MISS ANGELA OLSEN (NPI# 1790211142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790211142 |
| Entity Type | Individual |
| Full Name | MISS ANGELA OLSEN |
| Practice Address |
538 Broadhollow Rd Melville NY 11747-3676 |
| Practice Telephone | 6313857780 |
| Mailing Telephone | 6313857780 |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881982544 | Angela Olsen | Counselor | 1547 Parkway Ste 100, Greenwood, SC 29646-4081 | 2011-07-15 |
| Street Address |
538 BROADHOLLOW RD |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747-3676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548308125 | Becki Naomi Boussidan | Specialist | 538 Broadhollow Rd, Suite 202, Melville, NY 11747-3676 | 2007-02-03 |
| 1801315478 | Courtney N Pallotta | Behavior Technician | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-09-14 |
| 1104340520 | Julianne Fairbrother | Early Intervention Provider Agency | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-07-27 |
| 1144759572 | Carly Galvin | Behavior Technician | 538 Broadhollow Rd, Suite 202, Melville, NY 11747 | 2017-06-08 |
| 1679001614 | Shanequa Myers | Behavior Technician | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-06-02 |
| 1861920928 | Karina Kononenko | Specialist | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-06-01 |
| 1144758418 | Nicole P Ringel | Specialist | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-05-31 |
| 1740718634 | Michelle Kopec | Behavior Technician | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-05-23 |
| 1568998953 | Haley Sabella | Specialist | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-05-04 |
| 1073048294 | Milagros Malca | Case Manager/Care Coordinator | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2017-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| Find all providers in zip 11747 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548881394 | Veronica Noemi Alcerro | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-05-04 |
| 1750901617 | Alejandra Singh-lopez | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-04-21 |
| 1356992572 | Eric Lorentsen | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2019-09-28 |
| 1649827460 | Amanda Rose Makarius | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2019-08-26 |
| 1356902530 | Marcela Emperatriz Sanchez | Case Manager/Care Coordinator | 225 Broadhollow Rd, Melville, NY 11747-4822 | 2019-06-27 |
| 1477018844 | Kathya Manzano | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2019-02-09 |
| 1902372477 | Sara Catalina Simone | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 204, Melville, NY 11747-4822 | 2018-10-22 |
| 1043792294 | Blanca Hernandez | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2018-09-04 |
| 1275014797 | Brendy Sosa | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2018-08-23 |
| 1912497991 | Daniela Guaricela | Case Manager/Care Coordinator | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2018-05-15 |
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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.