MAIRA MENDOZA (NPI# 1568834687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568834687 |
| Entity Type | Individual |
| Full Name | MAIRA MENDOZA |
| Practice Address |
128 Atlantic Ave Lynbrook NY 11563-3477 |
| Practice Telephone | 5168239500 |
| Practice Fax Number | 5168239600 |
| Mailing Telephone | 5168239500 |
| Mailing Fax Number | 5168239600 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |
| 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 |
|---|---|---|---|---|
| 1093229775 | Maira Jocelyn Mendoza | Psychologist | 183 S Orange Ave, Newark, NJ 07103-2757 | 2017-11-17 |
| Street Address |
128 ATLANTIC AVE |
| City | LYNBROOK |
| State | NY |
| Zip Code | 11563-3477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902194814 | Human First, Inc. | Early Intervention Provider Agency | 128 Atlantic Ave, Lynbrook, NY 11563-3412 | 2011-07-12 |
| 1497127526 | Lavidia Blaise | Case Manager/Care Coordinator | 128 Atlantic Ave, Lynbrook, NY 11563-3477 | 2015-10-28 |
| 1255703385 | Lizbeth Zavala | Case Manager/Care Coordinator | 128 Atlantic Ave, Lynbrook, NY 11563-3477 | 2015-10-28 |
| 1619225901 | Human First, Inc. | Intermediate Care Facility, Mentally Retarded | 128 Atlantic Ave, Lynbrook, NY 11563-3477 | 2012-08-17 |
| 1336497627 | Human First, Inc. | Respite Care | 128 Atlantic Ave, Lynbrook, NY 11563-3477 | 2012-08-17 |
| 1972851269 | Human First, Inc. | Respite Care | 128 Atlantic Ave, Lynbrook, NY 11563-3477 | 2012-08-17 |
| 1336497619 | Human First, Inc. | Case Management | 128 Atlantic Ave, Lynbrook, NY 11563-3477 | 2012-08-17 |
| 1962750240 | Human First, Inc. | Day Training, Developmentally Disabled Services | 128 Atlantic Ave, Lynbrook, NY 11563-3477 | 2012-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396392072 | Anisha O Jenkins | Social Worker | 33 Allen Street, Lynbrook, NY 11563 | 2019-08-19 |
| 1093377327 | Ivan Karl Levenson | Occupational Therapist | Sunrise of Lynbrook, 53 Frankling Ave, N Lynbrook, NY 11563 | 2019-07-08 |
| 1124583125 | Maria Theresa Fasano | Speech-Language Pathologist | 111 Atlantic Avenue Lynbrook School District, Lynbrook, NY 11563 | 2019-02-04 |
| 1720561509 | Marianne Muldoon | Social Worker | 326 Vincent Avenue, Lynbrook, NY 11563 | 2018-09-08 |
| 1134659972 | Jaclyn Gonsch | Specialist | 136 Stuart Street, Lynbrook, NY 11563 | 2017-06-14 |
| 1497294797 | Ryan James Doupe | Counselor | 42 Fowler Ave, Lynbrook, NY 11563 | 2017-02-20 |
| 1902261647 | Allegra Grace D'alo | Social Worker | 90 Driving Park Ave, Lynbrook, NY 11563 | 2015-12-23 |
| 1699106039 | Elizabeth Gaudet Physical Therapy, P.l.l.c. | Physical Therapist | 34 Whittier Street, Lynbrook, NY 11563 | 2013-12-11 |
| 1427496439 | Jennifer Breen | Psychologist | 303 Merrick Rd Ste 302, Lynbrook, NY 11563 | 2013-06-12 |
| 1588000640 | Kelly Patrice Gallagher | Speech-Language Pathologist | 40-20 235th St, Douglaston, NY 11563 | 2013-05-16 |
| Find all providers in zip 11563 | ||||
| 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 |
|---|---|---|---|---|
| 1811536410 | Carmen Booker | Case Manager/Care Coordinator | 532 Whitehall St, Lynbrook, NY 11563-1040 | 2019-12-30 |
| 1497127526 | Lavidia Blaise | Case Manager/Care Coordinator | 128 Atlantic Ave, Lynbrook, NY 11563-3477 | 2015-10-28 |
| 1255703385 | Lizbeth Zavala | Case Manager/Care Coordinator | 128 Atlantic Ave, Lynbrook, NY 11563-3477 | 2015-10-28 |
| 1568710374 | Patricia Ann Gallagher | Case Manager/Care Coordinator | 570 Broadway, Apt. 3b, Lynbrook, NY 11563-3945 | 2012-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255220 | Nelcy M Garcia De Leon | Case Manager/Care Coordinator | 11 Thamsen Dr, Stony Point, NY 10980-1054 | 2020-11-06 |
| 1003416769 | Mashhura Rofieva | Case Manager/Care Coordinator | 1733 Sheepshead Bay Rd Ste 16, Brooklyn, NY 11235-3743 | 2020-10-30 |
| 1285234369 | David Olmedo | Case Manager/Care Coordinator | 3192 Rawlins Ave, Bronx, NY 10465-1340 | 2020-10-28 |
| 1144829326 | Perel Langsam | Case Manager/Care Coordinator | 14 Jeffrey Pl, Monsey, NY 10952-5702 | 2020-10-20 |
| 1609474295 | Akyra M. Green | Case Manager/Care Coordinator | 11 Dobson Ave, Merrick, NY 11566-4127 | 2020-10-15 |
| 1578161162 | Elizabeth Anna Rubin | Case Manager/Care Coordinator | 3513 Broadway Apt 2l, Astoria, NY 11106-1162 | 2020-10-15 |
| 1033717855 | Sarah Bruck | Case Manager/Care Coordinator | 14 Melnick Dr, Monsey, NY 10952-3328 | 2020-10-14 |
| 1831797091 | Yuliya Levakova | Case Manager/Care Coordinator | 146 Macfarland Ave, Staten Island, NY 10305-4448 | 2020-10-10 |
| 1861009383 | Faith Gibbs | Case Manager/Care Coordinator | 13038 224th St, Laurelton, NY 11413-1244 | 2020-09-29 |
| 1316554074 | Sherry Ann Brion | Case Manager/Care Coordinator | 126 W Chemung St Ste 103, Painted Post, NY 14870-1300 | 2020-09-28 |
| 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.