SOUTHWEST AUTISM RESEARCH AND RESOURCE CENTER (NPI# 1689741357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689741357 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST AUTISM RESEARCH AND RESOURCE CENTER |
| Other Organization Name | SOUTHWEST AUTISM RESEARCH CENTER, PHOENIX AUTISM RESEARCH CENTER |
| Practice Address |
300 N 18th St Phoenix AZ 85006-4103 |
| Practice Telephone | 6023408717 |
| Mailing Telephone | 6023408717 |
| Mailing Fax Number | 6022188176 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2017-01-30 |
| Authorized Official Name | DANIEL OPENDEN (CEO/PRESIDENT) |
| Authorized Official Telephone | 6023408717 |
| Authorized Official Credential | BCBA-D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 825557 | 05 |
| Other Name | Type Code |
|---|---|
| Southwest Autism Research Center, Phoenix Autism Research Center | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295153286 | Southwest Autism Research and Resource Center | Early Intervention Provider Agency | 300 N 18th St, Phoenix, AZ 85006-4103 | 2014-04-07 |
| 1538311527 | Southwest Autism Research and Resource Center | Community/Behavioral Health | 300 N 18th St, Phoenix, AZ 85006-4103 | 2008-10-21 |
| Street Address |
300 N 18TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511197 | Elizabeth Anne Johnson | Behavioral Analyst | 300 N 18th St, Phoenix, AZ 85006-4103 | 2020-09-03 |
| 1497253652 | Kelsey Erdmann | Behavior Technician | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-23 |
| 1679081087 | Monique Enjoli Auger | Behavior Technician | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-19 |
| 1831607357 | Amy Marie Clark | Behavior Technician | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-18 |
| 1164930699 | Essence A Townsend | Behavior Technician | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-18 |
| 1952819518 | Silvia Dergal | Behavior Technician | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-17 |
| 1518475458 | Lauren Musselman | Behavior Technician | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-12 |
| 1235646357 | Sienna Vangelder | Behavioral Analyst | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-10 |
| 1629585864 | Kelsee Mullen | Behavioral Analyst | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-09 |
| 1699282806 | Maranda Denise Taylor | Behavior Technician | 300 N 18th St, Phoenix, AZ 85006-4103 | 2018-01-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1932731130 | Arcadia Neuropsychology, Pllc | Clinic/Center | 2929 N 44th St Ste 330, Phoenix, AZ 85018-7241 | 2020-02-06 |
| 1164905733 | Heart Rhythm and Vascular LLC | Clinic/Center | 1848 E Thomas Rd Ste 200, Phoenix, AZ 85016-8104 | 2018-09-10 |
| 1184104291 | Chc Phoenix, LLC | Clinic/Center | 4747 E Elliot Rd Ste 32, Phoenix, AZ 85044-1630 | 2018-08-17 |
| 1659858322 | Urbane Medical LLC | Clinic/Center | 67 E Weldon Ave Ste 235, Phoenix, AZ 85012-2045 | 2018-07-25 |
| 1003304130 | Sheperd Care | Clinic/Center | 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037-2354 | 2018-04-24 |
| 1992218119 | Desert Faith Therapy Services, LLC | Clinic/Center | 10000 N 31st Ave Ste D311, Phoenix, AZ 85051-1701 | 2017-11-09 |
| 1700303203 | Restassured Rx | Clinic/Center | 2423 W Dunlap Ave Ste 175, Phoenix, AZ 85021-5823 | 2017-08-25 |
| 1255870267 | Smi Imaging, LLC | Clinic/Center | 4219 E Bell Rd, Phoenix, AZ 85032-3366 | 2017-02-23 |
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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.