THERACARE MANAGED SERVICES, LLC (NPI# 1558834036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558834036 |
| Entity Type | Organization |
| Organization Name | THERACARE MANAGED SERVICES, LLC |
| Practice Address |
11-20 46th Road Long Island City NY 11101 |
| Mailing Address |
116 West 32nd St. 8th Flr. New York NY 10001 |
| Practice Telephone | 8556818555 |
| Practice Fax Number | 9145602102 |
| Mailing Telephone | 2125642350 |
| Mailing Fax Number | 2125642578 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Authorized Official Name | MR. JOHN CALDERON (PRESIDENT/CEO) |
| Authorized Official Telephone | 2125642350 |
| Is Organization Subpart | Y |
| Parent Organization Name | THERACARE OF NEW YORK, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922628155 | Theracare Managed Services, LLC | Social Worker | 67 Walnut Ave, Suite 105, Clark, NJ 07066-1640 | 2020-04-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | THERACARE MANAGED SERVICES, LLC | 116 West 32nd St., 8th Fl., New York, NY 10001 |
| Street Address |
11-20 46TH ROAD |
| City | LONG ISLAND CITY |
| State | NY |
| Zip Code | 11101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962966523 | Helena Han | Behavioral Analyst | 11-20 46th Road, Long Island City, NY 11101 | 2019-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453469 | Marguerite Reilly | Speech-Language Pathologist | P721q John F. Kennedy School @ Information Technology H, 21-16 44th Road, Long Island City, NY 11101 | 2020-09-23 |
| 1831716323 | South Occupational Therapy Services, P.C. | Occupational Therapist | 1-50 50th Avenue, Apt 3806, Long Island City, NY 11101 | 2020-06-30 |
| 1104465392 | Cindy Ha | Nurse Practitioner | 29-22 Northern Blvd, Apt 1805, Long Island City, NY 11101 | 2020-01-06 |
| 1114565991 | Maria Montes | Counselor | 3110 37th Ave, Ste 401, Long Island City, NY 11101 | 2019-12-12 |
| 1235770777 | City Medical of Upper East Side, Pllc | Clinic/Center | 25-18 Queens Plaza South, Long Island City, NY 11101 | 2019-10-07 |
| 1073162343 | Kofi Robertson Md Pllc | Anesthesiology | 28-10 Jackson Avenue, Long Island City, NY 11101 | 2019-09-09 |
| 1689221368 | Crossland Transportation Management Corp | Non-emergency Medical Transport (VAN) | 34-18 Northern Blvd, Floor 4 Unit 32, Long Island City, NY 11101 | 2019-08-19 |
| 1295396190 | Natasha Fortune | Counselor | 3418 Northern Blvd Fl 4, Long Island City, NY 11101 | 2019-06-23 |
| 1588224901 | Lemon Health At Home, LLC | Home Health | 4628 Vernon Blvd., Suite 531, Long Island City, NY 11101 | 2019-06-18 |
| 1790342541 | Hospital Wood Medical Center | General Acute Care Hospital | Coxen Hole, Main Street, Roatan, BAY ISLANDS 11101 | 2019-05-28 |
| Find all providers in zip 11101 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740652338 | Children Center Inc | Behavioral Analyst | 4615, Center Blvd, Apt 1604, Long Island City, NY 11109 | 2015-10-22 |
| 1760853154 | Michael Esposito | Behavioral Analyst | 3237 Greenpoint Ave, Long Island City, NY 11101-2005 | 2015-10-12 |
| 1669863932 | Sheena Silva | Behavioral Analyst | 11-42 44th Drive # 12, Long Island City, NY 11101 | 2015-02-09 |
| 1033734223 | Sereetta Adams-dawson | Behavioral Analyst | 3636 33rd St Ste 500, Long Island City, NY 11106-2329 | 2020-06-12 |
| 1962966523 | Helena Han | Behavioral Analyst | 11-20 46th Road, Long Island City, NY 11101 | 2019-01-29 |
| 1407220205 | Kozue Matsuda | Behavioral Analyst | 4615 Center Blvd, Apt 1604, Long Island City, NY 11109-5738 | 2015-11-18 |
| 1831524677 | Annelle N/a Kirsten | Behavioral Analyst | 4615 Center Blvd, Apt 3303, Long Island City, NY 11109 | 2013-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437308 | Yasmin Elhendy | Behavioral Analyst | 14068a Burden Cres, Jamaica, NY 11435-2359 | 2020-11-04 |
| 1326649815 | James Sanborn | Behavioral Analyst | 2828 42nd St Apt A2, Astoria, NY 11103-2942 | 2020-11-03 |
| 1932709540 | Cassandra Jasmine Hyacinthe | Behavioral Analyst | 254 Benson Ave, Elmont, NY 11003-2317 | 2020-11-01 |
| 1174123012 | Claudia Olivia Obrycki | Behavioral Analyst | 6065 69th Ln, Maspeth, NY 11378-2911 | 2020-10-29 |
| 1629678024 | Maria Constantinidis | Behavioral Analyst | 18938 46th Ave, Flushing, NY 11358-3417 | 2020-10-27 |
| 1346840592 | Lindsey Jane Zenk | Behavioral Analyst | 116 Bayview Ave, East Islip, NY 11730-3806 | 2020-10-27 |
| 1033718598 | Ashley Rose Brill | Behavioral Analyst | 25 Anthony Dr Apt D209, Poughkeepsie, NY 12601-5578 | 2020-10-25 |
| 1154920809 | Neeti Sharma | Behavioral Analyst | 56 Scenic Dr, Poughkeepsie, NY 12603-5530 | 2020-10-23 |
| 1962001701 | Precious S Reid | Behavioral Analyst | 135 W 50th St Bsmt A, New York, NY 10020-1201 | 2020-10-22 |
| 1821697194 | Abraham Weiss | Behavioral Analyst | 1531 50th St, Brooklyn, NY 11219-3794 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | LONG ISLAND CITY |
| Zip Code | 11101 |
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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.