PURPLE HEART BEHAVIORAL HEALTH LLC (NPI# 1356973143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356973143 |
| Entity Type | Organization |
| Organization Name | PURPLE HEART BEHAVIORAL HEALTH LLC |
| Practice Address |
4700 S Mill Ave Ste B5 Tempe AZ 85282-6736 |
| Practice Telephone | 6025298120 |
| Mailing Telephone | 6025298120 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | DR. ANGELA KENZSLOWE (PSYCHOLOGIST) |
| Authorized Official Telephone | 6025298120 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
4700 S MILL AVE STE B5 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-6736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679027668 | Angela Kenzslowe | Psychologist | 4700 S Mill Ave Ste B5, Tempe, AZ 85282-6736 | 2016-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039723 | Life Care Premier Services LLC | Clinic/Center | 4690 S Lakeshore Dr Apt 3052, Tempe, AZ 85282-1174 | 2020-09-28 |
| 1811507379 | Aptitude Mental Health Pllc | Clinic/Center | 5025 S Ash Ave Ste 12, Tempe, AZ 85282-6885 | 2020-08-08 |
| 1790309896 | Breakthrough Behavioral Health | Clinic/Center | 5777 S Rural Rd Ste 5, Tempe, AZ 85283-1947 | 2020-06-04 |
| 1508368986 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 4515 S Mcclintock Dr Ste 114, Tempe, AZ 85282-7381 | 2018-03-01 |
| 1487169009 | Restorative Healing and Counseling Center LLC | Clinic/Center | 9855 S. Priest Drive, Suite 102, Tempe, AZ 85284 | 2017-12-05 |
| 1487974812 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 1700 E Don Carlos Ave Apt 101, Tempe, AZ 85281-4346 | 2010-06-08 |
| 1790961985 | Rosewood Ranch, Lp | Clinic/Center | 950 W Elliot Rd Ste 201, Tempe, AZ 85284-1145 | 2008-01-17 |
| 1255974838 | Stability Assist | Clinic/Center | 4625 S Lakeshore Dr, Tempe, AZ 85282-7127 | 2019-10-25 |
| 1174013254 | Empowering Change Counseling Services, LLC | Clinic/Center | 6197 S Rural Rd Ste 102, Tempe, AZ 85283-2909 | 2018-05-15 |
| 1861997207 | Elevate Peer Support, LLC. | Clinic/Center | 2600 E Southern Ave Ste D1, Tempe, AZ 85282-7747 | 2018-03-28 |
| Find all providers in TEMPE | ||||
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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.