CYNTHIA DEANN PENCE (NPI# 1538528906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538528906 |
| Entity Type | Individual |
| Full Name | CYNTHIA DEANN PENCE |
| Credential | PSYD |
| Practice Address |
635 E Baseline Rd Phoenix AZ 85042-6551 |
| Mailing Address |
1440 W North Ave Ste 303-a Melrose Park IL 60160-1422 |
| Practice Telephone | 6022437277 |
| Practice Fax Number | 6022431235 |
| Mailing Telephone | 8778075120 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2018-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY005033 | AZ | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
071009253 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 447808 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124530878 | Cynthia Acosta Pence | Nurse Practitioner | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2017-11-02 |
| Street Address |
635 E BASELINE RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85042-6551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414892 | Neil Trachtenberg | Obstetrics & Gynecology | 635 E Baseline Rd, Phoenix, AZ 85042-6551 | 2005-08-18 |
| 1548884240 | Heather E Weninger | Dietitian, Registered | 635 E Baseline Rd, Phoenix, AZ 85042-6551 | 2020-05-29 |
| 1245863786 | Katherine Marie Bear | Nurse Practitioner | 635 E Baseline Rd, Phoenix, AZ 85042-6551 | 2020-02-12 |
| 1841821642 | Manyil Dashe | Dietitian, Registered | 635 E Baseline Rd, Phoenix, AZ 85042-6583 | 2020-01-30 |
| 1962045112 | Natasha Burrell | Dietitian, Registered | 635 E Baseline Rd, Phoenix, AZ 85042-6583 | 2019-10-21 |
| 1215404652 | Heather Diane Hargrave | Physician Assistant | 635 E Baseline Rd, Phoenix, AZ 85042 | 2018-10-24 |
| 1700351475 | Robert Eugene Carter | Dietitian, Registered | 635 E Baseline Rd, Phoenix, AZ 85042-6583 | 2018-10-09 |
| 1134605132 | Philsy Jaison | Nurse Practitioner | 635 E Baseline Rd, Phoenix, AZ 85042-6583 | 2018-07-13 |
| 1891208948 | Samantha Thompson | Pharmacist | 635 E Baseline Rd, Phoenix, AZ 85042-6551 | 2017-11-12 |
| 1295259075 | Evelyn Coronado | Dietitian, Registered | 635 E Baseline Rd, Phoenix, AZ 85042-6551 | 2017-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
| 1144790460 | Ebony House Inc | Substance Abuse Rehabilitation Facility | 6222 S. 13th Street, Phoenix, AZ 85042 | 2018-11-29 |
| 1427538362 | Abigail Mcgrath | Dietitian, Registered | 303 E Baseline Rd Ste 200, Phoenix, AZ 85042 | 2018-08-20 |
| 1174028310 | Olufemi A Omodara | Pharmacist | 7227 S. Central Ave, #1080, Phoenix, AZ 85042 | 2018-03-29 |
| 1720537699 | Mary Youngblood | Registered Nurse | 7210 S 27th Way, Phoenix, AZ 85042 | 2016-10-03 |
| 1922490382 | Brian Zembower | Optometrist | 610 E Baseline Rd Ste C3, Phoenix, AZ 85042 | 2015-02-23 |
| 1417299819 | Robert Murphy Portley | Psychiatry & Neurology | 2320 E Baseline Rd Ste 148-225, Phoenix, AZ 85042 | 2013-03-23 |
| 1972807998 | Obinna Chukwuka Akubukwe | Pharmacist | 6006 S. Central Avenue, Phoenix, AZ 85042 | 2011-01-05 |
| 1104120328 | Gisheys Patient Care LLC | Custodial Care Facility | 7232 South 12th Place, Phoeniz, AZ 85042 | 2011-01-03 |
| 1245463488 | Lois Ann Hammitt | Registered Nurse | 6218 S. 7th Street, Phoenix, AZ 85042 | 2009-09-03 |
| Find all providers in zip 85042 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on CYNTHIA DEANN PENCE.
| 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.