814 31st St, Suite 501, Astoria, NY 11102 | 2016-02-29 |
| 1700288909 | Andre Farah Dc PC | Chiropractor | 29-15 Astoria Blvd, Astoria, NY 11102 | 2014-09-18 |
| 1114326915 | Newtown Pharmacy Inc | Pharmacy | 28-04 31st Street, Astoria, NY 11102 | 2014-08-18 |
| Find all providers in zip 11102 | ||||
| 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 |
|---|---|---|---|---|
| 1619422490 | A&j Behavioral Health | Community/Behavioral Health | 2835 41st St Apt C6, Astoria, NY 11103-3328 | 2016-08-22 |
| 1174935514 | The Child Center of Ny, Inc | Community/Behavioral Health | 1414 29th Ave, Ps 171, Astoria, NY 11102-3643 | 2014-05-20 |
| 1982014445 | Jessica Scott, Lmhc | Community/Behavioral Health | 4503 Newtown Rd, Astoria, NY 11103-1622 | 2014-05-05 |
| 1053744532 | Dawn Crystal Farrell | Community/Behavioral Health | 3075 34th St, Apt 1h, Astoria, NY 11103-5164 | 2013-08-19 |
| 1821330416 | Ahs Caing Communities of Astoria II, LLC | Community/Behavioral Health | 4006 Astoria Blvd, Astoria, NY 11103-3610 | 2013-03-21 |
| 1427341007 | Choices Counseling, LLC | Community/Behavioral Health | 20 Basin St, Suite 106, Astoria, OR 97103-6235 | 2011-05-16 |
| 1427349083 | Nyconfidential Behavioral Medicine PC | Community/Behavioral Health | 30-16 31st Street, Astoria, NY 11102 | 2011-04-29 |
| 1710173802 | Potentials, LLC | Community/Behavioral Health | 100 39th St Pier 39, Astoria, OR 97103-2499 | 2007-09-21 |
| 1770980252 | Corizon | Community/Behavioral Health | 4904 19th Ave, Astoria, NY 11105-1002 | 2014-11-26 |
| 1275977027 | Eastside Services (new Life Center), LLC | Community/Behavioral Health | 2425 23rd St, 2nd Floor, Astoria, NY 11102-2837 | 2013-04-23 |
| Find all providers in ASTORIA | ||||
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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.