THERACARE MANAGED SERVICES, LLC (NPI# 1922628155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922628155 |
| Entity Type | Organization |
| Organization Name | THERACARE MANAGED SERVICES, LLC |
| Practice Address |
67 Walnut Ave Suite 105 Clark NJ 07066-1640 |
| Mailing Address |
1133 Westchester Ave. N230 White Plains NY 10604-3516 |
| Practice Telephone | 8556818555 |
| Practice Fax Number | 9145602102 |
| Mailing Telephone | 2125642350 |
| Mailing Fax Number | 2125642578 |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |
| Authorized Official Name | MS. MARY CAROLINE MCCARTHY (DIRECTOR OF CONTRACT DEVELOPMENT) |
| 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 | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| ABA Provider Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558834036 | Theracare Managed Services, LLC | Behavior Technician | 11-20 46th Road, Long Island City, NY 11101 | 2019-01-07 |
| 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 |
67 WALNUT AVE SUITE 105 |
| City | CLARK |
| State | NJ |
| Zip Code | 07066-1640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962919 | Robert Alan Fuhrman | Internal Medicine | 67 Walnut Ave, Clark, NJ 07066-1640 | 2005-06-14 |
| 1104367523 | Hearing Health Pa LLC | Audiologist-Hearing Aid Fitter | 67 Walnut Ave, Suite 303, Clark, NJ 07066-1640 | 2017-03-18 |
| 1902181134 | Trinitas Regional Medical Center | Family Medicine | 67 Walnut Ave, Suite 202, Clark, NJ 07066-1640 | 2011-10-19 |
| 1669757217 | Trinitas Regional Medical Center | Internal Medicine | 67 Walnut Ave, Suite 202, Clark, NJ 07066-1640 | 2011-10-14 |
| 1891074944 | Divya Rajasekaran | Internal Medicine | 67 Walnut Ave, Clark, NJ 07066-1640 | 2011-08-08 |
| 1013129311 | Jennifer Dehm Fitzgibbons | Nurse Practitioner | 67 Walnut Ave, Clark, NJ 07066-1640 | 2007-05-07 |
| 1316062995 | Kenneth Y. Eng, M.d., P.a. | Ophthalmology | 67 Walnut Ave, Suite 302, Clark, NJ 07066-1640 | 2007-03-20 |
| 1760522163 | Susan Linda Frankel | Internal Medicine | 67 Walnut Ave, Clark, NJ 07066-1640 | 2007-02-07 |
| 1881731958 | Theracare of New Jersey LLC | Community/Behavioral Health | 67 Walnut Ave, Suite 306, Clark, NJ 07066-1640 | 2007-01-30 |
| 1174669626 | Theracare of New Jersey LLC | Community/Behavioral Health | 67 Walnut Ave, Suite 306, Clark, NJ 07066-1640 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491493 | Diane Juanita Pearson | Counselor | 49 Brant Ave Suit 3, Massler Psychological Associates, Clark, NJ 07066 | 2019-01-22 |
| 1356831754 | Christopher Dasilva | Physical Therapist | 77 Brant Avenue, Suite 101, Clark, NJ 07066 | 2018-05-11 |
| 1205350030 | City Medical of New Jersey, PC | Clinic/Center | Rarity Unit F4b, 1225 Raritan Road, Clark, NJ 07066 | 2017-08-02 |
| 1184150682 | Fyzical Therapy & Balance Center | Physical Therapist | 132-1 Westfield Ave, Clark, NJ 07066 | 2017-05-04 |
| 1164829826 | Adavanced Spine Rehabilitation LLC | Chiropractor | 1171 Old Raritan Rd, Clark, NJ 07066 | 2014-11-24 |
| 1083838395 | Stephen D Bosonac | Dentist | 979 Raritan Road, Clark, NJ 07066 | 2007-04-11 |
| 1972637965 | Jay Andrew Paris | Chiropractor | 67 Westfield Ave, Clark, NJ 07066 | 2007-03-14 |
| 1821121484 | David Kinley Jr. | Acupuncturist | 668 Raritan Rd, Clark, NJ 07066 | 2007-03-13 |
| 1811036122 | Betty C Mclendon | Psychologist | 623 Raritan Road, Clark, NJ 07066 | 2007-02-05 |
| 1710039623 | Cornerstone Physical Therapy Inc | Physical Therapist | 152 Central Ave 2nd Floor, Clark, NJ 07066 | 2007-01-18 |
| Find all providers in zip 07066 | ||||
| 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 |
|---|---|---|---|---|
| 1215315445 | Advantage Aba, LLC | Behavioral Analyst | 45 Terhune Rd, Clark, NJ 07066-2312 | 2015-05-07 |
| 1932531852 | Kerianne Skobo | Behavioral Analyst | 45 Douglas Dr, Clark, NJ 07066-2639 | 2013-08-01 |
| 1275132748 | Jessica Jaruczyk | Behavioral Analyst | 28 King St, Clark, NJ 07066-1519 | 2020-10-25 |
| 1841690070 | Epic Health Services, Inc. | Behavioral Analyst | 77 Brant Ave, Suite 320, Clark, NJ 07066-1560 | 2014-08-25 |
| 1437592961 | The Bigger Picture Learning Group | Behavioral Analyst | 21 Rutgers Rd, Clark, NJ 07066-2729 | 2013-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851209 | Stephanie Munoz | Behavioral Analyst | 61 Addison Pl Apt A, Clifton, NJ 07012-3397 | 2020-11-06 |
| 1346841228 | Caroline Grace Reilly | Behavioral Analyst | 68 Wentworth Rd, Bedminster, NJ 07921-2007 | 2020-11-05 |
| 1215537873 | Alyssa Dennis | Behavioral Analyst | 500 Adams Ln Apt 20c, North Brunswick, NJ 08902-2568 | 2020-10-31 |
| 1497355101 | Angelica Filippone | Behavioral Analyst | 1446 Hiawatha Ave, Hillside, NJ 07205-1311 | 2020-10-30 |
| 1053911040 | Sara Kahan | Behavioral Analyst | 7 Burgundy Way, Lakewood, NJ 08701-4670 | 2020-10-28 |
| 1609475268 | Melissa Monestime | Behavioral Analyst | 1063 Brighton St, Union, NJ 07083-6701 | 2020-10-23 |
| 1447859194 | Jacqueline Sousa | Behavioral Analyst | 127 Old Changebridge Rd, Montville, NJ 07045-9400 | 2020-10-23 |
| 1124627047 | David Rubinfeld | Behavioral Analyst | 207 1st St Apt 409, Lakewood, NJ 08701-3368 | 2020-10-21 |
| 1902405129 | Ivelisse Lopez | Behavioral Analyst | 254 Euclid Ave, Hackensack, NJ 07601-2845 | 2020-10-19 |
| 1003414731 | Alyssa Ariemma | Behavioral Analyst | 318 Hoover Ave Apt 61, Bloomfield, NJ 07003-3957 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
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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.