CARMEN L. LUCIA PSYD LLC (NPI# 1164036935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164036935 |
| Entity Type | Organization |
| Organization Name | CARMEN L. LUCIA PSYD LLC |
| Practice Address |
15215 S 48th St Ste 154 Phoenix AZ 85044-9139 |
| Practice Telephone | 4809807355 |
| Practice Fax Number | 4807188762 |
| Mailing Telephone | 4809807355 |
| Mailing Fax Number | 4807188762 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | DR. CARMEN LYNNE LUCIA (OWNER) |
| Authorized Official Telephone | 4809807355 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
15215 S 48TH ST STE 154 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85044-9139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637345 | Jamie Roshun Dawson | Contractor | 13229 S 48th St Apt 3051, Phoenix, AZ 85044 | 2020-04-16 |
| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1134777634 | Elite Therapy of Az | Occupational Therapist | 15245 S 48th Street, Phoenix, AZ 85044 | 2019-08-28 |
| 1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
| 1578082392 | Karena Janiece Herron | Nurse Practitioner | 13625 S 48th St Apt 2100, Phoenix, AZ 85044 | 2017-09-13 |
| 1053847319 | Amanda Girardi | Dentist | 4726 E Verbena Dr, Phoenix, AZ 85044 | 2017-05-05 |
| 1518402593 | Janet Swift | Counselor | 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 | 2016-12-29 |
| 1588074876 | Suzanne Morris | Nurse Practitioner | 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 | 2014-05-07 |
| 1891117974 | Dr. Cameron Khavari Pllc | Chiropractor | 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 | 2014-01-09 |
| 1316213416 | Shyam Sundar Tangri | Internal Medicine | 13623 S. 45th St, Phoenix, AZ 85044 | 2012-03-22 |
| Find all providers in zip 85044 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1770888646 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 1601 W Desert Cove Ave, Phoenix, AZ 85029-5023 | 2011-01-24 |
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| 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.