JESSE ANTHONY RUELAS (NPI# 1851945166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851945166 |
| Entity Type | Individual |
| Full Name | JESSE ANTHONY RUELAS |
| Practice Address |
1500 E Thomas Rd Ste 106 Phoenix AZ 85014-5748 |
| Practice Telephone | 6022486040 |
| Mailing Telephone | 6022486040 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1500 E THOMAS RD STE 106 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85014-5748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508339656 | Jay Allen Lenne | Social Worker | 1500 E Thomas Rd Ste 106, Phoenix, AZ 85014-5748 | 2019-01-10 |
| 1043859309 | Rachel Ana Reding | Social Worker | 1500 E Thomas Rd Ste 106, Phoenix, AZ 85014-5748 | 2020-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796549 | Sherri Ann Rhodes | Registered Nurse | 5727 North 7th Street, Suite 308, Phoenix, AZ 85014 | 2020-10-06 |
| 1235746249 | Kaitlyn Landess | Occupational Therapist | 1190 W. Missouri Ave, Suite 100, Phoenix, AZ 85014 | 2020-09-24 |
| 1467088062 | Generational Bridges Neuropsychological Services Pllc | Clinical Neuropsychologist | 1515 E Missouri Dr, Phoenix, AZ 85014 | 2020-03-16 |
| 1861022881 | Daza Astrid Hernandez | Speech-Language Pathologist | 5314 N 7th Street, Phoeniz, AZ 85014 | 2020-01-17 |
| 1396213542 | Arizona Youth & Family Services Inc. | Community/Behavioral Health | 3707 N. 7th Street, Ste. 200, Phoenix, AZ 85014 | 2018-11-06 |
| 1366815508 | Dehp LLC | Case Management | 3707 N. 7th St., Ste # 310, Phoenix, AZ 85014 | 2015-11-10 |
| 1659751972 | Carla Parola | Counselor | 1300 E Missouri Ave Ste A-120, Phoenix, AZ 85014 | 2015-06-02 |
| 1659763597 | Dale Carroll Davis | Dentist | 3132 N. 7th St, Phoenix, AZ 85014 | 2015-03-02 |
| 1407247091 | Cynthia Ruzich | Psychologist | 1450 E. Indian School Rd. #101, Phoenix, AZ 85014 | 2015-02-18 |
| 1144618315 | Emily M Bentz | Specialist/Technologist | 3514 N. 7th St, Phoenix, AZ 85014 | 2014-12-22 |
| Find all providers in zip 85014 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518465012 | Cesar Alejandro Mercado | Peer Specialist | 137 Sharon Dr, Phoenix, OR 97535-5713 | 2018-01-30 |
| 1235737156 | Timothy Chakos-kender | Peer Specialist | 4343 N 16th St, Phoenix, AZ 85016-5338 | 2020-10-13 |
| 1518565696 | Aaron R Fry | Peer Specialist | 4343 N 16th St, Phoenix, AZ 85016-5338 | 2020-10-12 |
| 1386284685 | Alysse Lynette Kelly | Peer Specialist | 149 S Main St, Phoenix, OR 97535-6631 | 2020-01-14 |
| 1609273382 | Shellye D Byers | Peer Specialist | 9428 W Highland Ave, Phoenix, AZ 85037-1015 | 2014-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679181457 | Justin David Lee Harvey | Peer Specialist | 1616 E Main St Ste 207a-1, Mesa, AZ 85203-9071 | 2020-07-17 |
| 1689295636 | Native Music Coalition | Peer Specialist | 4814 S Warren Ave, Tucson, AZ 85714-1749 | 2020-04-30 |
| 1063031532 | Grace Irene Tang | Peer Specialist | 3023 N Calle Castellon, Tucson, AZ 85745-9512 | 2020-04-14 |
| 1407493687 | Vincent Merced Flores | Peer Specialist | 1706 E Calle Salamanca, Tucson, AZ 85714-1729 | 2019-12-05 |
| 1043737497 | Penny Pulz Golf LLC | Peer Specialist | 10315 W Wininger Cir Ste B, Sun City, AZ 85351-4758 | 2017-08-26 |
| 1275917379 | Diedra Y Kinne | Peer Specialist | 240 West Jensen St., Fredonia, AZ 86022-0491 | 2015-07-17 |
| 1861884157 | Valena F Eisenhart | Peer Specialist | 1745 N Kadota Ave, Casa Grande, AZ 85122-2131 | 2015-02-24 |
| 1578953477 | Vincent Nicasio Jr. | Peer Specialist | 471 N Marshall Loop Rd, Somerton, AZ 85350-6216 | 2015-01-29 |
| 1508474917 | Chauncey Bradford | Peer Specialist | 1616 E Main St Ste 207a-1, Mesa, AZ 85203-9071 | 2020-07-21 |
| 1972043404 | Patricia Aragon-niit | Peer Specialist | 1595 S 1st Ave, Yuma, AZ 85364-4706 | 2017-03-02 |
| 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.