MR. WAYNE ARTHUR FORMICA (NPI# 1134786965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134786965 |
| Entity Type | Individual |
| Full Name | MR. WAYNE ARTHUR FORMICA |
| Credential | MC LPC NCC |
| Practice Address |
4767 E Woodside Way Gilbert AZ 85297-7479 |
| Practice Telephone | 6025615286 |
| Mailing Telephone | 6025615286 |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
10413 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
4767 E WOODSIDE WAY |
| City | GILBERT |
| State | AZ |
| Zip Code | 85297-7479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
| 1508483827 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 | 2020-07-02 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1750928727 | Emily Paige Stott | Specialist/Technologist | 4141 E Sidewinder Ct, Gilbert, AZ 85297 | 2019-12-09 |
| 1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
| 1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
| 1508337213 | Orthopedic Specialists of North America Pllc | Physical Therapist | 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 | 2018-12-07 |
| 1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
| 1982155503 | Sheli K Jensen | Marriage & Family Therapist | 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 | 2016-10-19 |
| 1407302763 | Kelly Jo Plencner-vega | Advanced Practice Midwife | 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 | 2016-08-28 |
| Find all providers in zip 85297 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154429 | Billie Moffit | Counselor | 2730 S Val Vista Dr Ste 135, Gilbert, AZ 85295-1681 | 2020-04-29 |
| 1871132407 | Misty Rayne Romney | Counselor | 3630 E Leslie Dr, Gilbert, AZ 85296-2862 | 2019-12-30 |
| 1902445521 | Lisa M Hollebeek | Counselor | 3370 S Mercy Rd Ste 218, Gilbert, AZ 85297-0414 | 2019-12-30 |
| 1700424645 | Jessica Lambros | Counselor | 3651 E Baseline Rd # E120, Gilbert, AZ 85234-2689 | 2019-12-11 |
| 1952954356 | Diana Hernandez | Counselor | 1206 E Warner Rd Ste 220, Gilbert, AZ 85296-3144 | 2019-07-24 |
| 1548826258 | Natalie Summit | Counselor | 2325 W Guadalupe Rd Ste 107, Gilbert, AZ 85233-2811 | 2019-05-17 |
| 1033676747 | Darlene K Anderson | Counselor | 4301 E Harvard Ave, Gilbert, AZ 85234-7550 | 2019-02-28 |
| 1962988477 | Lindsay Greenman | Counselor | 459 N Gilbert Rd Ste B140, Gilbert, AZ 85234-4750 | 2018-07-17 |
| 1578061594 | Stephanie Millar-haskell | Counselor | 910 S Annie Ln, Gilbert, AZ 85296-1442 | 2018-01-24 |
| 1649788670 | Jared Crouse Counseling Pllc | Counselor | 1760 E Boston St Ste 102r3, Gilbert, AZ 85295-6240 | 2018-01-11 |
| Find all providers in GILBERT | ||||
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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.