Jessica Decelian

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

23 Marlow Rd
Valley Stream, NY 11580-3705

Phone

(516) 884-7742

NPI assigned

Jun 13, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Designing Futures Inc.

  • Early Intervention Provider Agency
  • Valley Stream, NY
  • NPI 1811286461
  NPD (past)
• Designing Futures, Inc.

  • Early Intervention Provider Agency
  • Valley Stream, NY
  • NPI 1083042592
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623542400000",
    "number": "1164090593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11208 204TH ST",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122212",
            "telephone_number": "347-552-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MARLOW RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803705",
            "telephone_number": "516-884-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECELIAN",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-13",
        "last_updated": "2021-06-13",
        "certification_date": "2021-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ann Dawson
• Connie Dcosta, FNP
• Nicole De Los Santos
• Richard Deangelis, D.C.
• Omawathi Debidat
• Dedale Pharmacy Inc
• Deeper Well Counseling LCSW PC
• Irene Sachs Deitel, APRN,BC
• Deborah Michelle Dejean, LMHC
• Anita Delahoz

• Case Manager/Care Coordinator in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.