MR. JOSEPH MANCINONE (NPI# 1669866315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669866315 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH MANCINONE |
| Credential | LMFT |
| Practice Address |
271 Southbury Rd Roxbury CT 06783-2101 |
| Practice Telephone | 2037885119 |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 001202 | CT | Residential Treatment Facilities |
| Street Address |
271 SOUTHBURY RD |
| City | ROXBURY |
| State | CT |
| Zip Code | 06783-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861535577 | Norma R Cutler | Social Worker | 307 Painter Hill Rd, Roxbury, CT 06783 | 2007-02-14 |
| 1497011670 | Roxbury Ambulance Association, Inc | Ambulance | 27 North St, Roxbury, CT 06783 | 2012-04-02 |
| 1437215456 | Mark Douglas Stracks | Psychiatry & Neurology | 45 Gold Mine Rd, Roxbury, CT 06783-1214 | 2006-12-28 |
| 1326421843 | Lawrence Jennings | Psychologist | 20 Brandy Wine Xing, Roxbury, CT 06783-1220 | 2015-07-01 |
| 1437385754 | Alice Wood Griffin | Counselor | 28 Hemlock Rd, Roxbury, CT 06783-1409 | 2009-06-01 |
| 1548661192 | Theresa Krebs | Speech-Language Pathologist | 8 Wellers Bridge Rd, Roxbury, CT 06783-1616 | 2014-09-12 |
| 1316273089 | David Samuel Berger | Radiology | 67 Botsford Hill Rd., Roxbury, CT 06783-1628 | 2009-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113122 | Oriana Heredia | Behavior Technician | 1540 Columbus Ave Apt 212, Roxbury, MA 02119-1357 | 2020-10-28 |
| 1427661511 | A Bucket for The Well LLC. | Counselor | 100 Warren St Ste 1a, Roxbury, MA 02119-3259 | 2020-08-28 |
| 1689292831 | Maria Pia Biggs | Counselor | 409 Walnut Ave, Roxbury, MA 02119-3133 | 2020-07-13 |
| 1366060980 | Jacquelyne Arrington | Registered Nurse | 76 Harold St, Roxbury, MA 02119-1625 | 2020-07-09 |
| 1073130167 | Judana Sandra Bennett | Student in an Organized Health Care Education/Training Program | 46 Lambert Ave, Roxbury, MA 02119-1766 | 2020-07-06 |
| 1760009542 | Charles Horenstein | Social Worker | 39 Juniper St, Roxbury, MA 02119-1750 | 2020-06-29 |
| 1174140180 | Family First Home Health Care | Home Health | 1542 Columbus Ave, Roxbury, MA 02119-1026 | 2020-06-25 |
| 1336775618 | Decima Tamara Prescott | Nurse Practitioner | 231 Highland St Apt 3, Roxbury, MA 02119-1486 | 2020-03-18 |
| 1750927489 | Austin Agbonifo | Registered Nurse | 36 Westminster Ct Apt E36, Roxbury, MA 02119-1192 | 2019-11-18 |
| 1699322313 | Kristen Lourens | Counselor | 64b Regent St, Roxbury, MA 02119-1980 | 2019-08-19 |
| Find all providers in ROXBURY | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184927659 | The Learning Clinic, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 476 Pomfret Rd, Brooklyn, CT 06234-1526 | 2010-12-06 |
| 1467635326 | Northeast Center for Youth and Families | Residential Treatment Facility, Emotionally Disturbed Children | 1556 Storrs Rd, Mansfield, CT 06028 | 2007-12-13 |
| 1215271705 | The Children's Center of Hamden, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1400 Whitney Ave, Hamden, CT 06517-2459 | 2012-11-21 |
| 1194041335 | Nakia M Washington | Residential Treatment Facility, Emotionally Disturbed Children | 105 Spring St, Hartford, CT 06105-2112 | 2010-04-13 |
| 1851621247 | New Hope Manor | Residential Treatment Facility, Emotionally Disturbed Children | 48 Hartford Rd, Manchester, CT 06040-5921 | 2010-01-06 |
| 1710216163 | The Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 58 Missionary Rd, Cromwell, CT 06416-2134 | 2009-12-14 |
| 1801086830 | Grove School | Residential Treatment Facility, Emotionally Disturbed Children | 175 Copse Rd, Madison, CT 06443-2323 | 2007-07-26 |
| 1245304096 | The Village for Families & Children, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1680 Albany Ave, Hartford, CT 06105-1001 | 2006-11-20 |
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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.