DR. MICHAEL VICKROY (NPI# 1134202997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134202997 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL VICKROY |
| Credential | PH.D. |
| Practice Address |
3060 N Swan Road Tucson AZ 85712 |
| Practice Telephone | 5207518500 |
| Practice Fax Number | 5207518501 |
| Mailing Telephone | 5207518500 |
| Mailing Fax Number | 5207518501 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2018-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
015106 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3562 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 766503 | 05 |
| Street Address |
3060 N SWAN ROAD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173447 | Antonia Marie Garcia | Psychologist | 6262 N Swan Rd Ste 160, Tucson, AZ 85718-3636 | 2020-10-29 |
| 1164031100 | Karina Fleming | Psychologist | 1173 S Coyote Summit Pl, Tucson, AZ 85745-0003 | 2020-07-27 |
| 1063043776 | John R. Corbett | Psychologist | 4421 E Havasu Rd, Tucson, AZ 85718-2519 | 2020-01-31 |
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1992262984 | Joel Gaffney | Psychologist | Campus Health Service 1224 E Lowell St Bldg 95, Tucson, AZ 85721-0095 | 2019-02-26 |
| 1326541905 | Anne Markey Bowen | Psychologist | 3956 W Bar Ranch Dr, Tucson, AZ 85745-9260 | 2018-03-09 |
| 1629595210 | Caroline Pyevich | Psychologist | 7743 E Cleary Way, Tucson, AZ 85715-3734 | 2017-08-24 |
| 1023460235 | Emily Tudor Strang | Psychologist | 2525 E Broadway Blvd, Tucson, AZ 85716-5398 | 2016-07-12 |
| 1730563115 | Joseph Benach | Psychologist | 4625 E Broadway Blvd Ste 108, Tucson, AZ 85711-3575 | 2015-07-15 |
| 1114306917 | Tucson Concussion Center LLC | Psychologist | 5199 E Farness Dr, Suite 101, Tucson, AZ 85712-2134 | 2015-05-26 |
| Find all providers in TUCSON | ||||
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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.