BEACON PSYCHOLOGICAL AND CONSULTING SERVICES, PLLC (NPI# 1942788237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942788237 |
Entity Type | Organization |
Organization Name | BEACON PSYCHOLOGICAL AND CONSULTING SERVICES, PLLC |
Practice Address |
1930 S Alma School Rd Mesa AZ 85210-3064 |
Mailing Address |
5624 S Crows Nest Rd Tempe AZ 85283-2111 |
Practice Telephone | 4802824237 |
Mailing Telephone | 8018570867 |
Enumeration Date | 2018-07-30 |
Last Update Date | 2018-07-30 |
Authorized Official Name | STEVEN BRYCE BENNETT (OWNER) |
Authorized Official Telephone | 8018570867 |
Authorized Official Credential | PSY.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | NPI | 1649637398 | 01 |
Street Address |
1930 S ALMA SCHOOL RD |
City | MESA |
State | AZ |
Zip Code | 85210-3064 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033199716 | Anne E. Harris | Psychologist | 1930 S Alma School Rd, Suite B 214, Mesa, AZ 85210-3064 | 2006-01-19 |
1528523776 | Icare Home Health Services LLC | Home Health | 1930 S Alma School Rd, Mesa, AZ 85210-3064 | 2019-02-01 |
1245688555 | Loving Care Hospice Inc | Hospice Care, Community Based | 1930 S Alma School Rd, B213, Mesa, AZ 85210-3064 | 2016-05-26 |
1649637398 | Steven Bryce Bennett | Psychologist | 1930 S Alma School Rd, Suite A216, Mesa, AZ 85210-3064 | 2016-01-26 |
1952706038 | William Kentopp and John J Bodine | Physical Therapist | 1930 S Alma School Rd, Suite A-100, Mesa, AZ 85210-3064 | 2014-10-30 |
1215350038 | Companion Home Health of Maricopa, LLC | Home Health | 1930 S Alma School Rd, Suite A-105, Office No. 8, Mesa, AZ 85210-3064 | 2014-01-30 |
1487090262 | Shhphx LLC | Home Health | 1930 S Alma School Rd, Suite C205, Mesa, AZ 85210-3064 | 2013-05-20 |
1225377237 | Companion Hospice and Palliative Care of Maricopa, LLC | Hospice Care, Community Based | 1930 S Alma School Rd, D105, Mesa, AZ 85210-3064 | 2013-02-11 |
1932482288 | Erin Cathleen South | Psychologist | 1930 S Alma School Rd, Unit A216, Mesa, AZ 85210-3064 | 2011-09-22 |
1851688253 | Hospice Integrity LLC | Hospice Care, Community Based | 1930 S Alma School Rd, Suite D105, Mesa, AZ 85210-3064 | 2011-07-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
Find all providers in zip 85210 |
Taxonomy Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003469057 | East Valley Child Psychology | Clinic/Center | 1910 S Stapley Dr Ste 221, Mesa, AZ 85204-6680 | 2019-07-18 |
1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
1396079703 | The U-turn Foundation | Clinic/Center | 3707 E Southern Ave Ste 1014, Mesa, AZ 85206-6201 | 2009-10-01 |
1568491637 | A New Leaf, Inc. | Clinic/Center | 1655 E University Dr, Suite 100 & 101, Mesa, AZ 85203-8169 | 2006-07-01 |
1003273855 | Maricopa County Special Health Care District | Clinic/Center | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2016-01-25 |
1467841023 | Terros, Inc. | Clinic/Center | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2015-01-20 |
1174965370 | A New Leaf, Inc. - Central Campus Services | Clinic/Center | 960 N Stapley Dr, Building 2 - 10, Mesa, AZ 85203-5604 | 2013-07-29 |
1386957645 | Superstition Springs Counseling Services of Arizona | Clinic/Center | 7254 E Southern Ave, Suite 123, Mesa, AZ 85209-2786 | 2010-07-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538778899 | Star House Bhrf LLC | Clinic/Center | 44796 W Sandhill Road, Maricopa, AZ 85139 | 2020-07-23 |
1508480377 | Muhammad Azeem Butt | Clinic/Center | 44796 W Sandhill Rd, Maricopa, AZ 85139-9113 | 2020-06-07 |
1598394850 | Rite of Passage Inc | Clinic/Center | 20275 E Rittenhouse Rd Ste 105, Queen Creek, AZ 85142-4534 | 2020-04-07 |
1417593575 | Obsidian Health and Wellness LLC | Clinic/Center | 13321 W Indian School Rd Ste A107, Litchfield Park, AZ 85340-4339 | 2019-11-25 |
1285289736 | Ericka Catrise Barker | Clinic/Center | 12858 W Alvarado Rd, Avondale, AZ 85392-7144 | 2019-08-01 |
1851874036 | Arizonas New Hope | Clinic/Center | 5045 W Baseline Rd Ste A105-214, Laveen, AZ 85339-7392 | 2018-09-13 |
1760972947 | Arizona's Children Association | Clinic/Center | 1420 N Greenfield Rd Ste 100&101, Gilbert, AZ 85234 | 2018-05-14 |
1609305564 | The Highway: A Self-harm and Suicide Prevention Service | Clinic/Center | 7572 E Buena Vista Dr, Prescott Valley, AZ 86314-5563 | 2017-06-05 |
1912458589 | Mohave Mental Health Clinic, Inc. | Clinic/Center | 151 Riviera Dr Ste B, Lake Havasu City, AZ 86403-5740 | 2016-10-19 |
1043665649 | Arizona's Children Association | Clinic/Center | 1860 N State Dr, Ste. 6, Nogales, AZ 85621-2457 | 2016-05-02 |
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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.