STATECARE LLC (NPI# 1336692656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336692656 |
| Entity Type | Organization |
| Organization Name | STATECARE LLC |
| Practice Address |
2190 N Grace Blvd Chandler AZ 85225-3416 |
| Mailing Address |
8790 E Via De Ventura Unit 5431 Scottsdale AZ 85261-4388 |
| Practice Telephone | 4809179301 |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |
| Authorized Official Name | MARYAM HAZEGHAZAM (OWNER) |
| Authorized Official Telephone | 6233082472 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
49617 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
2190 N GRACE BLVD |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85225-3416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689747370 | Southwestern Children's Health Services, Inc. | Psychiatric Residential Treatment Facility | 2190 N Grace Blvd, Chandler, AZ 85225-3416 | 2006-11-17 |
| 1073170684 | Christina Gutierrez | Nurse Practitioner | 2190 N Grace Blvd, Chandler, AZ 85225-3416 | 2019-05-20 |
| 1528591948 | Daniel Link Md PC | Psychiatry & Neurology | 2190 N Grace Blvd, Chandler, AZ 85225-3416 | 2017-04-04 |
| 1386011062 | Psycaremd LLC | Psychiatry & Neurology | 2190 N Grace Blvd, Chandler, AZ 85225-3416 | 2015-08-28 |
| 1467849422 | Rajiv Siddaramu Md Pllc | Family Medicine | 2190 N Grace Blvd, Chandler, AZ 85225-3416 | 2015-04-16 |
| 1043613086 | Mona Amini Md, Pllc | Psychiatry & Neurology | 2190 N Grace Blvd, Chandler, AZ 85225-3416 | 2014-10-05 |
| 1750702312 | Southwestern Children's Health Services, Inc. | Psychiatric Hospital | 2190 N Grace Blvd, Chandler, AZ 85225-3416 | 2013-12-30 |
| 1093988180 | Devel Bh Consultants | Community Based Residential Treatment Facility, Mental Illness | 2190 N Grace Blvd, Chandler, AZ 85225-3416 | 2008-04-09 |
| 1295908390 | Developmental Bh Consult | Residential Treatment Facility, Emotionally Disturbed Children | 2190 N Grace Blvd, Chandler, AZ 85225-3416 | 2008-04-09 |
| 1639223134 | Daniel Link | Psychiatry & Neurology | 2190 N Grace Blvd, Chandler, AZ 85225-3416 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528609724 | Marina Hinojos | Social Worker | 1205 E Frye Rd, Building A, Chandler, AZ 85225 | 2019-09-30 |
| 1396308854 | Fit Kids, Inc | Local Education Agency (LEA) | 250 S. Mcqueen Road, Chandler, AZ 85225 | 2019-04-19 |
| 1811489594 | Skyler Jay Smith | Dentist | 1992 E Ray Rd, Suite #2, Chandler, AZ 85225 | 2018-05-30 |
| 1881190049 | Novocur Surgery Center, LLC | Clinic/Center | 604 W. Warner Road, Building A, Chandler, AZ 85225 | 2018-04-04 |
| 1467961292 | Shameka Uzell Rodriguez | Licensed Practical Nurse | 2222 N Mcqueen Rd, 1068, Chandler, AZ 85225 | 2017-09-25 |
| 1174069546 | Cynthia Taylor | Contractor | 2800 N Arizona Ave Ste 229, Chandler, AZ 85225 | 2017-01-10 |
| 1134679582 | Rebecca Nelson | Specialist/Technologist | 860 N. Mcqueen Rd., Unit 1142, Chandler, AZ 85225 | 2016-10-10 |
| 1134675077 | Anything Is Possible Youth & Family Services, LLC | Community/Behavioral Health | 128 West Boxelder Place, Suite #101, Chandler, AZ 85225 | 2016-08-31 |
| 1871954255 | Jillian Perna | Occupational Therapist | 3310 N Sunridge Ln, Chandler, AZ 85225 | 2016-03-14 |
| 1922482017 | Advanced Neurologic Rehabilitation | Clinic/Center | 3160 N. Arizona Ave, Suite 106, Chandler, AZ 85225 | 2015-07-17 |
| Find all providers in zip 85225 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558593897 | Akhtar Saeed Hamidi | Psychiatry & Neurology | 2040 S Alma School Rd # 1-333, Chandler, AZ 85286-0987 | 2009-08-20 |
| 1386812873 | Lloyd Kenneth Bentley | Psychiatry & Neurology | 1110 W Palo Verde Dr, Chandler, AZ 85224-2355 | 2008-02-18 |
| 1942379250 | The Southwest Center for Obsessive Compulsive Disorders LLC | Psychiatry & Neurology | 932 W Chandler Blvd, Suit 2, Chandler, AZ 85225 | 2006-11-08 |
| 1265531313 | Steven G Dulla | Psychiatry & Neurology | 1257 W Warner Road, Suite B3, Chandler, AZ 85224 | 2006-09-22 |
| 1639274749 | Dragica Dasha Lekic | Psychiatry & Neurology | 3210 S Gilbert Rd, Ste 1, Chandler, AZ 85286-5108 | 2006-09-13 |
| 1659364396 | Lauro Amezcua-patino | Psychiatry & Neurology | 4055 W Chandler Blvd, Suite #5, Chandler, AZ 85226-3700 | 2005-08-29 |
| 1528591948 | Daniel Link Md PC | Psychiatry & Neurology | 2190 N Grace Blvd, Chandler, AZ 85225-3416 | 2017-04-04 |
| 1386011062 | Psycaremd LLC | Psychiatry & Neurology | 2190 N Grace Blvd, Chandler, AZ 85225-3416 | 2015-08-28 |
| 1043613086 | Mona Amini Md, Pllc | Psychiatry & Neurology | 2190 N Grace Blvd, Chandler, AZ 85225-3416 | 2014-10-05 |
| 1467744557 | Daniel John Sutton | Psychiatry & Neurology | 932 W Chandler Blvd, Suite 2, Chandler, AZ 85225-4518 | 2011-05-06 |
| Find all providers in CHANDLER | ||||
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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.