THE ADAM DIXON PERSEVERANCE FOUNDATION


Address: 5060 N 19th Ave # 300-14, Phoenix, AZ 85015-3210
Phone: 4805606370

THE ADAM DIXON PERSEVERANCE FOUNDATION (NPI# 1386267706) 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) 1386267706
Entity Type Organization
Organization Name THE ADAM DIXON PERSEVERANCE FOUNDATION
Practice Address 5060 N 19th Ave # 300-14
Phoenix
AZ 85015-3210
Practice Telephone 4805606370
Mailing Telephone 4805606370
Enumeration Date 2020-05-20
Last Update Date 2020-05-20
Authorized Official Name ADAM CONLEY DIXON (CEO)
Authorized Official Telephone 4805606370
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management Agencies
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 251C00000X Day Training, Developmentally Disabled Services Agencies
N 251S00000X Community/Behavioral Health Agencies
N 261QA0600X Clinic/Center
Specialization: Adult Day Care
Ambulatory Health Care Facilities
N 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
N 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
The Adam Dixon Perseverance Foundation Doing Business As Name - Organization

Office Location

Street Address 5060 N 19TH AVE # 300-14
City PHOENIX
State AZ
Zip Code 85015-3210

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NPI Name Taxonomy Address Enumeration
1922610310 Leticia Karina Maria Lelli Student in an Organized Health Care Education/Training Program 4760 N. 20th Ave, Phx, AZ 85015 2020-08-18
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1851820146 Jeff Biever Spec/Tech, Cardiovascular 1517 West Lamar Rd, Phoenix, AZ 85015 2017-06-08
1407230964 Sean Noonan Optometrist 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 2015-07-15
1295141620 Yehia Saleh Pharmacist 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 2014-07-07
1295160380 Journey To Prosperity Custodial Care Facility 1623 W Denton, Phoenix, AZ 85015 2013-09-07
1124372099 Facing The Future With Hope Counselor 5656 N 17th Ave #c7, Phoenix, AZ 85015 2012-10-31
1700133998 Srujal Vinubhai Patel Internal Medicine 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 2012-08-07
1689933947 Modern Dental Professionals - Arizona PC Dentist 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 2012-05-08
1528360674 Fatima Medical Transportation LLC Non-emergency Medical Transport (VAN) 2025 W Indian School Road, #705, Phoenix, AZ 85015 2010-11-23
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497372908 A Path of Resilience - Aprbhs - Rose House - LLC Clinic/Center 2258 W Wayland Rd, Phoenix, AZ 85041-3753 2020-06-30
1083237630 The Heart Program Clinic/Center 4041 E Flower St, Phoenix, AZ 85018-6433 2020-05-18
1316569056 Desert Heart Counseling Corp Clinic/Center 1536 E Maryland Ave Ste B300, Phoenix, AZ 85014-1475 2020-05-16
1588212195 Tamarria Denga Clinic/Center 10000 N 31st Ave Ste D411, Phoenix, AZ 85051-1358 2019-08-27
1043778756 Aye Wellness, Pllc Clinic/Center 2406 S 24th St Ste E100, Phoenix, AZ 85034-6801 2019-03-12
1205391588 Sanctuary Clinic/Center 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 2019-01-31
1396209474 Enchanted Behavioral Healthcare, LLC Clinic/Center 11225 N 28th Dr Ste D115h, Phoenix, AZ 85029-5609 2019-01-23
1427548668 Integrative Wellness Solutions, Pllc Clinic/Center 700 W Campbell Ave Ste 1, Phoenix, AZ 85013-2690 2018-05-14
1679088363 Center for Therapy and Mindfulness Clinic/Center 2807 N 51st St, Phoenix, AZ 85008-1613 2017-12-05
1811434558 Successful Journeys Integrated Care Clinic/Center 8828 N Central Ave, 206, Phoenix, AZ 85020-2849 2017-01-19
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Competitor

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City PHOENIX
Zip Code 85015

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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