Clinical Resource Management, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

CLINICAL RESOURCE MANAGEMENT, LLC

Practice address

444 Dalton Ave
Rochester, PA 15074-2402

Phone

(724) 312-2558

NPI assigned

May 8, 2020

Organization subpart

No

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

Authorized official

Name

Andre Molando West, LCSWNPI 1174012868

Title

Owner/Ceo

Phone

(724) 312-2558

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andre Molando West, LSW

  • Mental Illness Community Based Residential Treatment Facility
  • Rochester, PA
  • NPI 1174012868

  Community Based Residential Treatment Facility, Mental Illness

  NPD (past) Authorized official

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1295357697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 DALTON AVE",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150742402",
            "telephone_number": "724-312-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 DALTON AVE",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150742402",
            "telephone_number": "724-312-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL RESOURCE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "MOLANDO",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "724-312-2558",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Rochester",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "444 Dalton Ave",
            "city": "Rochester",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150742402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Irene Muzyka Clifton, LCSW
• Paula J Conley, PT
• James Horen Covatto, DMD
• Brandy Marie Dechellis, PHARMD
• Dante Dechellis, PSYD & LPC
• Gina Demaiolo

• Mental Illness Community Based Residential Treatment Facility in Rochester, PA
• Providers in Rochester, PA by specialty
• Mental Illness Community Based Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.