DR. LARRY FOSTER WALDMAN (NPI# 1396790036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396790036 |
| Entity Type | Individual |
| Full Name | DR. LARRY FOSTER WALDMAN |
| Credential | PHD |
| Practice Address |
11020 N Tatum Blvd Suite 100 Phoenix AZ 85028 |
| Practice Telephone | 6029968619 |
| Practice Fax Number | 6029967932 |
| Mailing Telephone | 6029968619 |
| Mailing Fax Number | 6029967932 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
834 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568563815 | Larry Waldman | Dentist | 419 E Main St, Suite 202, Middletown, NY 10940-2552 | 2006-09-26 |
| Street Address |
11020 N TATUM BLVD SUITE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881684009 | Patricia Brunskill | Counselor | 11020 N Tatum Blvd, Phoenix, AZ 85028-6072 | 2005-10-27 |
| 1033594098 | Nancy Harkins | Counselor | 11020 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-6072 | 2015-07-20 |
| 1902176720 | Rene Carmen Behinfar | Psychologist | 11020 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-6072 | 2012-01-10 |
| 1376701508 | Paradise Counseling & Consultation Center PC | Psychologist | 11020 N Tatum Blvd, Phoenix, AZ 85028-6072 | 2008-05-23 |
| 1962600908 | Renee Moreau Cunningham | Marriage & Family Therapist | 11020 N Tatum Blvd, Phoenix, AZ 85028-6072 | 2007-07-10 |
| 1780792069 | Barbara Diane Myrick | Counselor | 11020 N Tatum Blvd, Suite 100, Phoenix, AZ 85028 | 2006-08-28 |
| 1326056441 | Virginia M. Keller | Counselor | 11020 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-6072 | 2006-08-04 |
| 1285653238 | Marilyn Sue Mitchell | Psychologist | 11020 N Tatum Blvd, Ste.100, Phoenix, AZ 85028-6072 | 2006-07-19 |
| 1831125293 | Community Counseling and Psychotherapy Ltd | Social Worker | 11020 N Tatum Blvd, Phoenix, AZ 85028-3841 | 2006-06-25 |
| 1700831427 | Martin E Keller | Psychologist | 11020 N Tatum Blvd, Phoenix, AZ 85028-6072 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847951 | Flourish Mental Wellness, Pllc | Psychologist | 112 N Central Ave Ste M26, Phoenix, AZ 85004-2309 | 2020-10-06 |
| 1881202042 | Sara L Cole | Psychologist | 3933 E Edna Ave Ste 101, Phoenix, AZ 85032-2127 | 2020-07-14 |
| 1871115311 | Aims-az, LLC | Psychologist | 1346 E. Mcdowell Rd, Phoenix, AZ 85006-2616 | 2020-05-07 |
| 1346890308 | Michael D Rabara | Psychologist | 1450 E Indian School Rd Ste 106, Phoenix, AZ 85014-4954 | 2019-09-12 |
| 1790331940 | Brittany Friedman | Psychologist | 650 E Indian School Rd Bldg 21, Phoenix, AZ 85012-1839 | 2019-08-14 |
| 1336705888 | Alice Claudia Pickering | Psychologist | 2955 W Villa Maria Dr, Phoenix, AZ 85053-1107 | 2019-05-09 |
| 1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
| 1346725249 | Katharine D Sluys | Psychologist | 205 N Phoenix Rd Ste A, Phoenix, OR 97535-9100 | 2018-09-27 |
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1073028023 | Jodi Ralyn Cuneo | Psychologist | 5060 N 19th Ave Ste 101, Phoenix, AZ 85015-3211 | 2017-12-12 |
| 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.