ROCK ISLAND SPECIAL EDUCATION & BEHAVIOR SERVICES, LLC (NPI# 1528516861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528516861 |
| Entity Type | Organization |
| Organization Name | ROCK ISLAND SPECIAL EDUCATION & BEHAVIOR SERVICES, LLC |
| Practice Address |
34 Anthony Dr Pembroke MA 02359-2129 |
| Practice Telephone | 6176330371 |
| Mailing Telephone | 6176330371 |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |
| Authorized Official Name | JACLYN FARRAR (BCBA/OWNER) |
| Authorized Official Telephone | 6176330371 |
| Authorized Official Credential | BCBA, LABA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1311 | MA | Agencies |
| Street Address |
34 ANTHONY DR |
| City | PEMBROKE |
| State | MA |
| Zip Code | 02359-2129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487294559 | Timothy Clynch | Nurse Practitioner | 296 Old Oak St, Pembroke, MA 02359 | 2020-01-07 |
| 1457902892 | Convenientmd LLC | Clinic/Center | 296 Old Oak Street, Pembroke, MA 02359 | 2019-09-26 |
| 1578126298 | Snezhana Voynova | Nurse Practitioner | Harbor Medical Associates, 15 Corporate Park Drive, Pembroke, MA 02359 | 2019-04-18 |
| 1669943452 | Rachel Elizabeth Fletcher | Counselor | Pembroke Partial Hospital Program, 20 Winter Street, Pembroke, MA 02359 | 2018-12-06 |
| 1780116236 | Annmarie Cummings | Behavioral Analyst | 15 Furnace Lane, Pembroke, MA 02359 | 2017-04-03 |
| 1558659680 | Rachel S Cohen | Social Worker | 20 Winter Street, Pembroke, MA 02359 | 2011-07-11 |
| 1659552974 | Kirsten Leah Evans | Registered Nurse | 7 Bartlett St, Pembroke, MA 02359 | 2007-11-15 |
| 1154516862 | Timothy A Kaufman | Physical Therapist | 31 Schoosett Street, Suite 300, Pembroke, MA 02359 | 2007-09-06 |
| 1912128463 | Mary A Marek | Social Worker | 2 Columibia Road, Pembroke, MA 02359 | 2007-05-01 |
| 1437287448 | Frederick James White Jr. | Dentist | 19a Mattakeesett St, Pembroke, MA 02359 | 2007-03-01 |
| Find all providers in zip 02359 | ||||
| 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 |
|---|---|---|---|---|
| 1962784397 | Foundation for Families, LLC | Community/Behavioral Health | 30 Three Hunts Dr, Suite B, Pembroke, NC 28372-7316 | 2011-09-12 |
| 1013241751 | Crossroads Associates | Community/Behavioral Health | 406 Blaine St, Pembroke, NC 28372-9640 | 2009-09-29 |
| 1982834073 | Chaparral Youth Services | Community/Behavioral Health | 56 Three Hunts Dr, Pembroke, NC 28372-8998 | 2009-07-23 |
| 1306070644 | Ms. Shelvie's Professional Center | Community/Behavioral Health | 518 Union Chapel Rd, Pembroke, NC 28372-9532 | 2009-05-14 |
| 1376784215 | Southeastern United Care, LLC | Community/Behavioral Health | 30 Drakes Branch Dr., Pembroke, NC 28372-7325 | 2009-03-23 |
| 1487894408 | Comfort Care Services, LLC | Community/Behavioral Health | 112 East Third Street, Pembroke, NC 28372-8684 | 2009-03-03 |
| 1316191448 | Crossroads Associates | Community/Behavioral Health | 306-a Normal St, Pembroke, NC 28372-1148 | 2008-11-17 |
| 1942468871 | Positive Progress Services | Community/Behavioral Health | 305 East Third Street, Ste 5, Pembroke, NC 28737-8372 | 2008-05-28 |
| 1669655353 | Native American Interfaith Ministries | Community/Behavioral Health | 450 Prospect Road, Pembroke, NC 28372 | 2007-12-17 |
| 1780883959 | Palmer Prevention, Inc. | Community/Behavioral Health | 208 N. Main St., Pembroke, NC 28372-3959 | 2007-07-17 |
| Find all providers in PEMBROKE | ||||
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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.