DR. CARMEN M ORTIZ-MENDOZA (NPI# 1700337912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700337912 |
| Entity Type | Individual |
| Full Name | DR. CARMEN M ORTIZ-MENDOZA |
| Credential | PH.D. |
| Practice Address |
417 Liberty St Springfield MA 01104-3736 |
| Practice Telephone | 4137470705 |
| Mailing Telephone | 4137470705 |
| Enumeration Date | 2016-10-23 |
| Last Update Date | 2016-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
417 LIBERTY ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104-3736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477582609 | Behavioral Health Network Inc | Clinic/Center | 417 Liberty St, Springfield, MA 01104-3736 | 2006-07-01 |
| 1902407224 | Sandra A. Collins | Social Worker | 417 Liberty St, Springfield, MA 01104-3736 | 2020-11-03 |
| 1245838564 | Sergio A. Arroyo | Counselor | 417 Liberty St, Springfield, MA 01104-3736 | 2020-10-09 |
| 1528666880 | Ahmedsaadis A. Bracero-deida | Counselor | 417 Liberty St, Springfield, MA 01104-3736 | 2020-10-09 |
| 1750997292 | Arianna Surprise | Counselor | 417 Liberty St, Springfield, MA 01104-3736 | 2020-09-21 |
| 1548874647 | Avi Bershof Kramer | Counselor | 417 Liberty St, Springfield, MA 01104-3736 | 2020-09-04 |
| 1316551419 | Maggie Sharon Riley | Counselor | 417 Liberty St, Springfield, MA 01104-3736 | 2020-09-04 |
| 1174137350 | Kyle Mark Klinzing | Social Worker | 417 Liberty St, Springfield, MA 01104-3736 | 2020-09-03 |
| 1922610070 | Seidu M Bawa | Counselor | 417 Liberty St, Springfield, MA 01104-3736 | 2020-08-20 |
| 1245841105 | Sophie Belle Plotkin | Social Worker | 417 Liberty St, Springfield, MA 01104-3736 | 2020-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
| 1508385618 | Demetrios Sotiropoulos | Physician Assistant | 175 Carew St Ste 250, Springfield, MA 01104 | 2017-09-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1437588837 | Ariam Ivette Pena | Counselor | 85 St. George Road, Springfield, MA 01104 | 2013-11-06 |
| 1891124293 | Ana E. Centeno | Counselor | 85 St. George Road., Springfield, MA 01104 | 2013-11-06 |
| 1275962003 | Swany Matos | Counselor | 2155 Main St., Springfield, MA 01104 | 2013-11-02 |
| 1184053910 | Claudia Eileen Quesada | Counselor | 2155 Main Street and St. George Road, The Gandara Center, Springfield, MA 01104 | 2013-11-02 |
| 1194023044 | Hungry Hill Family Practice | Clinic/Center | 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 | 2011-03-02 |
| 1710115308 | Michael Allen Roche | Counselor | 332 Bernie Ave, Center for Human Development, Springfield, MA 01104 | 2009-06-23 |
| Find all providers in zip 01104 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707775 | Jodi L Oller | Behavior Technician | 3921 Pintail Dr, Springfield, IL 62711-6738 | 2020-10-14 |
| 1871190785 | Jennifer A Hogge | Behavior Technician | 219 42nd St, Springfield, OR 97478-5937 | 2020-10-04 |
| 1902417843 | Delaney Hicks | Behavior Technician | 3048 S Clifton Ave Ste 122, Springfield, MO 65807-5957 | 2020-08-13 |
| 1356959233 | Elanda Johnson | Behavior Technician | 59 Mapledell St, Springfield, MA 01109-3015 | 2020-07-16 |
| 1881212843 | Meghan Talarico | Behavior Technician | 3048 S Clifton Ave, Springfield, MO 65807-5957 | 2020-07-07 |
| 1376165621 | Hilla Obaidullah | Behavior Technician | 2340 S 4th St, Springfield, IL 62703-3402 | 2020-05-09 |
| 1801420906 | Alizay Scott | Behavior Technician | 3049 E Linden Ave, Springfield, IL 62702-6017 | 2020-02-27 |
| 1568094464 | Keesha Readus | Behavior Technician | 1512 E Carpenter St, Springfield, IL 62702-5726 | 2020-02-07 |
| 1679118822 | Ronnie James Wilson Jr. | Behavior Technician | 935 W Washington St Apt B, Springfield, IL 62702-7002 | 2019-11-12 |
| 1740824697 | Terryl Heath Harris Ix | Behavior Technician | 2994 Main St, Springfield, MA 01107-1573 | 2019-11-04 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01104 |
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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.