MR. STEPHEN KITTRIDGE (NPI# 1518067131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518067131 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN KITTRIDGE |
| Credential | LCSW |
| Practice Address |
4220 N 20th Ave Phoenix AZ 85015-5101 |
| Practice Telephone | 6022797655 |
| Practice Fax Number | 6022538891 |
| Mailing Telephone | 6022797655 |
| Mailing Fax Number | 6022538891 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LCSW-2786 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
4220 N 20TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757089 | Jordan Michael Friedman | Social Worker | 4220 N 20th Ave, Phoenix, AZ 85015-5124 | 2020-07-08 |
| 1568095867 | Livia Migdalia Arevalo | Nurse Practitioner | 4220 N 20th Ave, Phoenix, AZ 85015-5124 | 2020-02-15 |
| 1407499635 | Kevin Lowrey | Nurse Practitioner | 4220 N 20th Ave, Phoenix, AZ 85015-5124 | 2019-10-21 |
| 1942764063 | Your Neighborhood Healthcare Center | Counselor | 4220 N 20th Ave, Phoenix, AZ 85015-5124 | 2019-01-23 |
| 1891268561 | Amanda Marie Phillips | Counselor | 4220 N 20th Ave, Phoenix, AZ 85015-5124 | 2019-01-05 |
| 1558727255 | Andreia Lorraine Arnold | Nurse Practitioner | 4220 N 20th Ave, Phoenix, AZ 85015-5124 | 2016-01-11 |
| 1043630320 | The Potter's House Substance Abuse Center | Counselor | 4220 N 20th Ave, Suite 100, Phoenix, AZ 85015-5101 | 2014-04-24 |
| 1336566124 | Louise Egan | Counselor | 4220 N 20th Ave, 100, Phoenix, AZ 85015-5101 | 2014-03-18 |
| 1811323934 | Dorothy Ruth Granberry | Technician, Other | 4220 N 20th Ave, 100, Phoenix, AZ 85015-5101 | 2013-09-20 |
| 1184930273 | Shannon Marie Morrill | Counselor | 4220 N 20th Ave, Phoenix, AZ 85015-5124 | 2010-08-26 |
| Find all providers in the same location | ||||
| 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 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 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 |
| Find all providers in zip 85015 | ||||
| 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 |
| 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.