DR. WALLACE B MENDELSON (NPI# 1063653061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063653061 |
| Entity Type | Individual |
| Full Name | DR. WALLACE B MENDELSON |
| Credential | MD |
| Practice Address |
1 E. Apache St. Remuda Ranch Wickenburg AZ 85390 |
| Mailing Address |
10869 N Scottsdale Rd #103-317 Scottsdale AZ 85254-5280 |
| Practice Telephone | 8312870518 |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2011-11-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
C35090 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1 E. APACHE ST. REMUDA RANCH |
| City | WICKENBURG |
| State | AZ |
| Zip Code | 85390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559471 | Innovative Dermatology Alliance Az, PC | Dermatology | 390 Bralliar Rd, Wickenburg, AZ 85390 | 2020-05-11 |
| 1982040127 | Lottis & Associates, P.C. | Clinic/Center | 55 E. Yavapai St, Wickenburg, AZ 85390 | 2013-05-15 |
| 1760760250 | New Directions Integrative Wellness Center of Wickenburg, Arizona, Pll | Clinic/Center | 370 Palm Drive, Wickenburg, AZ 85390 | 2011-08-01 |
| 1326278953 | Amy Elizabeth Wasserbauer | Psychologist | One E Apache St, Remuda Ranch Treatment Center, Wickenburg, AZ 85390 | 2009-07-16 |
| 1316195902 | Nichole Elsner | Counselor | 920 S Vulture Mine Rd, Wickenburg, AZ 85390 | 2008-09-08 |
| 1992962310 | Judy Rosittia Zobel | Acupuncturist | 519 Rose Lane, Wickenburg, AZ 85390 | 2008-05-22 |
| 1336361179 | Eduardo Rodolfo Huergo | Psychiatry & Neurology | One East Apache Street, Wickenburg, AZ 85390 | 2007-05-02 |
| 1972625515 | Kari Marie Froelicher | Counselor | 315 Apache Street, Wickenburg, AZ 85390 | 2007-04-04 |
| 1477689933 | Wickenburg Unified School District #9 | Local Education Agency (LEA) | 920 S. Vulture Mine Road, Special Education Office, Wickenburg, AZ 85390 | 2007-02-26 |
| 1740326156 | Remuda Ranch Center for Anorexia Andbulimia Inc | Psychiatric Residential Treatment Facility | 56851 N Vulture Mine Rd, Wickenburg, AZ 85390 | 2007-01-30 |
| Find all providers in zip 85390 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336361179 | Eduardo Rodolfo Huergo | Psychiatry & Neurology | One East Apache Street, Wickenburg, AZ 85390 | 2007-05-02 |
| 1033347273 | Amelia Ann Davis | Psychiatry & Neurology | 36075 S Rincon Rd, Wickenburg, AZ 85390-2491 | 2009-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466244 | Adam Colbert Md, Pllc | Psychiatry & Neurology | 2550 E River Rd Unit 13205, Tucson, AZ 85718-9527 | 2020-10-30 |
| 1629689922 | Cerebro Wellness LLC | Psychiatry & Neurology | 3031 W Northern Ave Ste 109, Phoenix, AZ 85051-6695 | 2020-08-11 |
| 1972121218 | Laxus Integrated Health Solutions LLC | Psychiatry & Neurology | 11225 N 28th Dr Ste A102-4, Phoenix, AZ 85029-5606 | 2020-07-13 |
| 1174148076 | Spark Healthcare LLC | Psychiatry & Neurology | 8906 North 80th Place, Scottsdale, AZ 85258-2132 | 2020-06-16 |
| 1184257032 | Actify Neurotherapies, Pllc | Psychiatry & Neurology | 10720 W Indian School Rd Ste 19, Phoenix, AZ 85037-5799 | 2020-02-19 |
| 1851922512 | Mettamerica | Psychiatry & Neurology | 600 E State Highway 260 Ste 2, Payson, AZ 85541-4967 | 2020-01-31 |
| 1003470840 | Katherine Cheeves Md, Pllc | Psychiatry & Neurology | 141 S Mccormick St Ste 112, Prescott, AZ 86303-4730 | 2019-04-26 |
| 1336702448 | Julie Tomkins | Psychiatry & Neurology | Behavioral Health Pavilion, 2800 E Ajo Way, Tucson, AZ 85713 | 2019-04-16 |
| 1053974071 | Siddesh Gopalakrishnan | Psychiatry & Neurology | Department of Psychiatry, Bhp, 2800 E. Ajo Way, Tucson, AZ 85713-6204 | 2019-04-16 |
| 1124681358 | Alexander Paul Lang | Psychiatry & Neurology | 2800 E Ajo Way Dept Of, Tucson, AZ 85713-6204 | 2019-04-14 |
| Find all providers with the same taxonomy | ||||
| City | WICKENBURG |
| Zip Code | 85390 |
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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.