REFLECTION HEALTH SERVICES L.L.C. (NPI# 1134680820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134680820 |
| Entity Type | Organization |
| Organization Name | REFLECTION HEALTH SERVICES L.L.C. |
| Practice Address |
202 E Earll Dr Ste 360 Phoenix AZ 85012-2677 |
| Mailing Address |
5060 N 19th Ave Ste 300-28 Phoenix AZ 85015-3210 |
| Practice Telephone | 6026988261 |
| Mailing Telephone | 6026988261 |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | QUANIKA SHUNTAAYE SIMPSON-JACKSON (OWNER) |
| Authorized Official Telephone | 6026988261 |
| Authorized Official Credential | MEDICAL DIRECTOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5060 N 19th Ave Ste 300-28, Phoenix, AZ 850153210 | 6026988261 |
| Street Address |
202 E EARLL DR STE 360 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-2677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215285051 | Laura Elizabeth Fox | Physician Assistant | 202 E Earll Dr Ste 360, Phoenix, AZ 85012-2677 | 2012-08-28 |
| 1346840055 | Megan Marie Youngstead | Nurse Practitioner | 202 E Earll Dr Ste 360, Phoenix, AZ 85012-2677 | 2020-10-30 |
| 1114400637 | Quanika Shuntaaye Simpson-jackson | Emergency Medicine | 202 E Earll Dr Ste 360, Phoenix, AZ 85012-2677 | 2018-09-11 |
| 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 | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673548 | Above and Beyond Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1430 E Adams St, Phoenix, AZ 85034-1348 | 2020-09-15 |
| 1326652652 | Audacious Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1922 W Las Palmaritas Dr Apt J110, Phoenix, AZ 85021-5041 | 2020-09-03 |
| 1336751544 | Making Better Moves LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2314 W Saint Kateri Dr, Phoenix, AZ 85041-5342 | 2020-08-19 |
| 1679182042 | Home Care Sweet Home, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4522 E Michigan Ave, Phoenix, AZ 85032-1586 | 2020-07-30 |
| 1184240731 | Embrace Hope Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7707 W Kerby Ave, Phoenix, AZ 85043-1677 | 2020-06-19 |
| 1457976813 | Cactus Wren Community Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3829 W Pollack St, Phoenix, AZ 85041-6118 | 2020-06-11 |
| 1972127462 | Hope Haven LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6802 S 42nd Dr, Phoenix, AZ 85041-3509 | 2020-06-01 |
| 1285258848 | Arizona Center for Family Betterment LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18444 N 25th Ave Ste 4, Phoenix, AZ 85023-1261 | 2020-05-29 |
| 1780206466 | Solutions Integrated LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4150 N 12th St, Phoenix, AZ 85014-4994 | 2020-05-15 |
| 1790307486 | Smith-zen Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2727 E Camelback Rd Apt 207, Phoenix, AZ 85016-4472 | 2020-05-15 |
| 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.