BRENDA M SPARROLD (NPI# 1407923949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407923949 |
| Entity Type | Individual |
| Full Name | BRENDA M SPARROLD |
| Credential | PHD |
| Practice Address |
2225 E Ajo Way Tucson AZ 85713-6201 |
| Mailing Address |
575 E River Rd Tucson AZ 85704-5822 |
| Practice Telephone | 5208744135 |
| Practice Fax Number | 5208747048 |
| Mailing Telephone | 5208744135 |
| Mailing Fax Number | 5208747048 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
3798 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | PSYCHOLOGIST LICENSE | 3798 | 01 |
| Street Address |
2225 E AJO WAY |
| City | TUCSON |
| State | AZ |
| Zip Code | 85713-6201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437123148 | Patricia Harrison-monroe | Psychologist | 2225 E Ajo Way, Tucson, AZ 85713-6201 | 2006-02-17 |
| 1790015170 | Shannon S. Carmona | Counselor | 2225 E Ajo Way, Tucson, AZ 85713-6201 | 2010-01-06 |
| 1821000720 | Sonia E Bucknor | Nurse Practitioner | 2225 E Ajo Way, Tucson, AZ 85713-6201 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679115489 | Eric James Mccracken | Nurse Practitioner | 1230 South Cherrybell Stravanue, Tucson, AZ 85713 | 2019-10-14 |
| 1336702448 | Julie Tomkins | Psychiatry & Neurology | Behavioral Health Pavilion, 2800 E Ajo Way, Tucson, AZ 85713 | 2019-04-16 |
| 1861958332 | El Rio Santa Cruz Neighborhood Health Center, Inc | Pharmacy | 1230 S Cherrybell Strav, Tucson, AZ 85713 | 2019-02-20 |
| 1164993002 | Lisa Ann Lindsay | Nurse Practitioner | 1230 S Cherrybell Stravenue, Tucson, AZ 85713 | 2018-12-17 |
| 1043701717 | Ramsha Saeed Rao | Student in an Organized Health Care Education/Training Program | Maria Jennings 2800 E. Ajo Way, Tucson, AZ 85713 | 2018-05-29 |
| 1215381736 | Nancy G Larison | Counselor | 504 W 29th Street, La Frontera Center, Inc., Tucson, AZ 85713 | 2016-04-21 |
| 1053791749 | Eric Lederer | Emergency Medicine | 3950 S. Country Club Rd, Ste. 200, Tucson, AZ 85713 | 2015-06-08 |
| 1942625025 | Eugene Randolph Shields | Obstetrics & Gynecology | 2315 W. Ocelot Drive, Tucson, AZ 85713 | 2014-02-26 |
| 1821361973 | Irene A Laventure | Nurse Practitioner | 2800 East Ajo Way, University of Arizona Medical Center - South Campus, Tucson, AZ 85713 | 2012-02-21 |
| 1386917417 | Caring Together,llc | Respite Care | 2957 E 24th Street, Tucson, AZ 85713 | 2012-02-21 |
| Find all providers in zip 85713 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154475648 | Kathleen Campbell | Psychologist | 4550 E 5th St, Tucson, AZ 85711-7004 | 2007-01-22 |
| 1306367016 | Jerone I Smith Sr. | Psychologist | 6280 E Pima St Ste 100, Tucson, AZ 85712-3074 | 2017-07-03 |
| 1093135659 | Lutissua D Ballard | Psychologist | 5930 E Pima St, Suite 200, Tucson, AZ 85712-4370 | 2014-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202594 | Olugus Family Care | Psychologist | 44077 W. Palmen Dr., Maricopa, AZ 85138 | 2020-10-15 |
| 1972029205 | Prism Learning and Development, Pllc | Psychologist | 7157 E Rancho Vista Dr Ste 7147b24, Scottsdale, AZ 85251-1494 | 2017-08-18 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1811360316 | Redemption Psychiatry LLC | Psychologist | 2730 S Val Vista Dr Ste 137, Gilbert, AZ 85295-1681 | 2015-11-05 |
| 1447582937 | Shefali Gandhi, Psy.d., P.l.l.c. | Psychologist | 7120 E 6th Ave, Suite 20, Scottsdale, AZ 85251-3228 | 2010-02-08 |
| 1306077979 | Sue R Lerner | Psychologist | 6773 E Gelding Dr, Scottsdale, AZ 85254-3494 | 2009-07-30 |
| 1417137274 | Cathy Lynn Bissett | Psychologist | 24654 N Lake Pleasant Pkwy Ste 103-497, Peoria, AZ 85383-1359 | 2007-11-09 |
| 1982890588 | Erin Keely Lanphier | Psychologist | 21807 N Scottsdale Rd, Scottsdale, AZ 85255-7439 | 2007-09-18 |
| 1396966453 | Larry L. Grimm | Psychologist | 222 S. Summit Ave., Ste. 1, Prescott, AZ 86303-3780 | 2007-05-02 |
| 1801919840 | Tyra Maria Ripley | Psychologist | 3120 W Cholla St, Phoenix, AZ 85029-4113 | 2007-04-06 |
| Find all providers with the same taxonomy | ||||
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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.