COREBELLA HEALTH AND WELLNESS LLC (NPI# 1730553108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730553108 |
Entity Type | Organization |
Organization Name | COREBELLA HEALTH AND WELLNESS LLC |
Practice Address |
2210 S Mill Ave Ste 10 Tempe AZ 85282-2153 |
Practice Telephone | 4804090322 |
Practice Fax Number | 8775592816 |
Mailing Telephone | 4804090322 |
Mailing Fax Number | 8775592816 |
Enumeration Date | 2015-11-21 |
Last Update Date | 2016-01-20 |
Authorized Official Name | ROBERT HUNDLEY (OWNER) |
Authorized Official Telephone | 4802905688 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
4476 | AZ | Behavioral Health & Social Service Providers |
N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
4476 | AZ | Allopathic & Osteopathic Physicians |
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
4476 | AZ | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083241483 | Corebella Health and Wellness LLC | 6565 E Greenway Pkwy Ste 102, Scottsdale, AZ 85254-2056 | 2020-03-25 | |
1235620782 | Corebella Health and Wellness LLC | Internal Medicine | 5700 W Olive Ave Ste 103, Glendale, AZ 85302-3147 | 2018-05-21 |
Street Address |
2210 S MILL AVE STE 10 |
City | TEMPE |
State | AZ |
Zip Code | 85282-2153 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
Find all providers in zip 85282 |
Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245468271 | Kenneth M Levine, D.o. Ltd | Family Medicine | 2121 S Mill Ave, 114, Tempe, AZ 85282-2138 | 2009-06-29 |
1508220443 | La Vereda Medical Center | Family Medicine | 2600 E Southern Ave, Suite G, Tempe, AZ 85282-7610 | 2016-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588299176 | Arizona Healthy Clinic LLC | Family Medicine | 4344 W Indian School Rd Ste 8, Phoenix, AZ 85031-2939 | 2020-03-04 |
1194368852 | Relieve Medical Detox | Family Medicine | 7281 E Earll Dr Ste A4, Scottsdale, AZ 85251-7213 | 2019-10-24 |
1619430691 | Freedom Medical Care | Family Medicine | 5151 E Broadway Rd Ste 105, Mesa, AZ 85206-1346 | 2019-04-08 |
1851878508 | Rapr LLC | Family Medicine | 10632 N Scottsdale Rd Unit 482, Scottsdale, AZ 85254-6164 | 2018-07-25 |
1811410715 | Jacqueline M Pinlac | Family Medicine | 7830 N 23rd Ave, Phoenix, AZ 85021-6808 | 2017-07-23 |
1003269697 | Perla Quinones | Family Medicine | 36375 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140-7334 | 2016-07-19 |
1912166620 | Michael Denicole | Family Medicine | 2132 E Northview Ave, Phoenix, AZ 85020-5661 | 2008-06-06 |
1265572358 | David G Greenberg | Family Medicine | 810 W Bethany Home Rd, Phoenix, AZ 85013-1654 | 2007-02-07 |
1861592826 | Gail N Shultz | Family Medicine | 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 | 2006-09-22 |
1013012699 | Ivy L Schwartz | Family Medicine | 2502 N Dodge Blvd, Suite 100, Tucson, AZ 85716-2671 | 2006-09-14 |
Find all providers with the same taxonomy |
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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.