DR. CAITLIN DIRVONAS (NPI# 1104202464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104202464 |
| Entity Type | Individual |
| Full Name | DR. CAITLIN DIRVONAS |
| Credential | PHARM.D. |
| Practice Address |
650 E Indian School Rd Phoenix AZ 85012-1839 |
| Mailing Address |
2838 E Sands Dr Phoenix AZ 85050-8200 |
| Practice Telephone | 6022775551 |
| Mailing Telephone | 5204055448 |
| Enumeration Date | 2015-08-09 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
S020788 | AZ | Pharmacy Service Providers |
| Street Address |
650 E INDIAN SCHOOL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679579213 | Carlos J Carrera | Psychiatry & Neurology | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2005-06-27 |
| 1568063220 | Lucas Alan Bodine | Physical Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-11-07 |
| 1417558206 | Elijah Robles Lazo | Physical Medicine & Rehabilitation | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-11-06 |
| 1871191486 | Samantha Roberts | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-10-15 |
| 1760099667 | Dino Alihodzic | Psychologist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-09-25 |
| 1659986768 | Jennica Lynne Failner | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-09-15 |
| 1568074557 | Danielle Marie Mcgraw | Psychologist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-08-20 |
| 1841802055 | Courtney Loera | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-08-19 |
| 1659980613 | Nakia Andrea Willis | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-07-27 |
| 1487263430 | Lauren Larue Waznik | Dietitian, Registered | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922417658 | Tiffany Lee Gordon | Pharmacist | 501 N 24th St, Phoenix, AZ 85008-6056 | 2014-08-06 |
| 1427304492 | Jessica Emily Hopper | Pharmacist | 529 W Las Palmaritas Dr, Phoenix, AZ 85021-5534 | 2012-07-27 |
| 1346248945 | Melissa Danielle Lamer | Pharmacist | 4801 E Washington St, Phoenix, AZ 85034-2004 | 2005-07-08 |
| 1083611479 | Marilyn Rose Semenchuk | Pharmacist | 16625 S 27th Ln, Phoenix, AZ 85045-2207 | 2005-06-30 |
| 1659970325 | Stanley Kupata Mwendar | Pharmacist | 1209 S 1st Ave, Phoenix, AZ 85003-2605 | 2020-10-22 |
| 1760091060 | Taylor Riedley | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-07-23 |
| 1891316709 | Sarah Marie Allen | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2020-05-01 |
| 1629438882 | Taylor Nichols | Pharmacist | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2016-03-02 |
| 1417206319 | Andrea Jeanay Tanzella | Pharmacist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2012-09-06 |
| 1831320183 | Brianna Elise Moody Englett | Pharmacist | 2500 E Van Buren St, Phoenix, AZ 85008-6037 | 2009-08-05 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on DR. CAITLIN DIRVONAS.
| 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.