MRS. ELLEN CUSACK VIMMERSTEDT (NPI# 1437368081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437368081 |
| Entity Type | Individual |
| Full Name | MRS. ELLEN CUSACK VIMMERSTEDT |
| Credential | M.A. |
| Practice Address |
301 E Bethany Home Rd C-296 Phoenix AZ 85012-1263 |
| Practice Telephone | 6022668442 |
| Practice Fax Number | 6025889618 |
| Mailing Telephone | 6022668442 |
| Mailing Fax Number | 6025889618 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-1266 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
301 E BETHANY HOME RD C-296 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-1263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154352508 | Moshe David Engel | Emergency Medicine | 301 E Bethany Home Rd, Suite A233, Phoenix, AZ 85012-1263 | 2006-07-05 |
| 1497271191 | Jennifer Daltilio | Acupuncturist | 301 E Bethany Home Rd, Phoenix, AZ 85012-1263 | 2017-08-15 |
| 1609314038 | Aristidis Pontikas, Dmd, Ms, Pllc | Clinic/Center | 301 E Bethany Home Rd, Suite B120, Phoenix, AZ 85012-1263 | 2017-02-06 |
| 1114324241 | Amy Grace Dufour Smith | Midwife | 301 E Bethany Home Rd, C-298, Phoenix, AZ 85012-1263 | 2014-12-04 |
| 1326448309 | Douglas Benting | Dentist | 301 E Bethany Home Rd, Suite C-172, Phoenix, AZ 85012-1263 | 2014-08-27 |
| 1265872188 | Ryan Johnson | Marriage & Family Therapist | 301 E Bethany Home Rd, Suite C296, Phoenix, AZ 85012-1263 | 2013-06-25 |
| 1801172218 | Beth Scott Kozan | Counselor | 301 E Bethany Home Rd, Suite C-296, Phoenix, AZ 85012-1263 | 2011-10-30 |
| 1396038584 | Pihma Health & Education Network | Acupuncturist | 301 E Bethany Home Rd, Suite A-100, Phoenix, AZ 85012-1263 | 2011-05-19 |
| 1235441460 | Q Counseling Services, LLC | Social Worker | 301 E Bethany Home Rd, Ste C-296, Phoenix, AZ 85012-1263 | 2010-07-02 |
| 1184858870 | Mischa Cohen Peck | Social Worker | 301 E Bethany Home Rd, Phoenix, AZ 85012-1263 | 2009-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922615 | Gift of Hearts Home LLC | Counselor | 4547 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-11-02 |
| 1952901332 | Jennifer Barreras | Counselor | 1818 E Burgess Ln, Phoenix, AZ 85042-4518 | 2020-10-27 |
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1174135487 | Kelli Randon | Counselor | 14040 N Cave Creek Rd Ste 207, Phoenix, AZ 85022-6179 | 2020-08-18 |
| 1891307328 | Empire Health and Therapy LLC | Counselor | 1730 W Lacewood Pl, Phoenix, AZ 85045-0528 | 2020-08-17 |
| 1043821747 | Annette M Callahan | Counselor | 3229 E Briarwood Ter, Phoenix, AZ 85048-7843 | 2020-08-14 |
| 1528679032 | Apex Rising Community Services LLC | Counselor | 4150 W Peoria Ave Ste 220, Phoenix, AZ 85029-3956 | 2020-08-10 |
| 1780293654 | Mitsrain's House of Hope LLC | Counselor | 5744 N 41st Ave, Phoenix, AZ 85019-1814 | 2020-07-27 |
| 1740898378 | Samantha Cheyenne-dahl Moss | Counselor | 3519 E Shea Blvd Ste 138, Phoenix, AZ 85028-3349 | 2020-07-20 |
| 1083231856 | Amber Taylor | Counselor | 21640 N 19th Ave, Phoenix, AZ 85027-2720 | 2020-06-28 |
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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.