THEAPEUTIC OUTREACH FOR CHILDREN, INC (NPI# 1730510124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730510124 |
| Entity Type | Organization |
| Organization Name | THEAPEUTIC OUTREACH FOR CHILDREN, INC |
| Practice Address |
1 Farm Ln Roosevelt NJ 08555-9800 |
| Mailing Address |
Po Box 458 Roosevelt NJ 08555-0458 |
| Practice Telephone | 6094900592 |
| Mailing Telephone | 6094900592 |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |
| Authorized Official Name | MRS. LISA MULLIGAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6094900592 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 FARM LN |
| City | ROOSEVELT |
| State | NJ |
| Zip Code | 08555-9800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720297997 | Naomi Brahinsky | Social Worker | 1 Clarksburg Road., Roosevelt, NJ 08555 | 2007-05-22 |
| 1003948357 | Robin Axel | Social Worker | 30 Farm Ln., Roosevelt, NJ 08555-0507 | 2007-03-12 |
| 1962742189 | Therapeutic Outreach for Children, Inc | Psychologist | 1 Farm Ln # 458, Roosevelt, NJ 08555-9800 | 2013-02-25 |
| 1538603634 | Erica Montanye | Behavior Technician | 1 Farm Ln # 458, Roosevelt, NJ 08555-9800 | 2016-12-07 |
| 1164868295 | Barbara Von Bradsky | Physical Therapy Assistant | 1 Farm Ln # 458, Roosevelt, NJ 08555-9800 | 2013-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391811 | Ashley Esmeralda Fernandez | Licensed Practical Nurse | 82 Debevoise Ave, Roosevelt, NY 11575-1712 | 2020-09-23 |
| 1043824162 | Andre X Pressley | Massage Therapist | 20 Hausch Blvd, Roosevelt, NY 11575-1533 | 2020-09-04 |
| 1538771647 | Mlm Business Solution | Health Maintenance Organization | 120 Maple Dr, Roosevelt, NY 11575-2043 | 2020-08-19 |
| 1275154627 | Phoenix Rose Marriage and Family Therapy Pllc | Marriage & Family Therapist | 26 Margaret Dr, Roosevelt, NY 11575-1535 | 2020-04-27 |
| 1215557434 | Basin Therapy LLC | Clinic/Center | 101 E 1875 S, Roosevelt, UT 84066-3828 | 2020-04-17 |
| 1063048007 | Michele Johnson | Massage Therapist | 148 Elmwood Ave, Roosevelt, NY 11575-1808 | 2020-03-22 |
| 1649803354 | Junghee Powell | Pharmacist | 341 Sunset Cir, Roosevelt, UT 84066-2202 | 2020-02-20 |
| 1558900803 | Tiffany Frances Ward | Behavioral Analyst | 65 Manhattan Ave, Roosevelt, NY 11575-2504 | 2020-01-03 |
| 1770122525 | Daniel Josue Zavala | Case Manager/Care Coordinator | 7 Valentine St, Roosevelt, NY 11575-1609 | 2019-12-26 |
| 1922659762 | Robert Eric Gilbert | Physician Assistant | 431 E North Poco Dr, Roosevelt, UT 84066-3411 | 2019-09-23 |
| Find all providers in ROOSEVELT | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922659762 | Robert Eric Gilbert | Physician Assistant | 431 E North Poco Dr, Roosevelt, UT 84066-3411 | 2019-09-23 |
| 1073899225 | Reanell Gasaway | Physician Assistant | 71 Delisle Ave, Roosevelt, NY 11575-2442 | 2011-11-01 |
| 1689645129 | James Orvel Hoopes | Physician Assistant | 210 W 300 N # 75-3, Roosevelt, UT 84066-2336 | 2006-02-01 |
| 1194292920 | Katie Beutler Ralon | Physician Assistant | 250 W 300 N, Roosevelt, UT 84066-2336 | 2018-10-30 |
| 1659852150 | Albert Simon Stone | Physician Assistant | 210 W 300 N, Roosevelt, UT 84066-2336 | 2018-08-23 |
| 1316316482 | Northeastern Utah Medical Group | Physician Assistant | 250 W 300 N, Roosevelt, UT 84066-2336 | 2015-09-18 |
| 1225406077 | Casey Curtis Carter | Physician Assistant | 210 W 300 N, Roosevelt, UT 84066-2336 | 2015-09-10 |
| 1013297142 | Sarah Heaton | Physician Assistant | 409 S 200 E, Roosevelt, UT 84066-3314 | 2011-08-20 |
| 1407165293 | Clark K Sessions | Physician Assistant | 250 W 300 N, Roosevelt, UT 84066-2336 | 2010-09-28 |
| 1639367337 | Brett C Larsen | Physician Assistant | 210 W 300 N, 75-3, Roosevelt, UT 84066-2336 | 2007-10-09 |
| Find all providers in ROOSEVELT | ||||
Please comment or provide details below to improve the information on THEAPEUTIC OUTREACH FOR CHILDREN, INC.
| 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.