MR. JOSEPH ISSA DECKRO (NPI# 1336433317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336433317 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH ISSA DECKRO |
| Practice Address |
53 Eagle St Clinical & Support Options, Inc. Pittsfield MA 01201-5376 |
| Practice Telephone | 4132365656 |
| Practice Fax Number | 4134996572 |
| Mailing Telephone | 4132365656 |
| Mailing Fax Number | 4134996572 |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
53 EAGLE ST CLINICAL & SUPPORT OPTIONS, INC. |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-5376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184683963 | Berkshire Endoscopy Center LLC | Clinic/Center | 53 Eagle St, 3rd Floor, Pittsfield, MA 01201-4714 | 2006-03-21 |
| 1891031266 | Richard M Bensman | Counselor | 53 Eagle St, Pittsfield, MA 01201 | 2012-12-12 |
| 1053661017 | Sena Larabee | Counselor | 53 Eagle St, Pittsfield, MA 01201-5376 | 2012-09-17 |
| 1932457868 | Andrew Paul Rock | Counselor | 53 Eagle St, 1st Fl, Pittsfield, MA 01201-5376 | 2012-08-27 |
| 1306194238 | Jennifer A Sachson | Counselor | 53 Eagle St, Pittsfield, MA 01201-5376 | 2012-08-27 |
| 1306106364 | Denison Phelps | Counselor | 53 Eagle St, Pittsfield, MA 01201-5376 | 2012-05-24 |
| 1023378353 | Maria Celeste Cano | Counselor | 53 Eagle St, Pittsfield, MA 01201 | 2012-05-21 |
| 1205195310 | Jay P Steinhardt | Social Worker | 53 Eagle St, 1st Floor, Pittsfield, MA 01201-5376 | 2012-05-09 |
| 1891060430 | Liza Roviaro Gennari | Counselor | 53 Eagle St, Floor 2, Pittsfield, MA 01201-5376 | 2012-03-15 |
| 1134498207 | Kate Seckler | Counselor | 53 Eagle St, Pittsfield, MA 01201-5376 | 2011-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| 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 |
|---|---|---|---|---|
| 1184009110 | Ryan Tuggey | Case Manager/Care Coordinator | 59 Marian Ave, Pittsfield, MA 01201-7221 | 2015-07-20 |
| 1215254586 | Meghan Harrison | Case Manager/Care Coordinator | 12 Warren Ter, Pittsfield, MA 01201-8208 | 2010-04-27 |
| 1033758396 | Jon Leab | Case Manager/Care Coordinator | 141 North St, Pittsfield, MA 01201-5156 | 2020-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755586 | Emma Theresa Cox | Case Manager/Care Coordinator | 33 Upham St Apt 3, Salem, MA 01970-2460 | 2020-09-22 |
| 1265047757 | Keri Norris | Case Manager/Care Coordinator | 154 Karen Cir, Holliston, MA 01746-1591 | 2020-09-10 |
| 1376156422 | Chantelle J Mcmillan | Case Manager/Care Coordinator | 6 Arch St, Greenfield, MA 01301-2448 | 2020-08-28 |
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1326658410 | Kylie Aileen Brewer | Case Manager/Care Coordinator | 57 Walnut St, Shrewsbury, MA 01545-3364 | 2020-08-04 |
| 1134744121 | Roshalene Mary Bodden | Case Manager/Care Coordinator | 792 S Main St Ste 102a, Mansfield, MA 02048-3137 | 2020-06-15 |
| 1801421805 | Encompass Education Solutions, Inc. | Case Manager/Care Coordinator | 25 Corporate Dr Ste 100, Burlington, MA 01803-4243 | 2020-03-10 |
| 1508491085 | Nicole Dube | Case Manager/Care Coordinator | 5 Sparhawk Dr, Burlington, MA 01803-3106 | 2020-03-05 |
| 1346872462 | Jessica Marie Kennedy | Case Manager/Care Coordinator | 80 Erdman Way Ste 280, Leominster, MA 01453-1818 | 2020-02-06 |
| 1457981391 | Natasha Mateo-urbaez | Case Manager/Care Coordinator | 360 Merrimack St Bldg 9j3, Lawrence, MA 01843-1740 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
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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.