ARIZONA WELLCARE LLC (NPI# 1366088585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366088585 |
Entity Type | Organization |
Organization Name | ARIZONA WELLCARE LLC |
Practice Address |
2515 E Thomas Rd Ste 16 Phoenix AZ 85016-7946 |
Practice Telephone | 8666613816 |
Mailing Telephone | 8666613816 |
Enumeration Date | 2019-11-22 |
Last Update Date | 2019-11-22 |
Authorized Official Name | RHONDA RUSSELL (OWNER) |
Authorized Official Telephone | 8666613816 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
Street Address |
2515 E THOMAS RD STE 16 |
City | PHOENIX |
State | AZ |
Zip Code | 85016-7946 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
Find all providers in zip 85016 |
Taxonomy Code | 103TB0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Cognitive & Behavioral |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780201905 | Aimee Nyirakanyana | Psychologist | 9225 W Willow Bend Ln, Phoenix, AZ 85037-2444 | 2020-07-03 |
1093340606 | Taylord LLC | Psychologist | 2302 N Central Ave Unit 604, Phoenix, AZ 85004-1377 | 2020-03-04 |
1528626074 | Keauna Olugu | Psychologist | 17249 N. 7th St, 1128, Phoenix, AZ 85022 | 2019-05-30 |
1013385384 | Ashley Michelle Loeb | Psychologist | 4130 E Nighthawk Way, Phoenix, AZ 85048-0556 | 2015-09-03 |
1457501876 | Joseph A Gentry | Psychologist | 7600 N 16th St Ste 110, Phoenix, AZ 85020-4446 | 2008-09-22 |
1700902764 | Susanne Griffin | Psychologist | 7227 North 16th Street, Suite 219, Phoenix, AZ 85020-5251 | 2007-03-21 |
1013936228 | Alan Lee Ogus | Psychologist | 110 West Camelback Road, Suite 200, Phoenix, AZ 85013 | 2006-07-19 |
1447204359 | Donald R. Townsend | Psychologist | 3040 E Cactus Rd, Ste A, Phoenix, AZ 85032-7196 | 2006-05-22 |
1427678143 | Kristin Larson | Psychologist | 2930 E Northern Ave Ste A105, Phoenix, AZ 85028-4844 | 2020-04-22 |
1457806796 | Aleksandr Levitan | Psychologist | 2375 E Camelback Rd Ste 600, Phoenix, AZ 85016-3493 | 2016-08-16 |
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.