FAMILY SERVICE AGENCY (NPI# 1942587217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942587217 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICE AGENCY |
| Practice Address |
943 S Gilbert Rd Mesa AZ 85204-4441 |
| Mailing Address |
15031 N 8th Ave Phoenix AZ 85023-5282 |
| Practice Telephone | 6022649891 |
| Mailing Telephone | 9282664151 |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |
| Authorized Official Name | CLARICE A. PARHAM (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6022649891 |
| Authorized Official Credential | M.A., LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | LPC-12450 | AZ | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427380385 | Family Service Agency | Counselor | 943 S Gilbert Rd, Ste. 400, Mesa, AZ 85204-4441 | 2010-02-03 |
| 1740487222 | Family Service Agency | Voluntary or Charitable | 1107 S Gilbert Rd, Suite 104, Mesa, AZ 85204-5232 | 2007-06-28 |
| 1255538732 | Family Service Agency | Voluntary or Charitable | 10220 N 31st Ave Ste 103-105, Phoenix, AZ 85051-9581 | 2007-06-28 |
| 1477597193 | Family Service Agency | Voluntary or Charitable | 2400 N. Central Avenue, Suite 101, Phoenix, AZ 85004-1341 | 2006-06-15 |
| 1184974347 | Family Service Agency | Community/Behavioral Health | 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 | 2012-09-14 |
| 1013071232 | Family Service Agency | Community/Behavioral Health | 555 Northgate Dr, Family Service Agency of Marin, San Rafael, CA 94903-3680 | 2006-12-21 |
| 1861561946 | Family Service Agency | Marriage & Family Therapist | 555 Northgate Dr, San Rafael, CA 94903-3680 | 2006-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY SERVICE AGENCY | 535 Marmion Ave, Youngstown, OH 44502-2323 |
| System for Award Management (SAM) Entities | FAMILY SERVICE AGENCY OF MICHIGAN | 1422 W Court St, Flint, MI 48503-5008 |
| System for Award Management (SAM) Entities | FAMILY SERVICE AGENCY OF SANTA BARBARA COUNTY | 123 W Gutierrez St, Santa Barbara, CA 93101-3424 |
| Washington State Corporations | FAMILY SERVICE AGENCY OF SANTA BARBARA COUNTY | 123 W Gutierrez St, Santa Barbara, CA 93101-3424 |
| Street Address |
943 S GILBERT RD |
| City | MESA |
| State | AZ |
| Zip Code | 85204-4441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427380385 | Family Service Agency | Counselor | 943 S Gilbert Rd, Ste. 400, Mesa, AZ 85204-4441 | 2010-02-03 |
| 1144775123 | Roumen Bezergianov | Counselor | 943 S Gilbert Rd, #204, Mesa, AZ 85204-4441 | 2016-08-19 |
| 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 | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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|---|---|---|---|---|
| 1912443144 | Hospice Promise of Mohave LLC | Point of Service | 840 W University Dr Ste 1, Mesa, AZ 85201-5529 | 2017-01-11 |
| 1073854816 | Oxford Health Network, LLC | Point of Service | 3049 E Mckellips Rd, Suite 6, Mesa, AZ 85213-3144 | 2013-03-04 |
| 1598987885 | Dobson Imagin Center | Point of Service | 1837 W Guadalupe Rd Ste 110, Mesa, AZ 85202 | 2007-05-03 |
| 1497975684 | Longlife Medical Inc. | Point of Service | 6632 E. Baseline Rd., Ste. 103, Mesa, AZ 85206-4428 | 2007-04-27 |
| 1013381383 | Brain Performance Centers | Point of Service | 6840 E Brown Rd Ste 104, Mesa, AZ 85207-3759 | 2015-11-23 |
| 1669891842 | German Dobson Cvs L.L.C. | Point of Service | 1151 E Mckellips Rd, Mesa, AZ 85203-2626 | 2014-04-15 |
| 1275657074 | Vo of Arizona Inc. | Point of Service | 1930 S Alma School Rd, Suite 203, Mesa, AZ 85210-3064 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730708017 | 1 Source Labs and Medical Services LLC | Point of Service | 2440 W Mission Ln Ste 5, Phoenix, AZ 85021-2824 | 2020-04-16 |
| 1639733827 | Capable Home Solutions | Point of Service | 1625 S 7th Ave, Yuma, AZ 85364-5553 | 2019-04-24 |
| 1912444977 | Equally One | Point of Service | 3102 N 39th Ave, Phoenix, AZ 85019-4102 | 2017-01-27 |
| 1194277426 | Women's Medical & Gyn Centre, LLC | Point of Service | 2055 Highway 95, Bullhead City, AZ 86442-6004 | 2016-11-03 |
| 1740648260 | Ries Chiropractic and Rehabilitation Center LLC | Point of Service | 5658 Hwy 260 Ste 1, Lakeside, AZ 85929 | 2016-01-29 |
| 1376908996 | Westchester Tbi Home Care LLC | Point of Service | 1046 E Westchester Dr, Tempe, AZ 85283-3039 | 2015-12-25 |
| 1144692872 | Solera Health, Inc. | Point of Service | 111 W Monroe St Ste 300, Phoenix, AZ 85003-1718 | 2015-10-21 |
| 1609245323 | Walter Edward Heuck | Point of Service | 15113 W Las Brizas Ln, Sun City West, AZ 85375-3056 | 2015-09-23 |
| 1962878744 | Gimo Pharmacuetical Services | Point of Service | 12809 W Indianola Ave, Avondale, AZ 85392-6723 | 2015-08-17 |
| 1720464233 | April Cole, Rn | Point of Service | 20504 E Riggs Rd, Queen Creek, AZ 85142-5297 | 2015-08-06 |
| 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.