TRAC AUTISM INC. (NPI# 1073133682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073133682 |
| Entity Type | Organization |
| Organization Name | TRAC AUTISM INC. |
| Practice Address |
1155 Warburton Ave Apt 6e Yonkers NY 10701-1030 |
| Practice Telephone | 3476877701 |
| Mailing Telephone | 3476877701 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | LUCAS ADDO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3476877701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
1155 WARBURTON AVE APT 6E |
| City | YONKERS |
| State | NY |
| Zip Code | 10701-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356978357 | Nisha Ann Jacob | Student in an Organized Health Care Education/Training Program | Saint Joseph's Medical Center, 127 South Broadway, Yonkers, NY 10701 | 2020-03-27 |
| 1306471412 | Mchealth Nemt LLC | Non-emergency Medical Transport (VAN) | 10 Locust Hill Avenue, Suite 2, Yonkers, NY 10701 | 2020-03-09 |
| 1073150314 | Daniel Owusu-ansah | Registered Nurse | 615 Warburton Ave, Apt 4e, Yonkers, NY 10701 | 2019-12-05 |
| 1447738067 | Britney Hudson | Counselor | 58 Hudson St, Yonkers, NY 10701 | 2018-08-06 |
| 1104320704 | Jonathan Alfred Manley | Specialist | 1 Odell Plaza - Fred S. Keller School, Suite #263, Yonkers, NY 10701 | 2018-03-20 |
| 1841718905 | Tanesha Lyttle | Licensed Practical Nurse | 50 Hewphorne Ave., Yonkers, NY 10701 | 2017-09-08 |
| 1598297715 | Lauren Ramm | Surgery | 967 North Broadway, Medical Education Department, Yonkers, NY 10701 | 2017-03-28 |
| 1063953115 | Gina Bianca Butrico | Early Intervention Provider Agency | 300 Corporate Blvd. South, Yonkers, NY 10701 | 2017-03-09 |
| 1225574551 | Syed Islam | Assistant Behavior Analyst | 6 B Greene Pl., Yonkers, NY 10701 | 2017-01-10 |
| 1306296470 | Rebecca Hill | Physician Assistant | 984 N Broadway Ste 509, Yonkers, NY 10701 | 2016-06-20 |
| Find all providers in zip 10701 | ||||
| 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 |
|---|---|---|---|---|
| 1376000208 | Big Minds, Tiny Hands LLC. | Case Management | 12 N Broadway Apt 2b, Yonkers, NY 10701-7064 | 2019-02-27 |
| 1174947501 | Hudson River Healthcare, Inc | Case Management | 1 Hudson St, The Sharing Community, Yonkers, NY 10701-3601 | 2014-02-05 |
| 1740456888 | Maitri Center Inc | Case Management | 23 Park Ave, Yonkers, NY 10703-3405 | 2008-05-07 |
| 1073157681 | Promoting Opulence In Social Emotional Development Limited Liability | Case Management | 649 Bronx River Rd, Yonkers, NY 10704-1700 | 2019-11-06 |
| 1932763877 | Kings Education Services, O.t., R.p.n., P.t., S.l.p., Pllc | Case Management | 30 S Broadway Fl 4, Yonkers, NY 10701-3708 | 2019-04-25 |
| 1225490998 | Active Home Care Solutions LLC | Case Management | 941 Mclean Ave, Suite 157, Yonkers, NY 10704-4107 | 2016-03-22 |
| 1255607560 | St.joseph Medical Center Mh | Case Management | 127 S Broadway, Yonkers, NY 10701-4006 | 2012-03-30 |
| 1831461847 | Montefiore Medical Center | Case Management | 100 Corporate Dr, Yonkers, NY 10701-6807 | 2012-02-07 |
| 1730328279 | Hudson River Healthcare, Inc. | Case Management | 503 S Broadway Ste 210, Hudson River Healthcare, Inc., Yonkers, NY 10705-6202 | 2009-02-06 |
| 1861631392 | Hudson River Healthcare, Inc. | Case Management | 2 Park Ave, Hudson River Healthcare, Inc., Yonkers, NY 10703-3402 | 2009-02-06 |
| Find all providers in YONKERS | ||||
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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.