RIDGELINE PRACTICE (NPI# 1356959951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356959951 |
| Entity Type | Organization |
| Organization Name | RIDGELINE PRACTICE |
| Practice Address |
4625 N Broadway Suite 105 Tucson AZ 85711 |
| Mailing Address |
7712 N Red Wing Pl Tucson AZ 85741-1331 |
| Practice Telephone | 4238028414 |
| Mailing Telephone | 4238028414 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | CARLY MOSS (OWNER) |
| Authorized Official Telephone | 4238028414 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
4625 N BROADWAY SUITE 105 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
| 1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
| 1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
| 1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
| 1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
| 1689196420 | Cope Community Services, Inc. | Case Management | 924 N Alvernon Way, Tucson, AZ 85711 | 2017-07-13 |
| 1124561477 | Regina Maendler | Behavioral Analyst | 630 N. Craycroft Rd, Tucson, AZ 85711 | 2016-11-18 |
| 1881140184 | Elleda Linsmeyer | Speech-Language Pathologist | St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 | 2016-08-28 |
| 1962856260 | Csl-tucson, LLC | Assisted Living Facility | 1020 N. Woodland Avenue, Tucson, AZ 85711 | 2016-04-22 |
| 1043664832 | Randall Lee Buck | Counselor | 899 E. Wilmot Rd., Bldg B, Tucson, AZ 85711 | 2016-04-18 |
| Find all providers in zip 85711 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841808 | Sara Diaz | Counselor | 3220 W Ina Rd Apt 19106, Tucson, AZ 85741-2173 | 2020-08-16 |
| 1326656927 | John H Shukwit | Counselor | 9041 E 32nd Pl, Tucson, AZ 85710-7923 | 2020-07-20 |
| 1760090542 | Caila Lipovsky | Counselor | 3700 N Fairview Ave Apt 203, Tucson, AZ 85705-3472 | 2020-07-17 |
| 1720603343 | Crossing Arrows Counseling Services | Counselor | 921 S Craycroft Rd, Tucson, AZ 85711-7112 | 2020-06-09 |
| 1659993574 | Tucson Hope LLC | Counselor | 5700 E Pima St Ste C, Tucson, AZ 85712-5637 | 2020-05-13 |
| 1639799018 | Amanda Watercolor Golightly | Counselor | 2016 E Broadway Blvd, Tucson, AZ 85719-5936 | 2020-04-25 |
| 1922632371 | Richard Moon | Counselor | 2710 W Placita Mesa Alta, Tucson, AZ 85742-8736 | 2020-02-25 |
| 1184258659 | Small Steps In Wellness | Counselor | 1955 W Grant Rd Ste 125, Tucson, AZ 85745-1481 | 2020-02-24 |
| 1285266460 | Noreen O'shea | Counselor | 3230 N Craycroft Rd Apt 3, Tucson, AZ 85712-5246 | 2020-02-06 |
| 1700418043 | Christine Marie Kraft | Counselor | 7382 N La Cholla Blvd, Tucson, AZ 85741-2305 | 2020-02-05 |
| Find all providers in TUCSON | ||||
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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.