AZ CHILD AND FAMILY PSYCHOLOGICAL SERVICES, PLLC. (NPI# 1831596915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831596915 |
| Entity Type | Organization |
| Organization Name | AZ CHILD AND FAMILY PSYCHOLOGICAL SERVICES, PLLC. |
| Practice Address |
3048 E Baseline Rd Suite 107 Mesa AZ 85204-7286 |
| Mailing Address |
3048 E. Baseline Road Suite 107 Mesa AZ 85204 |
| Practice Telephone | 3234578543 |
| Practice Fax Number | 6022933271 |
| Mailing Telephone | 3234578543 |
| Mailing Fax Number | 6022933271 |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-04 |
| Authorized Official Name | DR. JULIE CAJOLET-ECKHARDT (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 2625152445 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43702600 | 05 |
| Street Address |
3048 E BASELINE RD SUITE 107 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-7286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091497 | Donald Lynn Griner | Family Medicine | 3048 E Baseline Rd, Ste 109, Mesa, AZ 85204-7287 | 2005-05-27 |
| 1225537582 | Esther Lopez-moryl | Social Worker | 3048 E Baseline Rd, Mesa, AZ 85204-7286 | 2018-02-01 |
| 1104351824 | Living In Balance Counseling, Pllc | Marriage & Family Therapist | 3048 E Baseline Rd, Suite 108, Mesa, AZ 85204-7286 | 2017-05-01 |
| 1881134948 | Bella Rosa Counseling and Consultation Services, LLC | Counselor | 3048 E Baseline Rd, Suite 108, Mesa, AZ 85204-7286 | 2017-03-08 |
| 1154874030 | Allergy Navigators, Pllc | Nurse Practitioner | 3048 E Baseline Rd, 122, Mesa, AZ 85204-7286 | 2016-07-27 |
| 1992153696 | Amp Healthcare Consulting, Pllc | Nurse Practitioner | 3048 E Baseline Rd, 122, Mesa, AZ 85204-7286 | 2016-06-03 |
| 1710347042 | Arizona Family Institute | Social Worker | 3048 E Baseline Rd, Suite 107, Mesa, AZ 85204-7286 | 2016-02-29 |
| 1659775591 | Kristen Nicole Sharma | Physician Assistant | 3048 E Baseline Rd, Suite 120, Mesa, AZ 85204 | 2014-10-21 |
| 1194133181 | Amy Safier | Counselor | 3048 E Baseline Rd, Suite 108, Mesa, AZ 85204-7286 | 2014-07-23 |
| 1013323443 | Lucas Christensen | Physical Therapist | 3048 E Baseline Rd, Suite 125, Mesa, AZ 85204-7286 | 2014-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586144 | Brighter Tomorrow's Family Services, LLC | Community/Behavioral Health | 644 N Country Club Dr Ste D, Mesa, AZ 85201-4983 | 2020-10-16 |
| 1073120390 | Harmony Behavioral Home LLC | Community/Behavioral Health | 5437 E Harmony Ave, Mesa, AZ 85206-6750 | 2020-09-30 |
| 1992311716 | Life Force Community Services | Community/Behavioral Health | 1237 S Val Vista Dr Ste 113, Mesa, AZ 85204-6401 | 2020-09-17 |
| 1326650417 | Fresh Start Rescource Center LLC | Community/Behavioral Health | 840 E Mckellips Rd Ste 109, Mesa, AZ 85203-9654 | 2020-08-19 |
| 1679182745 | A Nod To Veterans LLC | Community/Behavioral Health | 2436 S Lennox, Mesa, AZ 85209-6663 | 2020-07-24 |
| 1205452117 | Md Life Strategies, Inc | Community/Behavioral Health | 7435 E Main St, Mesa, AZ 85207-8337 | 2020-06-17 |
| 1346864147 | Rising Youth LLC | Community/Behavioral Health | 5948 E Fountain Cir, Mesa, AZ 85205-5513 | 2020-06-08 |
| 1225659121 | Amazing Hope LLC | Community/Behavioral Health | 7103 E Onza Ave, Mesa, AZ 85212-9811 | 2020-05-01 |
| 1912535337 | Harmony Family Services II | Community/Behavioral Health | 2812 N Norwalk Ste 103, Mesa, AZ 85215-1148 | 2020-03-31 |
| 1528692118 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N Mesa Dr Ste 116b, Mesa, AZ 85201-5974 | 2020-02-24 |
| Find all providers in MESA | ||||
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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.