CATHOLIC CHARITIES COMMUNITY SERVICES, INC (NPI# 1053490052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053490052 |
| Entity Type | Organization |
| Organization Name | CATHOLIC CHARITIES COMMUNITY SERVICES, INC |
| Practice Address |
434 W Gurley Street Prescott AZ 86301 |
| Mailing Address |
4747 N 7th Avenue Phoenix AZ 85013-2401 |
| Practice Telephone | 9287782531 |
| Practice Fax Number | 9287719531 |
| Mailing Telephone | 6022851999 |
| Mailing Fax Number | 6022850311 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2014-03-10 |
| Authorized Official Name | MR. ROBERT BROWN (PRESIDENT AND CEO) |
| Authorized Official Telephone | 6022851999 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | BH316 | AZ | Agencies |
| Y | 251S00000X | Community/Behavioral Health | OTC5874 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 442265 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134669229 | Catholic Charities Community Services, Inc | Community/Behavioral Health | 5119 N 19th Ave Ste G, Phoenix, AZ 85015-3221 | 2017-03-08 |
| Street Address |
434 W GURLEY STREET |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861023905 | Blueprints Therapeutic Services LLC | Community/Behavioral Health | 1065 Northside Dr, Prescott, AZ 86301-1415 | 2020-01-28 |
| 1003372491 | Seaglass Recovery | Community/Behavioral Health | 711 W Gurley St, Prescott, AZ 86305-3621 | 2019-02-11 |
| 1407398621 | Chapter 5 Counseling Center LLC. | Community/Behavioral Health | 973 W Gurley St, Prescott, AZ 86305-2817 | 2016-11-07 |
| 1447640826 | Chapter 5 | Community/Behavioral Health | 726 W Gurley St, Prescott, AZ 86305-3629 | 2015-01-23 |
| 1235529629 | Chapter 5 Counseling Center, LLC | Community/Behavioral Health | 822 W Gurley St, Prescott, AZ 86305-3624 | 2015-01-23 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1528304367 | Catholic Charities Community Services | Community/Behavioral Health | 434 W Gurley St, Prescott, AZ 86301-3616 | 2012-12-26 |
| 1952646002 | Laura Crimmins Pllc | Community/Behavioral Health | 711 Whipple St, Prescott, AZ 86301-1717 | 2012-11-30 |
| 1932453073 | Oasis Addiction Counseling LLC | Community/Behavioral Health | 445 Miller Valley Rd, Prescott, AZ 86301-2925 | 2012-10-26 |
| 1225391402 | Cornerstone Recovery Center | Community/Behavioral Health | 655 W Gurley St, Prescott, AZ 86305-3619 | 2012-06-21 |
| Find all providers in PRESCOTT | ||||
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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.