2ND CHANCE TREATMENT CENTERS PLLC (NPI# 1780098228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780098228 |
| Entity Type | Organization |
| Organization Name | 2ND CHANCE TREATMENT CENTERS PLLC |
| Practice Address |
16620 N 40th St Ste I5 Phoenix AZ 85032-3348 |
| Mailing Address |
16620 N 40th St Ste E-1 Phoenix AZ 85032-3348 |
| Practice Telephone | 6024649576 |
| Practice Fax Number | 6026268901 |
| Mailing Telephone | 6024649576 |
| Mailing Fax Number | 6026268901 |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | ASHWIN M REDDY (MANAGER) |
| Authorized Official Telephone | 6024649576 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
48835 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18555 N 79th Ave Ste D107, Glendale, AZ 853086040 | 6237773477 | 6237773478 |
| 2450 E Guadalupe Rd Ste 103, Gilbert, AZ 852345116 | 4809076818 | 4809075181 |
| 6535 W Camelback Rd Ste 4, Phoenix, AZ 850331608 | 6232315535 | 6232315978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255899266 | 2nd Chance Treatment Centers Pllc | Substance Abuse Rehabilitation Facility | 6535 W Camelback Rd Ste 4, Phoenix, AZ 85033-1608 | 2019-03-08 |
| 1093273005 | 2nd Chance Treatment Centers Pllc | Substance Abuse Rehabilitation Facility | 2450 E Guadalupe Rd Ste 103, Gilbert, AZ 85234-5116 | 2019-03-08 |
| Street Address |
16620 N 40TH ST STE I5 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-3348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831193556 | Laura Kay Schroeder | Internal Medicine | 16620 N 40th St, Ste H-4, Phoenix, AZ 85032-3399 | 2005-06-09 |
| 1477049427 | Aaron Anthony Arciniega | Nurse Practitioner | 16620 N 40th St, Phoenix, AZ 85032-3348 | 2018-07-02 |
| 1881117273 | Kai Health & Wellness, LLC | Family Medicine | 16620 N 40th St, Building I, Suite 2, Phoenix, AZ 85032-3348 | 2017-07-18 |
| 1083066450 | Arizona Skin and Laser Therapy Institue, Ltd | Dermatology | 16620 N 40th St, Suite C-3, Phoenix, AZ 85032-3348 | 2016-07-08 |
| 1821447111 | Pain and Spine Clinics Pllc | Anesthesiology | 16620 N 40th St, Ste D1, Phoenix, AZ 85032-3348 | 2016-06-07 |
| 1962861930 | Kacey Lohmann | Nurse Practitioner | 16620 N 40th St, Ste H4, Phoenix, AZ 85032-3348 | 2016-02-18 |
| 1366812240 | Hanna Babayed Dmd | Dentist | 16620 N 40th St, #f, Phoenix, AZ 85032-3348 | 2015-10-05 |
| 1578904660 | Steven S. Sabatino Dds, Ms, Pllc | Dentist | 16620 N 40th St, Suite A-1, Phoenix, AZ 85032-3348 | 2013-07-17 |
| 1396181392 | Global Mobile Anesthesia LLC | Anesthesiology | 16620 N 40th St, Suite D1, Phoenix, AZ 85032-3348 | 2013-05-16 |
| 1790086890 | Red Rock Pain Physicians LLC | Pain Medicine | 16620 N 40th St, Suite D1, Phoenix, AZ 85032-3348 | 2010-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811483878 | Desert Mountain Health | Psychiatry & Neurology | 6613 N Scottsdale Rd Ste 101, Scottsdale, AZ 85250-7800 | 2018-07-02 |
| 1730547134 | Cope Community Services, Inc. | Psychiatry & Neurology | 1660 W Commerce Point Pl, Green Valley, AZ 85614 | 2016-02-01 |
| 1598189235 | Annees Ouseph Moonjelly | Psychiatry & Neurology | 1305 East Butte Avenue, Florence, AZ 85132 | 2014-02-18 |
| 1972717999 | Michael E Scott | Psychiatry & Neurology | 6280 E. Pima, Ste 110, Tucson, AZ 85712 | 2007-05-09 |
| 1912026089 | Michael Mahl | Psychiatry & Neurology | 312 N Alma School Rd Ste 18, Chandler, AZ 85224-4354 | 2007-03-28 |
| 1134219397 | Marianne Klugheit | Psychiatry & Neurology | 6301 S 6th Ave, Tucson, AZ 85723-0001 | 2006-10-16 |
| 1710340302 | Psych Unlimited Pllc | Psychiatry & Neurology | 6350 S Maple Ave, Tempe, AZ 85283-2857 | 2016-03-31 |
| 1902241284 | Alan Kazan Md PC | Psychiatry & Neurology | 7575 E Earll Dr, Scottsdale, AZ 85251-6915 | 2013-05-01 |
| 1265611743 | Bethann Mahoney PC | Psychiatry & Neurology | 6812 N Oracle Rd, Suite 100, Tucson, AZ 85704-4246 | 2007-10-31 |
| 1902996150 | Dianne Keller | Psychiatry & Neurology | 2502 N Dodge Blvd, Suite 190, Tucson, AZ 85716-2671 | 2006-10-16 |
| 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.