KATHYA MANZANO (NPI# 1477018844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477018844 |
| Entity Type | Individual |
| Full Name | KATHYA MANZANO |
| Practice Address |
225 Broadhollow Rd Ste 402 Melville NY 11747-4899 |
| Practice Telephone | 6313857780 |
| Mailing Telephone | 6313857780 |
| Enumeration Date | 2019-02-09 |
| Last Update Date | 2019-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
225 BROADHOLLOW RD STE 402 |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747-4899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235464108 | Kim Pyrros | Social Worker | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2009-10-12 |
| 1720689656 | Kimberly M Jimenez Verde | Behavior Technician | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-11-06 |
| 1316548340 | Anina Chandanie Racktoo | Behavior Technician | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-11-05 |
| 1295336527 | Jaclyn Taylor Parcelluzzi | Behavior Technician | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-11-03 |
| 1922607506 | Kirk F A'gard | Behavior Technician | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-10-23 |
| 1316546559 | Michelle Lam | Behavior Technician | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-10-19 |
| 1306445663 | Yasmine Burns-pratt | Behavior Technician | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-10-19 |
| 1508464439 | Gina Michelle Cilento | Behavior Technician | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-10-13 |
| 1558969691 | Deryn Hults | Behavior Technician | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-10-12 |
| 1407453855 | Raizel Madriaga | Behavior Technician | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-10-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
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| 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 |
|---|---|---|---|---|
| 1548881394 | Veronica Noemi Alcerro | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-05-04 |
| 1750901617 | Alejandra Singh-lopez | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-04-21 |
| 1356992572 | Eric Lorentsen | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2019-09-28 |
| 1649827460 | Amanda Rose Makarius | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2019-08-26 |
| 1356902530 | Marcela Emperatriz Sanchez | Case Manager/Care Coordinator | 225 Broadhollow Rd, Melville, NY 11747-4822 | 2019-06-27 |
| 1902372477 | Sara Catalina Simone | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 204, Melville, NY 11747-4822 | 2018-10-22 |
| 1043792294 | Blanca Hernandez | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2018-09-04 |
| 1275014797 | Brendy Sosa | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2018-08-23 |
| 1912497991 | Daniela Guaricela | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2018-05-15 |
| 1992292932 | Jasmine Jimenez | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2018-04-16 |
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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.