ARIZONA WELLCARE LLC


Address: 2515 E Thomas Rd Ste 16, Phoenix, AZ 85016-7946
Phone: 8666613816

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
Behavioral Health & Social Service Providers

Office Location

Street Address 2515 E THOMAS RD STE 16
City PHOENIX
State AZ
Zip Code 85016-7946

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

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
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Competitor

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City PHOENIX
Zip Code 85016

Improve Information

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Dataset Information

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.

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