MATTHEW CHARLES LALLY (NPI# 1750614467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750614467 |
Entity Type | Individual |
Full Name | MATTHEW CHARLES LALLY |
Credential | M.D. |
Practice Address |
4110 W Sweetwater Dr Tucson AZ 85745-9348 |
Practice Telephone | 5207430411 |
Mailing Telephone | 5207430411 |
Enumeration Date | 2009-09-13 |
Last Update Date | 2009-09-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
31926 | AZ | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
31926 | AZ | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437417177 | Matthew Lally | Emergency Medicine | 800 Rose St, Lexington, KY 40536-0001 | 2012-05-01 |
Street Address |
4110 W SWEETWATER DR |
City | TUCSON |
State | AZ |
Zip Code | 85745-9348 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861592826 | Gail N Shultz | Family Medicine | 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 | 2006-09-22 |
1518588128 | Charlotte Elizabeth Holst Reilley | Counselor | 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 | 2020-05-05 |
1407363195 | Summit Bhc Tuscon LLC | Substance Abuse Rehabilitation Facility | 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 | 2018-01-04 |
1487180998 | Cottonwood De Tucson, Inc. | Substance Abuse Rehabilitation Facility | 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 | 2017-05-03 |
1003010653 | Jim Seymour | Psychiatry & Neurology | 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 | 2007-06-14 |
1174666564 | Tab Wayne Hoyt | Nurse Practitioner | 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 | 2007-02-15 |
1407904105 | Cottonwood De Tucson Inc | Pharmacy | 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 | 2007-01-08 |
1902974934 | Cottonwood De Tucson, Inc | Psychiatric Hospital | 4110 W Sweetwater Dr, Bldg 1400, Tucson, AZ 85745-9348 | 2006-11-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629540679 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 839 W Congress, Tucson, AZ 85745 | 2018-12-31 |
1194230672 | Pascua Yaqui Tribe | Community/Behavioral Health | 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 | 2017-12-06 |
1891207106 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1100 W. Fresno Street, Tucson, AZ 85745 | 2017-10-26 |
1497270664 | Skin Concierge, LLC. | Dermatology | 1310 W. St. Mary's Road, 2nd Floor, Suite A, Tucson, AZ 85745 | 2017-08-09 |
1801334941 | Katie Flores | Physical Therapist | 1604 W St Mary's Rd, Tucson, AZ 85745 | 2017-02-09 |
1558717348 | Jeongfill Yun | Student in an Organized Health Care Education/Training Program | 8290 W Congress St., Tucson, AZ 85745 | 2016-05-11 |
1417317082 | Nebsource LLC | Durable Medical Equipment & Medical Supplies | 4890 W Camino De La Amapola, Tucson, AZ 85745 | 2016-02-25 |
1548661358 | Melinda Godoy | Pharmacist | 879 W Congress, Tucson, AZ 85745 | 2014-09-11 |
1811333925 | Asdb | Clinic/Center | 1200 West Speedway, Tucson, AZ 85745 | 2013-05-15 |
1669722385 | David L. Lewis | Counselor | 1779 W. St. Mary's Rd, Tucson, AZ 85745 | 2012-09-11 |
Find all providers in zip 85745 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619164829 | Alfredo C. Ramirez, Md Pllc | Psychiatry & Neurology | 8684 E Semple Street, Tucson, AZ 85747 | 2007-10-02 |
1831257229 | Gary Gerhard Hellmann | Psychiatry & Neurology | 6890 E Sunrise Dr Pmb 202, #120, Tucson, AZ 85750-0738 | 2006-12-05 |
1902911373 | Damian R Parkinson | Psychiatry & Neurology | 430 N Tucson Blvd, Tucson, AZ 85716-4745 | 2006-08-19 |
1639283070 | Everett Joaquin Rogers | Psychiatry & Neurology | 350 N. Wilmot Road, St Josephs Hospital O'rielly Care Center, Tucson, AZ 85711 | 2006-08-19 |
1649289190 | Carrie K Freedheim | Psychiatry & Neurology | 6375e Tanque Verde Rd 140, Tucson, AZ 85715-3863 | 2006-08-05 |
1023045879 | John L Schorsch | Psychiatry & Neurology | 6862 E Tawa St, Tucson, AZ 85715-3345 | 2006-06-27 |
1841281060 | John Sylvain Leipsic Jr. | Psychiatry & Neurology | 2695 N Craycroft Rd, Tucson, AZ 85712-2243 | 2005-11-04 |
1467456707 | Veeraiah C Karumanchi | Psychiatry & Neurology | 502 W. 29th Street, Tucson, AZ 85713 | 2005-06-01 |
1992945455 | Damian Parkinson Md | Psychiatry & Neurology | 430 N Tucson Blvd, Tucson, AZ 85716-4745 | 2009-02-24 |
1831373901 | Noshene Elaine Ranjbar | Psychiatry & Neurology | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2007-12-24 |
Find all providers in TUCSON |
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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.