BENJMAMIN THOMAS CARLSON (NPI# 1013405497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013405497 |
| Entity Type | Individual |
| Full Name | BENJMAMIN THOMAS CARLSON |
| Credential | PTA |
| Practice Address |
5314 N 7th St Phoenix AZ 85014-2805 |
| Mailing Address |
1157 E Watson Dr Tempe AZ 85283-3034 |
| Practice Telephone | 6022775006 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
13747 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
5314 N 7TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85014-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770664930 | Eric Reimer | Occupational Therapist | 5314 N 7th St, Phoenix, AZ 85014-2805 | 2006-10-17 |
| 1407481989 | Lupita Stephanie Gutierrez Moreno | Specialist/Technologist | 5314 N 7th St, Phoenix, AZ 85014-2805 | 2020-03-05 |
| 1003471681 | John W March | Specialist/Technologist | 5314 N 7th St, Phoenix, AZ 85014-2805 | 2019-05-08 |
| 1144784877 | Monica Angelita Lopez | Specialist/Technologist | 5314 N 7th St, Phoenix, AZ 85014-2805 | 2019-01-28 |
| 1821569161 | Heather Gray | Occupational Therapy Assistant | 5314 N 7th St, Phoenix, AZ 85014-2805 | 2018-12-16 |
| 1649751389 | Katie Ann Gallucci | Specialist/Technologist | 5314 N 7th St, Phoenix, AZ 85014-2805 | 2018-08-21 |
| 1174014336 | Dianabel Estrada | Specialist/Technologist | 5314 N 7th St, Phoenix, AZ 85014-2805 | 2018-05-23 |
| 1437647781 | Terry Nguyen | Occupational Therapy Assistant | 5314 N 7th St, Phoenix, AZ 85014-2805 | 2018-04-23 |
| 1841794484 | Jenay Monique Chambln | Speech-Language Pathologist | 5314 N 7th St, Phoenix, AZ 85014-2805 | 2018-03-20 |
| 1710486261 | Linda Diane Natkin | Specialist/Technologist | 5314 N 7th St, Phoenix, AZ 85014-2805 | 2018-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796549 | Sherri Ann Rhodes | Registered Nurse | 5727 North 7th Street, Suite 308, Phoenix, AZ 85014 | 2020-10-06 |
| 1235746249 | Kaitlyn Landess | Occupational Therapist | 1190 W. Missouri Ave, Suite 100, Phoenix, AZ 85014 | 2020-09-24 |
| 1467088062 | Generational Bridges Neuropsychological Services Pllc | Clinical Neuropsychologist | 1515 E Missouri Dr, Phoenix, AZ 85014 | 2020-03-16 |
| 1861022881 | Daza Astrid Hernandez | Speech-Language Pathologist | 5314 N 7th Street, Phoeniz, AZ 85014 | 2020-01-17 |
| 1396213542 | Arizona Youth & Family Services Inc. | Community/Behavioral Health | 3707 N. 7th Street, Ste. 200, Phoenix, AZ 85014 | 2018-11-06 |
| 1366815508 | Dehp LLC | Case Management | 3707 N. 7th St., Ste # 310, Phoenix, AZ 85014 | 2015-11-10 |
| 1659751972 | Carla Parola | Counselor | 1300 E Missouri Ave Ste A-120, Phoenix, AZ 85014 | 2015-06-02 |
| 1659763597 | Dale Carroll Davis | Dentist | 3132 N. 7th St, Phoenix, AZ 85014 | 2015-03-02 |
| 1407247091 | Cynthia Ruzich | Psychologist | 1450 E. Indian School Rd. #101, Phoenix, AZ 85014 | 2015-02-18 |
| 1144618315 | Emily M Bentz | Specialist/Technologist | 3514 N. 7th St, Phoenix, AZ 85014 | 2014-12-22 |
| Find all providers in zip 85014 | ||||
| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518167733 | David Hirsch | Pediatrics | 602 W Ocotillo Rd, Phoenix, AZ 85013-1137 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518931070 | Theodore John Tarby | Pediatrics | 7710 N Hummingbird Ln, Paradise Valley, AZ 85253-3064 | 2006-02-13 |
| 1740766567 | Jasa Defazio | Pediatrics | 2175 N Alma School Rd Ste A106, Chandler, AZ 85224-2882 | 2018-07-15 |
| 1962638254 | Tamara Zach | Pediatrics | 5310 W Thunderbird Rd, Suite 301, Glendale, AZ 85306-4706 | 2009-06-01 |
| 1952364150 | Elaine M Ellis | Pediatrics | 10210 N 92nd St, Suite 207, Scottsdale, AZ 85258-4509 | 2006-04-10 |
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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.