TIM PENROD (NPI# 1659781987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659781987 |
| Entity Type | Individual |
| Full Name | TIM PENROD |
| Credential | LMFT |
| Practice Address |
10439 S 51st St Ste 100 Phoenix AZ 85044-5224 |
| Practice Telephone | 4806359944 |
| Practice Fax Number | 4806359987 |
| Mailing Telephone | 4806359944 |
| Mailing Fax Number | 4806359987 |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT-10224 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
10439 S 51ST ST STE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85044-5224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750849469 | Catherine Dockery-jackson | Registered Nurse | 10439 S 51st St Ste 100, Phoenix, AZ 85044-5224 | 2019-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637345 | Jamie Roshun Dawson | Contractor | 13229 S 48th St Apt 3051, Phoenix, AZ 85044 | 2020-04-16 |
| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1134777634 | Elite Therapy of Az | Occupational Therapist | 15245 S 48th Street, Phoenix, AZ 85044 | 2019-08-28 |
| 1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
| 1578082392 | Karena Janiece Herron | Nurse Practitioner | 13625 S 48th St Apt 2100, Phoenix, AZ 85044 | 2017-09-13 |
| 1053847319 | Amanda Girardi | Dentist | 4726 E Verbena Dr, Phoenix, AZ 85044 | 2017-05-05 |
| 1518402593 | Janet Swift | Counselor | 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 | 2016-12-29 |
| 1588074876 | Suzanne Morris | Nurse Practitioner | 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 | 2014-05-07 |
| 1891117974 | Dr. Cameron Khavari Pllc | Chiropractor | 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 | 2014-01-09 |
| 1316213416 | Shyam Sundar Tangri | Internal Medicine | 13623 S. 45th St, Phoenix, AZ 85044 | 2012-03-22 |
| Find all providers in zip 85044 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710530308 | Michelle Huntley | Marriage & Family Therapist | 2211 E Highland Ave Ste 240, Phoenix, AZ 85016-4894 | 2019-07-23 |
| 1861849564 | Ashlea M Taylor | Marriage & Family Therapist | 19820 N 13th Ave, Unit 255, Phoenix, AZ 85027-4308 | 2016-05-23 |
| 1700233418 | Harriet Frost | Marriage & Family Therapist | 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 | 2016-05-23 |
| 1265898837 | Kelly Rau | Marriage & Family Therapist | 2633 E Indian School Rd Ste 250, Phoenix, AZ 85016-0703 | 2016-01-12 |
| 1720496045 | Danielle Valle Corrales | Marriage & Family Therapist | 6245 N 24th Pkwy Ste 106, Phoenix, AZ 85016-2029 | 2014-07-30 |
| 1194144675 | Christina Jimenez | Marriage & Family Therapist | 3013 W Running Deer Trl, Phoenix, AZ 85083-5857 | 2014-04-10 |
| 1700134657 | Natalie Defay Foster | Marriage & Family Therapist | 1825 E Northern Ave Ste 215, Phoenix, AZ 85020-3940 | 2012-08-27 |
| 1467714733 | Erin D Stone | Marriage & Family Therapist | 1 E Camelback Rd Ste 630, Phoenix, AZ 85012-1652 | 2012-06-13 |
| 1073805834 | Corinne Renee Clancy Graber | Marriage & Family Therapist | 34225 N 27th Dr Bldg 2, Phoenix, AZ 85085-6087 | 2011-05-11 |
| 1427354851 | Carolyn Berg Newsome | Marriage & Family Therapist | 2060 W.whispering Wind Drive, Phoenix, AZ 85085 | 2011-02-02 |
| 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.