ADELANTE HEALTHCARE, INC. (NPI# 1093227324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093227324 |
| Entity Type | Organization |
| Organization Name | ADELANTE HEALTHCARE, INC. |
| Other Organization Name | ADELANTE HEALTHCARE PEORIA BEHAVIORAL HEALTH |
| Practice Address |
15525 N 83rd Ave Ste 104 Peoria AZ 85382-5820 |
| Mailing Address |
3033 N Central Ave Ste 145 Phoenix AZ 85012-2808 |
| Practice Telephone | 8778095092 |
| Mailing Telephone | 6235833001 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2019-03-06 |
| Authorized Official Name | KRYSTAL POWELL (REVENUE CYCLE DIRECTOR) |
| Authorized Official Telephone | 6235833001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
OTC6803 | AZ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Adelante Healthcare Peoria Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407132673 | Adelante Healthcare, Inc. | Clinic/Center | 15317 W Bell Rd, Surprise, AZ 85374-3877 | 2011-11-01 |
| 1083772545 | Adelante Healthcare, Inc. | Family Medicine | 811 North Tegner, Suite 113, Wickenburg, AZ 85390-2226 | 2006-12-05 |
| 1386702942 | Adelante Healthcare, Inc. | Family Medicine | 100 North Gila Blvd., Gila Bend, AZ 85337-0480 | 2006-12-05 |
| 1528126133 | Adelante Healthcare, Inc. | Family Medicine | 3033 N Central Ave Ste 145, Phoenix, AZ 85012-2808 | 2006-12-05 |
| 1275017915 | Adelante Healthcare, Inc. | Family Medicine | 13471 W Cornerstone Blvd, Goodyear, AZ 85395 | 2018-09-19 |
| 1770991291 | Adelante Healthcare, Inc. | Clinic/Center | 15525 N 83rd Ave Ste 104, Peoria, AZ 85382-5820 | 2014-07-28 |
| 1699035501 | Adelante Healthcare, Inc. | Clinic/Center | 1705 W Main St, Mesa, AZ 85201 | 2012-05-24 |
| 1801954441 | Adelante Healthcare, Inc. | Family Medicine | 306 E Monroe Ave, Buckeye, AZ 85326-2706 | 2006-12-05 |
| 1891853446 | Adelante Healthcare, Inc. | Family Medicine | 1705 W Main St, Mesa, AZ 85201-6920 | 2006-12-05 |
| 1205994761 | Adelante Healthcare, Inc. | Dentist | 15351 W Bell Rd, Surprise, AZ 85374-4580 | 2006-12-05 |
| Street Address |
15525 N 83RD AVE STE 104 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85382-5820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730394792 | Dionisio Trejo | Pediatrics | 15525 N 83rd Ave Ste 104, Peoria, AZ 85382-5820 | 2007-05-13 |
| 1659887297 | Eve Grinnell Barnett | Nurse Practitioner | 15525 N 83rd Ave Ste 104, Peoria, AZ 85382-5820 | 2017-12-19 |
| 1003202144 | Brent Smoots | Internal Medicine | 15525 N 83rd Ave Ste 104, Peoria, AZ 85382-5820 | 2015-04-14 |
| 1770991291 | Adelante Healthcare, Inc. | Clinic/Center | 15525 N 83rd Ave Ste 104, Peoria, AZ 85382-5820 | 2014-07-28 |
| 1972945269 | Lavanya Varma | Internal Medicine | 15525 N 83rd Ave Ste 104, Peoria, AZ 85382-5820 | 2013-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1770137648 | Stefan Cseh | Occupational Therapy Assistant | 8765 W Keiton Lane #116, Peona, AZ 85382 | 2019-07-30 |
| 1174177422 | Assyrian Cultural Foundation of Arizona | Homemaker | 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 | 2019-07-25 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1497258727 | Nkemdirim Obiora | Nurse Practitioner | 7853 West Lone Cactus Drive, Peoria, AZ 85382 | 2018-03-13 |
| 1851893721 | Alyssa Michelle Bauman | Registered Nurse | 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 | 2018-03-06 |
| 1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
| Find all providers in zip 85382 | ||||
| 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 |
|---|---|---|---|---|
| 1962767376 | Aman Deep Singh | Psychiatry & Neurology | 221 Ne Glen Oak Ave. 7 West, Dept. of Psych. and Behavior Health., Peoria, IL 61636 | 2012-07-11 |
| 1437438249 | Kapil Kiran Aedma | Psychiatry & Neurology | 900 Main St Ste 400, Peoria, IL 61602-1060 | 2011-08-10 |
| 1962674820 | Lisa Jean Burckhartzmeyer | Psychiatry & Neurology | 228 Ne Jefferson St, Peoria, IL 61602 | 2008-03-31 |
| 1366647521 | Andrew Jerome Lancia | Psychiatry & Neurology | 900 Main St Ste 720, Peoria, IL 61602-5027 | 2007-06-18 |
| 1710197827 | Mahasukh Shah | Psychiatry & Neurology | 5827 N Briarwood Ln, Peoria, IL 61614-4230 | 2007-05-23 |
| 1972620706 | Ronald Michael Schwartz | Psychiatry & Neurology | 9069 W Irma Ln, Peoria, AZ 85382-6481 | 2007-03-25 |
| 1386702595 | Christine Bowers | Psychiatry & Neurology | 4719 N Sheridan Road, Peoria, IL 61614 | 2006-12-04 |
| 1861584542 | Abraham Ramy Frenkel | Psychiatry & Neurology | 7317 N Willow Lake Ct, Peoria, IL 61614-8260 | 2006-09-29 |
| 1407948607 | Andrew Jon Heritch | Psychiatry & Neurology | 3116 N Dries Ln, #201, Peoria, IL 61604 | 2006-09-28 |
| 1205945912 | Shaukat Ali Khan | Psychiatry & Neurology | 5016 North University Street, Suite 104, Peoria, IL 61614-4763 | 2006-08-29 |
| Find all providers in PEORIA | ||||
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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.