COMMUNITY CONNECTIONS, LLC OUTPATIENT CLINIC (NPI# 1093013633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093013633 |
Entity Type | Organization |
Organization Name | COMMUNITY CONNECTIONS, LLC OUTPATIENT CLINIC |
Practice Address |
19841 N 27th Ave Suite #202 Phoenix AZ 85027-4003 |
Mailing Address |
9208 N 83rd Pl Scottsdale AZ 85258-1884 |
Practice Telephone | 6022835267 |
Enumeration Date | 2011-03-07 |
Last Update Date | 2011-03-07 |
Authorized Official Name | JOEL TEMPLE (CEO) |
Authorized Official Telephone | 6025095248 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | BH3806 | AZ | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083189401 | Community Connections, LLC Outpatient Clinic | Counselor | 4025 W Bell Rd Ste 6, Phoenix, AZ 85053-2748 | 2018-10-11 |
Street Address |
19841 N 27TH AVE SUITE #202 |
City | PHOENIX |
State | AZ |
Zip Code | 85027-4003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114924982 | Dale Roderick Schultz | Psychiatry & Neurology | 19841 N 27th Ave, Suite 403, Phoenix, AZ 85027-4007 | 2005-07-07 |
1063032266 | Rsat Professional Corporation | Plastic Surgery | 19841 N 27th Ave, Phoenix, AZ 85027-4003 | 2020-04-17 |
1477803393 | Arthur Rothstein | Nurse Practitioner | 19841 N 27th Ave, Suite 101, Phoenix, AZ 85027-4003 | 2012-09-18 |
1639460025 | Phoenix Spine Consultants | Clinic/Center | 19841 N 27th Ave, Suite 300a, Phoenix, AZ 85027-4003 | 2011-04-20 |
1922314053 | John C. Lincoln Comprehensive Women's Center, LLC | Obstetrics & Gynecology | 19841 N 27th Ave, Suite 204, Phoenix, AZ 85027-4003 | 2010-08-26 |
1487968004 | Natalie Fogelson Pllc | Physical Therapist | 19841 N 27th Ave, Suite 303, Phoenix, AZ 85027-4003 | 2010-08-06 |
1295051985 | Natalie Chantall Fogelson | Physical Therapist | 19841 N 27th Ave, Suite 303, Phoenix, AZ 85027-4003 | 2010-04-20 |
1396975108 | North Phoenix Chiropractic, LLC | Chiropractor | 19841 N 27th Ave, Suite 301, Phoenix, AZ 85027-4003 | 2009-07-15 |
1265604771 | Lincoln Wellness and Family Care P.C. | Family Medicine | 19841 N 27th Ave, Suite 304, Phoenix, AZ 85027-4003 | 2008-03-25 |
1447437942 | Daniel Joseph Deusterman | Personal Emergency Response Attendant | 19841 N 27th Ave, Suite 101, Phoenix, AZ 85027-4003 | 2008-01-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
Find all providers in zip 85027 |
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 |
---|---|---|---|---|
1790384030 | Great Xpectations LLC | Community/Behavioral Health | 4014 W Christy Dr, Phoenix, AZ 85029-3958 | 2020-10-19 |
1386242295 | Mercy Cares LLC | Community/Behavioral Health | 2644 E Paradise Ln Apt D, Phoenix, AZ 85032-2945 | 2020-10-13 |
1124626080 | Beia's Families | Community/Behavioral Health | 3230 E Broadway Rd Ste C-235, Phoenix, AZ 85040-2873 | 2020-10-13 |
1518564442 | Infinity Groups Homes LLC | Community/Behavioral Health | 3523 E Everett Dr, Phoenix, AZ 85032-5136 | 2020-10-05 |
1013524230 | Civara Behavioral Health LLC | Community/Behavioral Health | 4010 W Cactus Rd, Phoenix, AZ 85029-2905 | 2020-10-01 |
1043827561 | Crossroads, Inc | Community/Behavioral Health | 2002 E Osborn Rd, Phoenix, AZ 85016-7236 | 2020-09-29 |
1043827025 | Guiding Steps Health Services, LLC | Community/Behavioral Health | 4926 E Mcdowell Rd, Phoenix, AZ 85008-4294 | 2020-09-24 |
1154931566 | Apex Transitional Housing Inc | Community/Behavioral Health | 13827 N 11th St, Phoenix, AZ 85022-4316 | 2020-08-01 |
1356959126 | Rock House Az, LLC | Community/Behavioral Health | 8650 N 35th Ave Ste 110, Phoenix, AZ 85051-3835 | 2020-07-17 |
1215554902 | Lydia Barton | Community/Behavioral Health | 1420 W Missouri Ave, Phoenix, AZ 85013-1919 | 2020-06-29 |
Find all providers in PHOENIX |
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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.