ROBERTO I. BRACAMONTE, M.D., P.C. (NPI# 1780979740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780979740 |
| Entity Type | Organization |
| Organization Name | ROBERTO I. BRACAMONTE, M.D., P.C. |
| Practice Address |
3550 E Pinchot Ave Building B Phoenix AZ 85018-7434 |
| Mailing Address |
3751 W Turtle Hill Dr Anthem AZ 85086-3740 |
| Practice Telephone | 8452353581 |
| Mailing Telephone | 8452353581 |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |
| Authorized Official Name | DR. ROBERTO IGOR BRACAMONTE (PRESIDENT) |
| Authorized Official Telephone | 8452353581 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
42622 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
3550 E PINCHOT AVE BUILDING B |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85018-7434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376055244 | Laura Alejandra Esquer | Counselor | 3550 E Pinchot Ave, Phoenix, AZ 85018-7434 | 2017-10-31 |
| 1437571213 | Ubh of Phoenix LLC | Psychiatric Hospital | 3550 E Pinchot Ave, Phoenix, AZ 85018-7434 | 2014-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098483 | Skyfalls LLC | Plastic Surgery | 3723 E Sells Drive, Phoenix, AZ 85018 | 2019-11-25 |
| 1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
| 1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
| 1902322472 | Saskia Soliz | Behavioral Analyst | 2940 N 40th Street, Unit 19, Phoenix, AZ 85018 | 2017-08-16 |
| 1700233418 | Harriet Frost | Marriage & Family Therapist | 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 | 2016-05-23 |
| 1356733547 | Margaret Murphy Conley | Acupuncturist | 3040 N 44th St Ste 3, Phoenix, AZ 85018 | 2015-02-24 |
| 1457766792 | Anne Marie Hatch | Psychiatry & Neurology | 5090 N 40th St Ste 250a, Phoenix, AZ 85018 | 2014-06-25 |
| 1972848315 | Crystal M Ostermeyer | Physician Assistant | 4350 East Camelback Rd, Suite G-100, Phoenix, AZ 85018 | 2012-12-11 |
| 1699029652 | Monte Vista School | Local Education Agency (LEA) | 3501 E. Osborn Road, Phoenix, AZ 85018 | 2012-10-30 |
| 1962754028 | Jill R. Zweig D.o., PC | Psychiatry & Neurology | 5110 N 40th Street, Suite 104, Phoenix, AZ 85018 | 2012-10-12 |
| Find all providers in zip 85018 | ||||
| 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 |
|---|---|---|---|---|
| 1699296574 | Sandra M Zebrowski | Psychiatry & Neurology | 4350 E Cotton Center Blvd Ste 100, Suite 100, Phoenix, AZ 85040-8852 | 2017-06-30 |
| 1417032178 | Leslie Kay Kaminski | Psychiatry & Neurology | 4001 N 3rd St, 150, Phoenix, AZ 85012-2060 | 2006-10-25 |
| 1003912692 | Derrick S. Hines M.d. P.C. | Psychiatry & Neurology | 8208 S 18th Pl, Phoenix, AZ 85042-6837 | 2006-09-15 |
| 1376587816 | Edwin A. Perez | Psychiatry & Neurology | 3739 E. Maffeo Rd., Phoenix, AZ 85050-8342 | 2006-06-15 |
| 1639148950 | Eric Benjamin | Psychiatry & Neurology | 3807 N 7th St, Phoenix, AZ 85014-5005 | 2006-03-17 |
| 1154740314 | Sanjay Bankim Kaji | Psychiatry & Neurology | 4545 E Chandler Blvd Ste 308, Phoenix, AZ 85048-7646 | 2014-04-15 |
| 1003175217 | Tiffany Best | Psychiatry & Neurology | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2012-05-08 |
| 1770866527 | Chiranjir Narine | Psychiatry & Neurology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2011-09-27 |
| 1588973945 | Derrick S Hines | Psychiatry & Neurology | 15648 N 35th Ave, Phoenix, AZ 85053-3861 | 2010-10-04 |
| 1750610184 | Melissa Anne Ramirez | Psychiatry & Neurology | 3610 N 44th St, Ste 210, Phoenix, AZ 85018-6059 | 2009-12-14 |
| Find all providers in PHOENIX | ||||
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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.