DR. SUZANNE ANDRY BOTELLO


Address: 1538 W Daydream Dr, Flagstaff, AZ 86001-7212
Phone: 9282663770

DR. SUZANNE ANDRY BOTELLO (NPI# 1922621242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922621242
Entity Type Individual
Full Name DR. SUZANNE ANDRY BOTELLO
Credential PHD, LPC
Practice Address 1538 W Daydream Dr
Flagstaff
AZ 86001-7212
Practice Telephone 9282663770
Mailing Telephone 9282663770
Enumeration Date 2020-05-20
Last Update Date 2020-05-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YP2500X Counselor
Specialization: Professional
LPC-2539 AZ Behavioral Health & Social Service Providers
Y 103TC1900X Psychologist
Specialization: Counseling
4765 AZ Behavioral Health & Social Service Providers
N 103TP2701X Psychologist
Specialization: Group Psychotherapy
4765 AZ Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ TRANSACTION PRIVILEGE TAX NUMBER 03029048 01

Office Location

Street Address 1538 W DAYDREAM DR
City FLAGSTAFF
State AZ
Zip Code 86001-7212

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427658756 Marlenne Adair Escobar-mendoza Specialist/Technologist 1705 South San Francisco Street, Flagstaff, AZ 86001 2020-10-27
1962033712 Laura-lee Prescott Social Worker Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 2020-01-30
1194360784 Trinity Medical Consultants Pllc Internal Medicine 1521 N Cliff Drive, Flagstaff, AZ 86001 2019-11-07
1154849610 Altacare, LLC Family Medicine 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 2017-09-05
1487174926 Lindsey Marie Forstie Nurse Practitioner 7263 E Dreamview Trail, Flagstaff, AZ 86001 2017-06-26
1255860763 Welbrook Senior Living Flagstaff LLC Skilled Nursing Facility 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 2017-06-08
1912432675 Ryan Tiscareno Specialist/Technologist 621 West Cherry Ave, Flagstaff, AZ 86001 2017-05-01
1629432380 Behavioral Consultation Services, Inc. Clinic/Center 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 2016-04-08
1275920928 Junli Gallagher Speech-Language Pathologist 1215 N. Beaver St, Flagstaff, AZ 86001 2015-04-21
1932592599 Kristen Flugstad Psyd, LLC Psychologist 125 East Elm Avenue #203, Flagstaff, AZ 86001 2015-03-06
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427608892 David G Dubner Psychologist 709 N Humphreys St, Flagstaff, AZ 86001-3025 2019-09-17
1720597040 Lore M Dickey Psychologist 2501 N 4th St Ste 18d, Flagstaff, AZ 86004-3701 2017-09-29
1801062286 Laura Lyn Psychologist 123 S San Francisco St, Suite 12, Flagstaff, AZ 86001-5796 2008-05-05
1821036344 Linnea Suzanne Lei Psychologist 416 N Kendrick St, Suite 4, Flagstaff, AZ 86001-1598 2006-06-04
1154324473 James Andrew Hogg Psychologist 408 N Kendrick St, Ste 4, Flagstaff, AZ 86001-1582 2005-05-31
1992212716 Kelly C Donohue Psychologist 2187 N Vickey St, Flagstaff, AZ 86004-6121 2018-01-02
1124531173 Lauren Timmermans Psychologist 519 N Leroux St, Flagstaff, AZ 86001-3221 2017-11-13
1164974721 Sherri Ruggiero Psychologist 1200 N Beaver St, Flagstaff, AZ 86001-3118 2016-10-31
1609282268 Christopher Johann Margeson Psychologist 408 N Kendrick St Ste 4, Flagstaff, AZ 86001-1582 2014-07-03
1639226160 Steven C Finger Psychologist 408 N Kendrick St, Suite 3, Flagstaff, AZ 86001-1582 2007-01-05
Find all providers in FLAGSTAFF

Competitor

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City FLAGSTAFF
Zip Code 86001

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Dataset Information

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.

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