DR. MARCO A CORONADO (NPI# 1104968445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104968445 |
| Entity Type | Individual |
| Full Name | DR. MARCO A CORONADO |
| Credential | PH.D. |
| Practice Address |
7301 N 58th Ave Glendale AZ 85301-1893 |
| Practice Telephone | 6238428148 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 686686 | 05 |
| Street Address |
7301 N 58TH AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85301-1893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265063697 | Katherine Knowles Edwards-rose | Licensed Practical Nurse | 7301 N 58th Ave, Glendale, AZ 85301-1893 | 2020-02-04 |
| 1649811399 | Patsy Holguin | Licensed Practical Nurse | 7301 N 58th Ave, Glendale, AZ 85301 | 2019-10-03 |
| 1003461252 | Stephanie Flores | Specialist/Technologist | 7301 N 58th Ave, Glendale, AZ 85301-1893 | 2019-08-05 |
| 1497300891 | Melanie Billings | Occupational Therapist | 7301 N 58th Ave, Glendale, AZ 85301-1893 | 2019-08-03 |
| 1750860268 | Megan Elaine Riley | Speech-Language Pathologist | 7301 N 58th Ave, Glendale, AZ 85301-1893 | 2018-08-07 |
| 1659889251 | Pauline Paleo | Licensed Practical Nurse | 7301 N 58th Ave, Glendale, AZ 85301-1893 | 2018-01-17 |
| 1265947774 | Adriana M Ruiz | Specialist/Technologist | 7301 N 58th Ave, Glendale, AZ 85301-1893 | 2017-12-06 |
| 1538688437 | Emily Henson | Speech-Language Pathologist | 7301 N 58th Ave, Glendale, AZ 85301-1893 | 2017-09-12 |
| 1437677879 | Alexandra Blocher | Speech-Language Pathologist | 7301 N 58th Ave, Glendale, AZ 85301-1893 | 2017-09-06 |
| 1891245726 | Djin Anderson | Specialist/Technologist | 7301 N 58th Ave, Glendale, AZ 85301-1893 | 2016-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164051900 | Stateserv Medical of Phoenix LLC | Durable Medical Equipment & Medical Supplies | 5234 W. Missouri, Glendale, AZ 85301 | 2020-04-03 |
| 1366988933 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5148 W. Frier Dr, Glendale, AZ 85301 | 2017-01-06 |
| 1306227830 | Sage Counseling, Inc. | Community/Behavioral Health | 6610 N. 47th Avenue, Suites 6, 7 & 8, Glendale, AZ 85301 | 2015-06-10 |
| 1477802023 | Lori Wyke | Specialist/Technologist | 7301 N. 58th Avenue, Glendale, AZ 85301 | 2012-08-29 |
| 1144581257 | Jerry Harold Brue | Pharmacist | 7772 N 52nd Dr, Glendale, AZ 85301 | 2012-06-05 |
| 1558632935 | Jasmine Rojas | Licensed Practical Nurse | 7301 N. 58th Ave., Glendale Elem. Dist 40, Glendale, AZ 85301 | 2012-01-18 |
| 1184950438 | Victoria Joan Petti | Physical Therapist | 5125 N. 58th Ave, Glendale, AZ 85301 | 2009-10-21 |
| 1598907479 | Westside Speech & Language Services | Clinic/Center | 7415 N. 59th Ave, Glendale, AZ 85301 | 2009-03-24 |
| 1992940241 | Lorraine Pimentel Montes | Specialist | 4441 W. Bethany Home Rd, Glendale, AZ 85301 | 2008-12-15 |
| 1770739922 | Patricia Lee Click | Social Worker | 5400 W. Northern Avenue, Suite 120, Glendale, AZ 85301 | 2008-08-07 |
| Find all providers in zip 85301 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497226864 | Austin Mccall | Psychologist | 4425 W Olive Ave Ste 151, Glendale, AZ 85302-3855 | 2018-12-11 |
| 1730595646 | Patrick Lockwood | Psychologist | 130 N Brand Blvd Ste 202, Glendale, CA 91203-2617 | 2014-07-11 |
| 1154744415 | Anahid Assatourian | Psychologist | 3520 Stancrest Dr, Glendale, CA 91208-1322 | 2014-01-22 |
| 1013205822 | Nanako Negome-kapur | Psychologist | 17218 N 72nd Dr Ste 101, Glendale, AZ 85308 | 2011-07-13 |
| 1558591172 | Laura Marie Wendlandt | Psychologist | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2009-07-16 |
| 1346499761 | Anna Faye Leshner | Psychologist | 1510 S Central Ave Ste 210, Glendale, CA 91204-2557 | 2008-09-10 |
| 1184816233 | Juanita Mae Richard | Psychologist | 15082 N 59th Ave Apt 157, Glendale, AZ 85306-5234 | 2007-08-13 |
| 1417163528 | Donna M.l. Heretick | Psychologist | 6451 W Prickly Pear Trl, Glendale, AZ 85310-1023 | 2007-05-15 |
| 1417077298 | Eva J. Hageman | Psychologist | 20012 N 35th Ave, Glendale, AZ 85308-2204 | 2007-03-29 |
| 1811016942 | Tina Alexandrian | Psychologist | 100 N Brand Blvd Ste 516, Glendale, CA 91203-2614 | 2007-03-28 |
| Find all providers in GLENDALE | ||||
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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.