GEJIA A CAPASSO


Address: 715 E Montecito Ave, Phoenix, AZ 85014-4322
Phone: 6027072500

GEJIA A CAPASSO (NPI# 1700071453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700071453
Entity Type Individual
Full Name GEJIA A CAPASSO
Credential LPC
Practice Address 715 E Montecito Ave
Phoenix
AZ 85014-4322
Mailing Address 1226 W Osborn Rd
Phoenix
AZ 85013-3618
Practice Telephone 6027072500
Practice Fax Number 6027072540
Mailing Telephone 6027072500
Mailing Fax Number 2027072540
Enumeration Date 2007-09-06
Last Update Date 2007-09-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LPC10951 AZ Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 830902 05

Office Location

Street Address 715 E MONTECITO AVE
City PHOENIX
State AZ
Zip Code 85014-4322

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376683441 Lynn Ann Krivda Psychologist 715 E Montecito Ave, Phoenix, AZ 85014-4322 2007-02-07

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1407247091 Cynthia Ruzich Psychologist 1450 E. Indian School Rd. #101, Phoenix, AZ 85014 2015-02-18
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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1851934012 Extinguishing Fear Life Coaching Counselor 4435 E Chandler Blvd, Phoenix, AZ 85048-7649 2019-10-21
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Competitor

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City PHOENIX
Zip Code 85014

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Dataset Information

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.

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