PAT MEDFORD (NPI# 1780013797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780013797 |
| Entity Type | Individual |
| Full Name | PAT MEDFORD |
| Credential | M.A./L.P.C. |
| Practice Address |
21139 W Caravaggio Ln Wittmann AZ 85361-8685 |
| Mailing Address |
15270 W Brookside Ln Surprise AZ 85374-2450 |
| Practice Telephone | 6232102561 |
| Mailing Telephone | 6232102561 |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2013-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-10557 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
21139 W CARAVAGGIO LN |
| City | WITTMANN |
| State | AZ |
| Zip Code | 85361-8685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194876250 | Lisa Woodgate | Speech-Language Pathologist | 21419 W Dove Valley Rd, Wittmann, AZ 85361 | 2007-01-16 |
| 1689725368 | Virginia H. Carlson | Speech-Language Pathologist | 21419 W. Dove Valley Road, Wittmann, AZ 85361 | 2007-01-16 |
| 1568905487 | Alison Whitewood-zaslavsky | Occupational Therapist | 25124 W Blue Sky Dr, Wittmann, AZ 85361-2714 | 2016-11-25 |
| 1871762609 | Lisa Michelle Roth | Specialist/Technologist | 21419 W Dove Valley Rd, Wittmann, AZ 85361-8412 | 2008-02-26 |
| 1124203310 | Christine Florendo | Registered Nurse | 21419 W Dove Valley Rd, Wittmann, AZ 85361-8412 | 2008-01-07 |
| 1114466497 | Billie Church | Counselor | 22444 W Madre Del Oro Dr, Wittmann, AZ 85361-8656 | 2017-02-19 |
| 1790042083 | Derek Lee | Radiologic Technologist | 28322 N 223rd Ln, Wittmann, AZ 85361-8780 | 2012-04-12 |
| 1982746681 | Cassie Lynn Lozanovski | Occupational Therapist | 22706 W Sierra Ridge Way, Wittmann, AZ 85361-8788 | 2007-02-12 |
| 1770097123 | Community Hospital Association, Inc. | Clinic/Center | 32919 N Center St Ste B, Wittmann, AZ 85361-9433 | 2017-11-21 |
| 1801950381 | Bernard L. Kruse | Psychologist | 32919 W Center St, Wittmann, AZ 85361-9433 | 2006-12-20 |
| Find all providers in zip 85361 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588967 | Suzanne Basco | Counselor | 27072 N 175th Dr, Surprise, AZ 85387-1094 | 2020-11-04 |
| 1568063154 | Cleshaun A Dubose | Counselor | 6344 E Brown Rd Ste 104, Mesa, AZ 85205-4843 | 2020-11-02 |
| 1730789694 | Maryann Potter | Counselor | 4315 W Faull Dr, New River, AZ 85087-4908 | 2020-10-29 |
| 1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
| 1417557729 | Psychological and Consulting Services LLC | Counselor | 331 N 1st Ave Ste 102, Phoenix, AZ 85003-4528 | 2020-10-27 |
| 1154928059 | Jennifer Thompson | Counselor | 1310 W Stottler Dr, Chandler, AZ 85224-2716 | 2020-10-04 |
| 1235736208 | Yovana Apodaca | Counselor | 8758 E Mountain Spring Dr, Tucson, AZ 85747-5659 | 2020-10-02 |
| 1639785751 | Andre E Matthews | Counselor | 12600 N 113th Ave Ste B8, Youngtown, AZ 85363-1163 | 2020-09-23 |
| 1497361786 | Patricia L Pritchett | Counselor | 8893 N Lessing Ct, Tucson, AZ 85742-4443 | 2020-09-22 |
| 1861008203 | Entelechy Holdings | Counselor | 2383 E Springfield Pl, Chandler, AZ 85286-1206 | 2020-09-21 |
| 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.