PLATTSBURGH STATE TBI (NPI# 1578623575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578623575 |
| Entity Type | Organization |
| Organization Name | PLATTSBURGH STATE TBI |
| Practice Address |
101 Broad St Psychology Dept Plattsburgh NY 12901-2637 |
| Practice Telephone | 5185643137 |
| Practice Fax Number | 5185643397 |
| Mailing Telephone | 5185643137 |
| Mailing Fax Number | 5185643397 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JEANNE P. RYAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5185643387 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01783797 | 05 |
| Street Address |
101 BROAD ST PSYCHOLOGY DEPT |
| City | PLATTSBURGH |
| State | NY |
| Zip Code | 12901-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235775768 | Lisa Ann Vicencio | Specialist/Technologist | 101 Broad St, Plattsburgh, NY 12901-2637 | 2019-11-19 |
| 1720475239 | Valarie Lynn Drown | Counselor | 101 Broad St, 260 Beaumont Hall, Plattsburgh, NY 12901-2637 | 2015-04-22 |
| 1093115107 | Laci Charette | Psychologist | 101 Broad St, Plattsburgh, NY 12901-2637 | 2014-08-26 |
| 1780006320 | Amanda Goodfellow | Social Worker | 101 Broad St, Research Foundation of Suny, Plattsburgh, NY 12901-2637 | 2014-01-16 |
| 1205185352 | Kelli Caldwell Miller | Psychologist | 101 Broad St, Plattsburgh, NY 12901-2637 | 2012-09-05 |
| 1982971941 | Plattsburgh State University | Psychologist | 101 Broad St, Beamont 404, Plattsburgh, NY 12901-2637 | 2011-11-18 |
| 1932424207 | Jason A. Pachter | Specialist/Technologist | 101 Broad St, Plattsburgh, NY 12901-2637 | 2010-03-30 |
| 1780851154 | Cindy Lou Clifford-ledyard | Speech-Language Pathologist | 101 Broad St, Sibley 224, Plattsburgh, NY 12901-2637 | 2008-05-14 |
| 1295910552 | Vera S Delorme | Speech-Language Pathologist | 101 Broad St, 224 Sibley Hall, Plattsburgh, NY 12901-2637 | 2008-01-07 |
| 1487852687 | Patrick Coppens | Speech-Language Pathologist | 101 Broad St, 224 Sibley Hall, Plattsburgh, NY 12901-2637 | 2007-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284721 | Get Movin Inc | Non-emergency Medical Transport (VAN) | 316 Cornelia St, 21a, Plattsburgh, NY 12901 | 2018-11-26 |
| 1528536141 | Inmaculada Ibanez-casas | Technician | Sibley Hall, 113 Rugar Street, Plattsburgh, NY 12901 | 2018-11-13 |
| 1760950372 | Martha R Wasserbauer | Dietetic Technician, Registered | Mountain View Pediatrics, 18 Feathers Drive, Plattsburgh, NY 12901 | 2018-11-13 |
| 1568958411 | Joel Cherian | Student in an Organized Health Care Education/Training Program | 159 Margaret St Ste 100, Plattsburgh, NY 12901 | 2018-07-03 |
| 1396284477 | Florence Reynaud | Acupuncturist | 135 S. Peru Street, Adirondack Integrative Wellness Center, Plattsburgh, NY 12901 | 2017-02-22 |
| 1124565783 | Mytchel Hector | Registered Nurse | 43 Hamilton Street Apt #202, Plattsburgh, NY 12901 | 2017-01-20 |
| 1780136697 | Michael Bruso | Psychologist | 5436 Peru St. Apt. 5, Plattsburgh, NY 12901 | 2016-10-26 |
| 1902357536 | Ashley Patricia Cota | Nurse Practitioner | 214 Cornelia St., Plattsburgh, NY 12901 | 2016-10-19 |
| 1255703310 | Kenneth Wayne Ackley | Licensed Practical Nurse | 16 Ampersand Drive, Plattsbugh, NY 12901 | 2015-10-28 |
| 1275949448 | Shanni Lee Hicks | Specialist | 63 Arnold Rd, Plattsburgh, NY 12901 | 2014-07-08 |
| Find all providers in zip 12901 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215098256 | Catholic Charities Diocese of Ogdensburg | Case Management | 4914 S Catherine St, Plattsburgh, NY 12901-3667 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1609475433 | Cynthia Hornig | Case Management | 14 E 90th St Apt 2e, New York, NY 10128-0671 | 2020-10-22 |
| 1134726102 | Entrusted Care Inc. | Case Management | 207 E 91st St Apt 3c, Brooklyn, NY 11212-1320 | 2020-10-02 |
| 1770199986 | Collaborative for Better Urban Health, LLC | Case Management | 15 West 139th Street, Apt. 3h, New York, NY 10037 | 2020-09-22 |
| 1083223416 | Mari-lee L Van Scoter | Case Management | 32 Queens Way Apt 1, Camillus, NY 13031-1732 | 2020-07-31 |
| 1811515679 | Rimisac Family Health Np PC | Case Management | 120 Benchley Pl Frnt 1, Bronx, NY 10475-3402 | 2020-07-08 |
| 1891311965 | The Rural Outreach Center, Inc. | Case Management | 730 Olean Rd, East Aurora, NY 14052-9781 | 2020-06-24 |
| 1053932632 | First Choice Childrens Services | Case Management | 14 David Way, East Patchogue, NY 11772-4598 | 2020-05-05 |
| 1457971731 | Dariohealth Corp. | Case Management | 57 W 42nd St Fl 8, New York, NY 10036-8004 | 2020-04-16 |
| 1295361467 | C Yes Care | Case Management | 12 Stuart Dr, Coram, NY 11727-1914 | 2020-03-19 |
| Find all providers with the same taxonomy | ||||
| City | PLATTSBURGH |
| Zip Code | 12901 |
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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.