TRACEY DENISE MANIGAULT (NPI# 1386171650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386171650 |
| Entity Type | Individual |
| Full Name | TRACEY DENISE MANIGAULT |
| Credential | MA., CSP |
| Practice Address |
8900 N Central Ave Ste 105 Phoenix AZ 85020-2846 |
| Mailing Address |
17364 W Elaine Dr Goodyear AZ 85338-1985 |
| Practice Telephone | 9282061766 |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2017-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
4241632 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | CERTIFIED SCHOOL PSYCHOLOGIST | 4241632 | 01 |
| Street Address |
8900 N CENTRAL AVE STE 105 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85020-2846 |
| 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 |
| 1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
| 1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
| Find all providers in zip 85020 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316326044 | Nicole Nielsen | Psychologist | 622 E Nicolet Ave, Phoenix, AZ 85020-4943 | 2015-05-27 |
| 1770915985 | Jill Larkin | Psychologist | 7747 W Pipestone Pl, Phoenix, AZ 85035-5096 | 2013-07-30 |
| 1639488570 | Jacqueline Relyea | Psychologist | 6550 S 27th Ave, Phoenix, AZ 85041-5287 | 2010-09-27 |
| 1740597541 | Kyle Vessell | Psychologist | 2625 E Cheryl Dr, Phoenix, AZ 85028-4319 | 2010-09-01 |
| 1972819084 | Carl Grasso | Psychologist | 31413 N 20th Ave, Phoenix, AZ 85085-7021 | 2010-08-26 |
| 1568778132 | Deborah Vogt Purscell | Psychologist | 1247 E Glenhaven Dr, Phoenix, AZ 85048-4734 | 2010-08-20 |
| 1548575426 | Casie Rene'e Blount | Psychologist | 3609 N 27th St, Phoenix, AZ 85016-6747 | 2010-08-16 |
| 1093034209 | Tiffani Allen | Psychologist | 1002 E Sheridan St, Phoenix, AZ 85006-1647 | 2010-05-27 |
| 1205164167 | Parul Saxena | Psychologist | 8525 W Osborn Road, Desert Horizon School, Phoenix, AZ 85037 | 2009-12-03 |
| 1386879047 | Jessica Hobart | Psychologist | 1926 E Camelback Rd Apt 427, Phoenix, AZ 85016-4118 | 2009-05-26 |
| 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.