MS. JUDITH A HIRSH (NPI# 1699753582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699753582 |
| Entity Type | Individual |
| Full Name | MS. JUDITH A HIRSH |
| Credential | FPMHNP |
| Practice Address |
51 S Brian Mickelsen Pkwy Cottonwood AZ 86326-3610 |
| Mailing Address |
1090 Commerce Dr Prescott AZ 86305-3700 |
| Practice Telephone | 9286398132 |
| Practice Fax Number | 8662798919 |
| Mailing Telephone | 9285831000 |
| Mailing Fax Number | 8663238458 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2016-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
AP3384 | AZ | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
F400271 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | GHI | 7494080 | 01 |
| NY | AETNA | 7717428 | 01 |
| NY | VALUEOPTIONS | 135882 | 01 |
| AZ | 856666 | 05 | |
| NY | MAGELLAN HEALTH CARE | 715086000 | 01 |
| NY | 02080757 | 05 | |
| NY | HIP | 157356P | 01 |
| NY | OXFORD HEALTH PLAN | P2650724 | 01 |
| Street Address |
51 S BRIAN MICKELSEN PKWY |
| City | COTTONWOOD |
| State | AZ |
| Zip Code | 86326-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619460532 | Amber Marie Bahm | Nurse Practitioner | 51 S Brian Mickelsen Pkwy, Cottonwood, AZ 86326-3610 | 2018-06-14 |
| 1083150148 | Lency Burns | Dental Hygienist | 51 S Brian Mickelsen Pkwy, Cottonwood, AZ 86326-3610 | 2017-01-13 |
| 1760925093 | Patricia Miner | Social Worker | 51 S Brian Mickelsen Pkwy, Cottonwood, AZ 86326-3610 | 2016-11-18 |
| 1336514645 | Samantha Johnston | Physician Assistant | 51 S Brian Mickelsen Pkwy, Cottonwood, AZ 86326-3610 | 2015-12-11 |
| 1396005898 | Kara Michele Block | Pediatrics | 51 S Brian Mickelsen Pkwy, Cottonwood, AZ 86326 | 2012-05-18 |
| 1437333168 | Cody Laraine Conklin | Pediatrics | 51 S Brian Mickelsen Pkwy, Cottonwood, AZ 86326-3610 | 2007-12-17 |
| 1194825828 | Harry Lavern Gale II | Internal Medicine | 51 S Brian Mickelsen Pkwy, Cottonwood, AZ 86326-3610 | 2006-09-23 |
| 1912919432 | Paul Vernon Bahlinger | Dentist | 51 S Brian Mickelsen Pkwy, Cottonwood, AZ 86326-3610 | 2006-08-13 |
| 1528077781 | Mary F. Sutter | Family Medicine | 51 S Brian Mickelsen Pkwy, Cottonwood, AZ 86326-3610 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954895 | Isabelle Maisse Griffith | Pharmacist | 1100 E Highway 89a, Cottonwood, AZ 86326 | 2015-06-12 |
| 1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
| 1922391663 | Ronald D. Carsrud | Hearing Instrument Specialist | 657 E Cottonwood St., Ste 6c, Cottonwood, AZ 86326 | 2011-05-26 |
| 1760712749 | Chuck Thomas Calvano | Pharmacist | 550 S Main, Cottonwood, AZ 86326 | 2010-01-13 |
| 1528231438 | Elizabeth Lightner Mccarrell | Emergency Medicine | 269 S Candy Lane, Cottonwood, AZ 86326 | 2008-04-11 |
| 1972783355 | The Wick Home for Emotional Growth and Recovery | Residential Treatment Facility, Emotionally Disturbed Children | 2102 E Fir St, Cottonwood, AZ 86326 | 2007-11-14 |
| 1750560165 | David T Sayle | Nurse Practitioner | 800 Cove Parkway, Cottonwood, AZ 86326 | 2007-11-01 |
| 1003001033 | Country Care Inc | Assisted Living Facility | 3980 E Cassie Lane, Cottonwood, AZ 86326 | 2007-09-12 |
| 1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
| 1841401700 | Bruce Alan Moseng | Chiropractor | 240 Jennifer Lane, Ste 103, Cottonwood, AZ 86326 | 2007-05-24 |
| Find all providers in zip 86326 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154814085 | Rebecca Constance Mandeville | Counselor | 17015 Quail Ridge Rd, Cottonwood, CA 96022-9056 | 2018-06-14 |
| 1538492145 | Margaret Mcfarland | Counselor | 3885 E Garden Ln, Cottonwood, AZ 86326-5796 | 2009-09-14 |
| 1881833390 | Linda Elaine Bennardo | Counselor | 257 Justin Dr, Suite A, Cottonwood, AZ 86326-5189 | 2009-02-08 |
| 1932373867 | Nazcare - Serenity Circle Recovery Center | Counselor | 1503 E Apache St, Cottonwood, AZ 86326-3821 | 2008-04-22 |
| 1700067543 | Naomi Nicole Hunt | Counselor | 19791 Big Bend Dr, Cottonwood, CA 96022-7746 | 2007-11-20 |
| 1790833069 | Charles T Wisneski | Counselor | 703 S Main St Ste 5, Cottonwood, AZ 86326-4615 | 2007-01-05 |
| 1043229586 | Shirley Jane Isaacson | Counselor | 753 N Main St # 3, Box#3, Cottonwood, AZ 86326-3649 | 2006-08-05 |
| 1407475825 | Spectrum Healthcare Group, Inc. | Counselor | 636 N Main St, Cottonwood, AZ 86326-3725 | 2020-04-15 |
| 1568755981 | Frances M Espey | Counselor | 6346 Gene Terry Rd, Cottonwood, AL 36320-4253 | 2011-05-18 |
| 1346262052 | Paulette Walker Guinn | Counselor | 8 E Cottonwood St, Cottonwood, AZ 86326-4382 | 2006-07-24 |
| Find all providers in COTTONWOOD | ||||
| City | COTTONWOOD |
| Zip Code | 86326 |
Please comment or provide details below to improve the information on MS. JUDITH A HIRSH.
| 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.