MR. MICHAEL CLARK BRUBAKER (NPI# 1306340351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306340351 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL CLARK BRUBAKER |
| Credential | LISAC0122 NCGCII 114 |
| Practice Address |
1927 N Trekell Rd Ste D Casa Grande AZ 89122 |
| Practice Telephone | 5208369788 |
| Practice Fax Number | 5204211975 |
| Mailing Telephone | 5208369788 |
| Mailing Fax Number | 5204211975 |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISACAZ0122 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689223158 | Michael Brubaker | Counselor | 2610 Mcmicken Circle University of Cincinnati, Cincinnati, OH 45221-0001 | 2019-09-08 |
| 1336149061 | Michael J Brubaker | Family Medicine | 700 Main St, Rochester, IN 46975 | 2005-07-22 |
| Street Address |
1927 N TREKELL RD STE D |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 89122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760735864 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N Trekell Rd Ste D, Casa Grande, AZ 85122-1762 | 2012-10-26 |
| 1750902243 | Annette Collier | Counselor | 1927 N Trekell Rd Ste D, Casa Grande, AZ 85122-1762 | 2020-05-06 |
| 1255952743 | Collier Counseling Center | Counselor | 1927 N Trekell Rd Ste D, Casa Grande, AZ 85122-1762 | 2020-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902425523 | Dezirae Wilson | Technician | 5180 E Tropicana Ave Apt 46e, Las Vegas, NV 89122 | 2020-04-14 |
| 1407312366 | More Than Words LLC | Speech-Language Pathologist | 3430 Blue Ash Lane, Las Vegas, NV 89122 | 2019-02-15 |
| 1588130751 | Leslie Totress | Case Manager/Care Coordinator | 6368 Foxlyn Ave, Las Vegas, NV 89122 | 2018-10-15 |
| 1780100511 | Easy Living Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 5069 Sun Valley Dr, Las Vegas, NV 89122 | 2017-08-14 |
| 1508381435 | Louie Taquiqui | Community/Behavioral Health | 3566 Tundra Swan St, Las Vegas, NE 89122 | 2017-08-11 |
| 1972032233 | Marilan Sanchez | Rehabilitation Practitioner | 5210 Emelita St, Las Vegas, NV 89122 | 2017-06-08 |
| 1023479599 | Tia Collins | Social Worker | 5412 Boulder Highway, Las Vegas, NV 89122 | 2016-03-11 |
| 1548673056 | Saba Chatoor | Counselor | 5446 Boulder Hwy Ste G3, Las Vegas, NV 89122 | 2014-06-03 |
| 1811328685 | Derrell Williams | Counselor | 3326 Wasatch Cedars St., Las Vegas, NV 89122 | 2013-12-04 |
| 1225466709 | The Lighthouse LLC | Community/Behavioral Health | 5710 E Tropicana Ave #2212, Las Vegas, NEVADA 89122 | 2013-10-22 |
| Find all providers in zip 89122 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154822062 | Community Medical Services Arizona-private, LLC | Counselor | 440 N Camino Mercado Ste 2, Casa Grande, AZ 85122-5750 | 2018-02-26 |
| 1598086076 | Michael Allen Vanslyke | Counselor | 6540 N Cholla Ln, Casa Grande, AZ 85194-6896 | 2010-06-18 |
| 1023339744 | Sandra A Murdock | Counselor | 102 N Florence St, Casa Grande, AZ 85122-4419 | 2010-06-16 |
| 1508194945 | Jennifer Sielaff | Counselor | 2271 S Peart Rd, Casa Grande, AZ 85122-8545 | 2009-11-23 |
| 1407006380 | Jennifer L Enders | Counselor | 1115 E Florence Blvd, Casa Grande, AZ 85122-4228 | 2008-09-26 |
| 1770704926 | Arizona Treatment Institute, LLC. | Counselor | 1927 N Trekell Rd, Suite D, Casa Grande, AZ 85222-1762 | 2007-05-02 |
| 1417098583 | Tricia Foster | Counselor | 900 E Florence Blvd Ste G, Casa Grande, AZ 85222-4673 | 2007-02-09 |
| 1093867285 | Elizabeth Ann Faulkner | Counselor | 425 N Lincoln Ave, Casa Grande, AZ 85222-4635 | 2007-01-17 |
| 1982793063 | Jodi Lyn Wilton | Counselor | 1901 N Trekell Rd, Casa Grande, AZ 85222-1770 | 2006-10-12 |
| 1760579486 | Florence Suzanne Kacprzynski` | Counselor | 222 E. Cottonwood Lane, Casa Grande, AZ 85222 | 2006-10-06 |
| Find all providers in CASA GRANDE | ||||
| City | CASA GRANDE |
| Zip Code | 89122 |
Please comment or provide details below to improve the information on MR. MICHAEL CLARK BRUBAKER.
| 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.