JERILYNN MEJIA (NPI# 1538780309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538780309 |
| Entity Type | Individual |
| Full Name | JERILYNN MEJIA |
| Practice Address |
44 Diauto Dr Randolph MA 02368-4536 |
| Practice Telephone | 7818857252 |
| Practice Fax Number | 7818857256 |
| Mailing Telephone | 7818857252 |
| Mailing Fax Number | 7818857256 |
| Enumeration Date | 2020-05-02 |
| Last Update Date | 2020-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 3093496 | RI | Other Service Providers |
| Street Address |
44 DIAUTO DR |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-4536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811210594 | Lamour By Design, Inc | Community/Behavioral Health | 44 Diauto Dr, Randolph, MA 02368-4536 | 2010-03-09 |
| 1740880996 | Robert A Grigore | Behavioral Analyst | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-10-27 |
| 1144827882 | Thalia Roman | Assistant Behavior Analyst | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-10-06 |
| 1073110128 | Chie Mitsui | Counselor | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-10-01 |
| 1104432392 | Jolie Vilmeli Medrano | Assistant Behavior Analyst | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-09-22 |
| 1518577071 | Anna Rebecca Rose Kancharla | Social Worker | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-08-08 |
| 1023636123 | Emily Tieu | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-07-06 |
| 1619500329 | Regine Beris | Behavior Technician | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-02-20 |
| 1871124602 | Hasna Kazi | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-01-30 |
| 1851922686 | Jing Liu | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
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| 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 |
|---|---|---|---|---|
| 1184933509 | Tracie Levene | Case Manager/Care Coordinator | 500 North Main St, Suite D, Randolph, MA 02368 | 2010-10-04 |
| 1023636123 | Emily Tieu | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-07-06 |
| 1871124602 | Hasna Kazi | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-01-30 |
| 1851922686 | Jing Liu | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-01-30 |
| 1588203418 | Sothavy Doeur | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2019-12-23 |
| 1982248639 | Victoria A Tinsley | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2019-11-05 |
| 1336783083 | Rebecca Mondesir | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2019-11-05 |
| 1376195958 | Stephanie Montalvo | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2019-07-12 |
| 1013575315 | Elizabeth Depina Andrade | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2019-05-31 |
| 1225694680 | Miosotis Linnette Colon | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2019-05-11 |
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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.