ROCHESTER CENTER FOR AUTISM, INC (NPI# 1730179995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730179995 |
Entity Type | Organization |
Organization Name | ROCHESTER CENTER FOR AUTISM, INC |
Practice Address |
1220 4th Ave Sw Rochester MN 55902-3834 |
Practice Telephone | 5074243234 |
Practice Fax Number | 5074243235 |
Mailing Telephone | 5074243234 |
Mailing Fax Number | 5074243235 |
Enumeration Date | 2005-10-27 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. MANDY MARIE EGGERT (DIRECTOR/PROGRAM SUPERVISOR) |
Authorized Official Telephone | 5074243234 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
LP0911 | MN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | BCBS OF MN PROVIDER # | 265K2RO | 01 |
Street Address |
1220 4TH AVE SW |
City | ROCHESTER |
State | MN |
Zip Code | 55902-3834 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
1720584337 | John E Herman Home and Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 351 14th Ave Sw, Rochester, MN 55902 | 2018-04-03 |
1912442898 | Esperanza Torres | Dental Hygienist | 903 West Center Street, Suite 130, United Way Bldg, Rochester, MN 55902 | 2016-12-30 |
1578971149 | Alduz Inri Surio Cabasa | Student in an Organized Health Care Education/Training Program | 609 1st Street Sw, Unit 102, Rochester, MN 55902 | 2014-07-28 |
1679901854 | Julie Erickson | Dental Hygienist | United Way Building Suite #208, Rochester, MN 55902 | 2013-10-24 |
1619313590 | Mercedes K Schulz | Dental Hygienist | 13394th Ave Sw, Rochester, MN 55902 | 2013-05-17 |
1093087389 | Sarah Jean Dennison | Clinic/Center | 930 West Center Street, Suite 208 United Way Bldg, Rochester, MN 55902 | 2012-02-01 |
1467732156 | Angela Elizabeth Peters | Registered Nurse | 1450 2nd Avenue Sw, Rochester, MN 55902 | 2011-08-25 |
1528350071 | Emily Zahasky Kraft | Pharmacist | 204 1st Street Sw, Rochester, MN 55902 | 2011-05-03 |
1093021982 | Sherry Dawn Boutcher | Dental Hygienist | 903 West Center Street Suite 208, United Way Building, Rochester, MN 55902 | 2010-08-30 |
Find all providers in zip 55902 |
Taxonomy Code | 103TB0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Cognitive & Behavioral |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225466089 | Miri Arie | Psychologist | 1815 S Clinton Ave., Suite 630, Rochester, NY 14618 | 2013-10-14 |
1588952303 | Edward L Deci | Psychologist | 429 Meliora Hall, University of Rochester, Rochester, NY 14627-0266 | 2011-07-13 |
1689810871 | Linda Marie-latronica Bull | Psychologist | 850 W University Dr Ste C, Rochester, MI 48307-1845 | 2008-12-18 |
1093897498 | Quixote Consulting | Psychologist | 7038 191st Ave Sw, Rochester, WA 98579-8719 | 2006-10-19 |
1811416670 | Gina Dilly | Psychologist | 300 1st Ave Nw Ste 200, Rochester, MN 55901-2830 | 2017-09-13 |
1124498332 | Stephanie Geter | Psychologist | 110 Allens Creek Rd, Rochester, NY 14618-3304 | 2015-09-30 |
1770908659 | Frederick D Kemp | Psychologist | 7038 191st Ave Sw, Rochester, WA 98579-8719 | 2014-02-28 |
1902236078 | Jill Renea Snuggerud | Psychologist | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-11-26 |
1235148107 | Patricia A Gaudieri | Psychologist | 601 Elmwood Ave, Rochester, NY 14642-8409 | 2006-08-07 |
1316975774 | Kenneth Schwarcz | Psychologist | 1101 W University Dr, Attn: Susan Murray, Rochester, MI 48307-1863 | 2006-06-28 |
Find all providers in ROCHESTER |
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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.