DR. MAURIE S COMENZO (NPI# 1356712772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356712772 |
| Entity Type | Individual |
| Full Name | DR. MAURIE S COMENZO |
| Credential | PHD, LPC, ABCAC |
| Practice Address |
11024 North 28th Drive/suite #200 Lake Biltmore Corporate Center Phoenix AZ 85020 |
| Mailing Address |
3039 W. Peoria Ave. Suite #c-102-164 Phoenix AZ 85029 |
| Practice Telephone | 6023326115 |
| Practice Fax Number | 6023933082 |
| Mailing Telephone | 6023326115 |
| Mailing Fax Number | 6023933082 |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
AZ | Ambulatory Health Care Facilities |
| Street Address |
11024 NORTH 28TH DRIVE/SUITE #200 LAKE BILTMORE CORPORATE CENTER |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
| 1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
| 1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
| 1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
| 1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
| 1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
| 1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
| 1386033199 | Greta M. Ivers, Md, Pllc | Clinic/Center | 1825 East Northern Avenue, Suite 125, Phoenix, AZ 85020 | 2015-01-16 |
| Find all providers in zip 85020 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730428517 | Arizona's Children Association | Clinic/Center | 7910 W Thomas Rd, Suite 103, Phoenix, AZ 85033-4829 | 2013-02-13 |
| 1497964662 | Arizona Child Psychiatry, PC | Clinic/Center | 11260 N Tatum Blvd, Suite 140, Phoenix, AZ 85028-2307 | 2007-05-22 |
| 1811082779 | Arizona's Children Association | Clinic/Center | 3636 N Central Ave Ste 300, Phoenix, AZ 85012 | 2006-10-04 |
| 1306939368 | The Devereux Foundation | Clinic/Center | 2320 W Peoria Ave Ste C111, Phoenix, AZ 85029-4715 | 2006-10-02 |
| 1295784817 | Terros, Inc. | Clinic/Center | 4909 E Mcdowell Rd, Phoenix, AZ 85008-7735 | 2006-05-09 |
| 1194706986 | People of Color Network | Clinic/Center | 77 E.thomas Road, Suite 230, Phoenix, AZ 85012-3100 | 2005-11-08 |
| 1548764657 | Maricopa County Special Heallth Care District | Clinic/Center | 4011 N 51st Ave, Phoenix, AZ 85031-2601 | 2018-03-22 |
| 1578912093 | Arizona's Children Association | Clinic/Center | 7910 W Thomas Rd, Ste. 112, Phoenix, AZ 85033-4830 | 2016-06-06 |
| 1851750137 | Maricopa County Special Health Care District | Clinic/Center | 33 W Tamarisk St, Phoenix, AZ 85041-2422 | 2016-02-16 |
| 1992866834 | Terros Health | Clinic/Center | 3864 N 27th Ave, Phoenix, AZ 85017-4703 | 2006-12-13 |
| 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.