MELISSA SAN PEDRO (NPI# 1164066049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164066049 |
| Entity Type | Individual |
| Full Name | MELISSA SAN PEDRO |
| Practice Address |
10818 Queens Blvd Forest Hills NY 11375-4748 |
| Practice Telephone | 2128047659 |
| Mailing Telephone | 2128047659 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
10818 QUEENS BLVD |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375-4748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972853737 | Sandeep Dhingra | Psychiatry & Neurology | 10818 Queens Blvd, Suite 904, Forest Hills, NY 11375-4748 | 2012-09-19 |
| 1598371650 | Angelica Georges | Psychologist | 10818 Queens Blvd, Forest Hills, NY 11375-4748 | 2020-09-23 |
| 1639793847 | Christine Beverin | Student in an Organized Health Care Education/Training Program | 10818 Queens Blvd, Forest Hills, NY 11375-4748 | 2020-06-03 |
| 1225667298 | Sarah J Tamplaru | Occupational Therapy Assistant | 10818 Queens Blvd, Forest Hills, NY 11375-4748 | 2020-04-02 |
| 1376176719 | Victoria Amu | Occupational Therapy Assistant | 10818 Queens Blvd, Forest Hills, NY 11375-4748 | 2020-02-13 |
| 1629627690 | Yesenia Lopez | Specialist | 10818 Queens Blvd, Forest Hills, NY 11375-4748 | 2019-09-11 |
| 1598318362 | Sonia Mirella Ballesteros | Specialist | 10818 Queens Blvd, Forest Hills, NY 11375-4748 | 2019-07-22 |
| 1396206561 | Trianna Charles | Psychologist | 10818 Queens Blvd, Forest Hills, NY 11375-4748 | 2019-03-28 |
| 1740740505 | Christina Cenovski | Specialist | 10818 Queens Blvd, Forest Hills, NY 11375-4748 | 2019-03-20 |
| 1033689534 | Wendy Biaggi | Specialist | 10818 Queens Blvd, Forest Hills, NY 11375-4748 | 2018-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1609409887 | Yesodot, Inc | Clinic/Center | 110-06 69th Ave, Forest Hills, NY 11375 | 2020-02-17 |
| 1831744945 | Darius Douglas | Counselor | Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 | 2019-08-06 |
| 1598329914 | Jane Rochelle Pahang | Physical Therapist | 116-21 Queens Blvd, Forest Hills, NY 11375 | 2019-05-01 |
| 1558828939 | Natalie Koptyev | Pharmacist | 108-14 68th Drive, Forest Hills, NY 11375 | 2019-02-21 |
| 1043782014 | Magdalena Lekic Salameh | Behavioral Analyst | 67-29 Kessel Street, Forest Hills, NY 11375 | 2018-12-31 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| Find all providers in zip 11375 | ||||
| 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 |
|---|---|---|---|---|
| 1710524038 | Larisa Faizieva | Case Manager/Care Coordinator | 6860 Austin St Ste 305, Forest Hills, NY 11375-4223 | 2019-12-05 |
| 1568985000 | Johanna Viteri | Case Manager/Care Coordinator | 11145 76th Dr Apt B8, Forest Hills, NY 11375-7022 | 2017-07-17 |
| 1316493562 | Olga Rinaldi | Case Manager/Care Coordinator | 68-60 Austin Boulevard, 306, Forest Hills, NY 11375 | 2016-08-28 |
| 1326490640 | Moises Melo | Case Manager/Care Coordinator | 10010 67th Rd, Apt. 3h, Forest Hills, NY 11375-2753 | 2016-07-11 |
| 1932504180 | Zarrina Babakhanova | Case Manager/Care Coordinator | 6860 Austin St Ste 306, Forest Hills, NY 11375-4223 | 2014-10-30 |
| 1528472891 | Tzi-yen Pi | Case Manager/Care Coordinator | 89-18 69th Road, Forest Hills, NY 11375 | 2014-06-16 |
| 1770908949 | Rose Ann Heery | Case Manager/Care Coordinator | 7261 113th St, Apt 2n, Forest Hills, NY 11375-5635 | 2014-02-25 |
| 1851654040 | Sofya Abdurakhmanova | Case Manager/Care Coordinator | 6514 110th St, Forest Hills, NY 11375-1424 | 2012-06-21 |
| 1316552300 | Ashley Rodriguez | Case Manager/Care Coordinator | 7000 Austin St, Forest Hills, NY 11375-1022 | 2020-09-15 |
| 1962033829 | Julia Kushmakova | Case Manager/Care Coordinator | 6860 Austin St, Forest Hills, NY 11375-4245 | 2020-01-30 |
| Find all providers in FOREST HILLS | ||||
| City | FOREST HILLS |
| Zip Code | 11375 |
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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.