EMILY KIRKLAND (NPI# 1417489162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417489162 |
| Entity Type | Individual |
| Full Name | EMILY KIRKLAND |
| Practice Address |
2204 S Dobson Rd Ste 102 Mesa AZ 85202-6457 |
| Mailing Address |
1350 S Greenfield Rd Unit 1036 Mesa AZ 85206-3492 |
| Practice Telephone | 4802812149 |
| Mailing Telephone | 3606544203 |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114565470 | Emily Kirkland | Behavior Technician | 13404 N Meridian Ave, Oklahoma City, OK 73120-8311 | 2019-12-18 |
| 1639733660 | Emily A Kirkland | Counselor | 81 Lake Ave, Rochester, NY 14608-1410 | 2019-04-25 |
| Street Address |
2204 S DOBSON RD STE 102 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-6457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832916 | Judah Samuel David Rome | Nurse Practitioner | 2204 S Dobson Rd Ste 102, Mesa, AZ 85202-6457 | 2020-08-21 |
| 1952928061 | Elizabeth P Mazhuvencherry | Registered Nurse | 2204 S Dobson Rd Ste 102, Mesa, AZ 85202-6457 | 2020-07-06 |
| 1124539317 | Medavail Pharmacy Inc. | Pharmacy | 2204 S Dobson Rd Ste 102, Mesa, AZ 85202-6457 | 2017-10-16 |
| 1124549043 | Michael B Bayless and Associates Inc | Counselor | 2204 S Dobson Rd Ste 102, Mesa, AZ 85202-6457 | 2017-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414164 | Rosalie Marie Hasseltine | Counselor | 44 S Greenfield Rd Unit 9, Mesa, AZ 85206-1210 | 2020-07-13 |
| 1811552581 | Samuel Paul Bryant | Counselor | 1024 W Fremont Ave, Mesa, AZ 85210-9316 | 2019-05-07 |
| 1326511593 | Smith Behavioral Health, P.C. | Counselor | 225 W 1st St Unit 120, Mesa, AZ 85201-6554 | 2019-01-09 |
| 1013496751 | Renee Christine Deyden | Counselor | 533 W Guadalupe Rd Unit 1073, Mesa, AZ 85210-7761 | 2018-08-13 |
| 1245720663 | Kristian Jay Mastin | Counselor | 2345 S Alma School Rd Ste 102, Mesa, AZ 85210-4013 | 2018-05-10 |
| 1477055176 | Erik Adair Johnson | Counselor | 6262 E Broadway Rd Ste 110, Mesa, AZ 85206-6101 | 2018-03-08 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1679090369 | Jessica L Sisson | Counselor | 8844 E Pampa Ave, Mesa, AZ 85212-2829 | 2017-08-24 |
| 1609314434 | Jared Mcgrath | Counselor | 5345 E Mclellan Rd, Unit 53, Mesa, AZ 85205-3412 | 2017-01-31 |
| 1679016877 | Brandon Chatfield | Counselor | 152 N 56th St Bldg B, Mesa, AZ 85205-8718 | 2016-11-21 |
| Find all providers in MESA | ||||
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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.