COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC (NPI# 1952724791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952724791 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL SERVICES ARIZONA-PRIVATE, LLC |
| Other Organization Name | COMMUNITY MEDICAL SERVICES |
| Practice Address |
6116 E Arbor Ave Building 1, Suite 104 Mesa AZ 85206 |
| Mailing Address |
9449 N 90th St Ste 210 Scottsdale AZ 85258-5037 |
| Practice Telephone | 4804994599 |
| Practice Fax Number | 4806565687 |
| Mailing Telephone | 6022488886 |
| Mailing Fax Number | 6022488999 |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | TODD STINGLEY (CORPORATE CONTROLLER) |
| Authorized Official Telephone | 6022488886 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
OTC6524 | AZ | Ambulatory Health Care Facilities |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
OTC6524 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 914899 | 05 |
| Other Name | Type Code |
|---|---|
| Community Medical Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811514524 | Community Medical Services Arizona-private, LLC | Clinic/Center | 2806 W Cactus Rd, Phoenix, AZ 85029-3347 | 2020-06-29 |
| 1477191153 | Community Medical Services Arizona-private, LLC | Clinic/Center | 2525 S Rural Rd Ste 9-10n, Tempe, AZ 85282-2435 | 2019-12-13 |
| 1962069468 | Community Medical Services Arizona-private, LLC | Clinic/Center | 1115 N Stockton Hill Rd Ste 103&104, Kingman, AZ 86401-6232 | 2019-05-21 |
| 1770147571 | Community Medical Services Arizona-private, LLC | Clinic/Center | 274 W View Point Dr, Nogales, AZ 85621-4114 | 2019-04-26 |
| 1013570589 | Community Medical Services Arizona-private, LLC | Clinic/Center | 10689 N 99th Ave, Peoria, AZ 85345-5402 | 2019-04-19 |
| 1396204921 | Community Medical Services Arizona-private, LLC | Clinic/Center | 329 Lake Havasu Ave S, Lake Havasu City, AZ 86403-9368 | 2019-03-13 |
| 1538630009 | Community Medical Services Arizona-private, LLC | Counselor | 2940 E Main St, Mesa, AZ 85213-9305 | 2018-12-10 |
| 1326530940 | Community Medical Services Arizona-private, LLC | Clinical Medical Laboratory | 6116 E Arbor Ave Ste 104, Mesa, AZ 85206-6103 | 2018-05-30 |
| 1154822062 | Community Medical Services Arizona-private, LLC | Counselor | 440 N Camino Mercado Ste 2, Casa Grande, AZ 85122-5750 | 2018-02-26 |
| 1497818595 | Community Medical Services Arizona-private, LLC | Clinic/Center | 2301 W Northern Ave, Phoenix, AZ 85021-4918 | 2006-12-19 |
| Street Address |
6116 E ARBOR AVE BUILDING 1, SUITE 104 |
| City | MESA |
| State | AZ |
| Zip Code | 85206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699770289 | Alan M. Grossman | Internal Medicine | 6116 E Arbor Ave, Suite 112, Mesa, AZ 85206 | 2005-06-20 |
| 1508414657 | Michelle Wood | Surgery | 6116 E Arbor Ave, Suite 102, Mesa, AZ 85206 | 2019-09-02 |
| 1487193371 | East Valley Urology Center Plc | Clinic/Center | 6116 E Arbor Ave, Mesa, AZ 85206-6107 | 2017-02-13 |
| 1558720300 | Orthopedic Specialists of North America Pllc | Orthopaedic Surgery | 6116 E Arbor Ave, Ste 118, Mesa, AZ 85206-6107 | 2016-02-22 |
| 1083025423 | Rosemary Bloom | Physician Assistant | 6116 E Arbor Ave, Ste 102, Mesa, AZ 85206-6107 | 2014-05-19 |
| 1306142211 | Joseph G. Abdo, M.d., P.C. | Surgery | 6116 E Arbor Ave, Ste 102, Mesa, AZ 85206-6107 | 2011-02-10 |
| 1770749657 | Austin William Ream | Physical Therapist | 6116 E Arbor Ave, Suite 118, Mesa, AZ 85206-6107 | 2008-07-31 |
| 1821287038 | Carolyn M Chu-setterstrom | Physician Assistant | 6116 E Arbor Ave, Suite 112, Mesa, AZ 85206-6107 | 2007-10-24 |
| 1740493014 | Sonia B Gozum | Nurse Practitioner | 6116 E Arbor Ave, Suite 112, Mesa, AZ 85206-6107 | 2007-05-07 |
| 1518060938 | David Martin Bell | Internal Medicine | 6116 E Arbor Ave, Suite 112, Mesa, AZ 85206-6107 | 2006-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725504 | Cheryl Hawley | Counselor | 2727 S Sawyer Cir, Mesa, AZ 85209-6257 | 2020-06-19 |
| 1578192357 | Katherine Desio-scott | Counselor | 9860 E Escondido Ave, Mesa, AZ 85208-3129 | 2020-04-03 |
| 1821639642 | Arizona Intergrated Tele Psychiatry and Tele Medicine Services LLC | Counselor | 2735 E Main St Ste 3, Mesa, AZ 85213-9269 | 2019-10-02 |
| 1881253961 | Amy Massey | Counselor | 522 W Edgewood Ave, Mesa, AZ 85210-3509 | 2019-06-11 |
| 1538630009 | Community Medical Services Arizona-private, LLC | Counselor | 2940 E Main St, Mesa, AZ 85213-9305 | 2018-12-10 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1780137729 | Maxine Mandell | Counselor | 3130 E Caballero St, Mesa, AZ 85213-7902 | 2016-07-26 |
| 1457726036 | Laura Fontaine | Counselor | 2345 S Alma School Rd Ste 105, Mesa, AZ 85210-4013 | 2015-12-07 |
| 1144625765 | Elevate Arizona | Counselor | 3208 N Ladera Cir, Mesa, AZ 85207-0810 | 2014-10-24 |
| 1013311356 | Chad H Close | Counselor | 650 W. Southern Ave., Mesa, AZ 85210 | 2014-10-15 |
| 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.