EMPACT SUICIDE PREVENTION CENTER


Address: 460 N Mesa Dr, Suite 115, Mesa, AZ 85201-5973
Phone: 4808330227

EMPACT SUICIDE PREVENTION CENTER (NPI# 1073938684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073938684
Entity Type Organization
Organization Name EMPACT SUICIDE PREVENTION CENTER
Practice Address 460 N Mesa Dr
Suite 115
Mesa
AZ 85201-5973
Mailing Address 618 S Madison Dr
Tempe
AZ 85281-7248
Practice Telephone 4808330227
Mailing Telephone 4807841514
Mailing Fax Number 4807364939
Enumeration Date 2014-02-19
Last Update Date 2014-02-19
Authorized Official Name LAURA LARSON-HUFFAKER (EXECUTIVE DIRECTOR)
Authorized Official Telephone 4807841514
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 460 N MESA DR
SUITE 115
City MESA
State AZ
Zip Code 85201-5973

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093937021 Encourage Empowerment Counselor 460 N Mesa Dr, Suite 207, Mesa, AZ 85201-5973 2007-05-02
1578025250 Genoa Healthcare, LLC Pharmacy 460 N Mesa Dr, Unit 201, Suite 201p, Mesa, AZ 85201-5957 2019-04-02
1144790031 Tharp Enterprises, L.L.C. Counselor 460 N Mesa Dr, Mesa, AZ 85201-5973 2018-12-04
1548741812 Ana Williams Nurse Practitioner 460 N Mesa Dr, Mesa, AZ 85201-5973 2018-08-24
1124518204 Community Bridges, Inc. Clinic/Center 460 N Mesa Dr, Mesa, AZ 85201-5973 2018-05-15
1437691292 Brandon Healy Nurse Practitioner 460 N Mesa Dr, Suite 201, Mesa, AZ 85201-5973 2016-11-10
1538497912 Southwest Network Case Management 460 N Mesa Dr, Suite 201, Mesa, AZ 85201-5973 2009-11-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174141980 Arch Hospice, LLC. Hospice Care, Community Based 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 2020-07-08
1861025876 Summit Bhc Mesa LLC Clinic/Center 846 North Center Street Suite 101, Mesa, AZ 85201 2020-02-18
1427600774 Coleen Chatter Counselor 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 2019-07-16
1013487800 Akos Live Family Medicine 1902 W. Main Street, Mesa, AZ 85201 2018-12-05
1760990329 Sage Counseling, Inc. Community/Behavioral Health 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 2018-01-17
1336590025 Horizon Health and Wellness, Inc. Assisted Living Facility 453 West Sunset Circle, Mesa, AZ 85201 2016-06-24
1356711279 Cheryl Agosto Registered Nurse 1025 N. Country Club Dr, Mesa, AZ 85201 2015-10-05
1861877961 Richard Roble Speech-Language Pathologist 125 N. Country Club Dr., Mesa, AZ 85201 2015-07-30
1326440991 Demetria Harris Counselor 455 N. Mesa Drive #11, Mesa, AZ 85201 2014-09-25
1588002489 Zhen Liu Acupuncturist 210n. Center St, #102, Mesa, AZ 85201 2013-06-13
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710586144 Brighter Tomorrow's Family Services, LLC Community/Behavioral Health 644 N Country Club Dr Ste D, Mesa, AZ 85201-4983 2020-10-16
1073120390 Harmony Behavioral Home LLC Community/Behavioral Health 5437 E Harmony Ave, Mesa, AZ 85206-6750 2020-09-30
1992311716 Life Force Community Services Community/Behavioral Health 1237 S Val Vista Dr Ste 113, Mesa, AZ 85204-6401 2020-09-17
1326650417 Fresh Start Rescource Center LLC Community/Behavioral Health 840 E Mckellips Rd Ste 109, Mesa, AZ 85203-9654 2020-08-19
1679182745 A Nod To Veterans LLC Community/Behavioral Health 2436 S Lennox, Mesa, AZ 85209-6663 2020-07-24
1205452117 Md Life Strategies, Inc Community/Behavioral Health 7435 E Main St, Mesa, AZ 85207-8337 2020-06-17
1346864147 Rising Youth LLC Community/Behavioral Health 5948 E Fountain Cir, Mesa, AZ 85205-5513 2020-06-08
1225659121 Amazing Hope LLC Community/Behavioral Health 7103 E Onza Ave, Mesa, AZ 85212-9811 2020-05-01
1912535337 Harmony Family Services II Community/Behavioral Health 2812 N Norwalk Ste 103, Mesa, AZ 85215-1148 2020-03-31
1528692118 Sage Counseling, Inc. Community/Behavioral Health 460 N Mesa Dr Ste 116b, Mesa, AZ 85201-5974 2020-02-24
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Competitor

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City MESA
Zip Code 85201

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Dataset Information

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.

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