OLUGUS FAMILY CARE (NPI# 1982202594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982202594 |
Entity Type | Organization |
Organization Name | OLUGUS FAMILY CARE |
Practice Address |
44077 W. Palmen Dr. Maricopa AZ 85138 |
Practice Telephone | 4054743054 |
Mailing Telephone | 4054743054 |
Enumeration Date | 2020-10-15 |
Last Update Date | 2020-10-15 |
Authorized Official Name | KEAUNA D. OLUGU (CLINICAL) |
Authorized Official Telephone | 4054743054 |
Authorized Official Credential | D.O |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
Street Address |
44077 W. PALMEN DR. |
City | MARICOPA |
State | AZ |
Zip Code | 85138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154960722 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 41840 W Maricopa- Casa Grande Hwy, Maricopa, AZ 85138 | 2019-12-31 |
1780227413 | Gabriela Flores | Registered Nurse | 44150 W. Maricopa Casa Grande Hwy, Maricopa, AZ 85138 | 2019-10-25 |
1033752761 | Lizabeth Joy Stephens | Registered Nurse | 44150 West Maricopa-casa Grand Hwy., Maricopa, AZ 85138 | 2019-10-25 |
1922657964 | Cathy Jo Rogers | Registered Nurse | 18600 North Porter Road, Maricopa, AZ 85138 | 2019-09-11 |
1902463565 | Four Directions LLC | Respite Care | 37724 W Amalfi Ave, Maricopa, AZ 85138 | 2019-05-20 |
1972087013 | Kristina Donnay | Family Medicine | 41600 W Smith Enke Rd Ste 3, Maricopa, AZ 85138 | 2018-09-24 |
1861909657 | Four Directions LLC | Respite Care | 43989 W Wade Drive, Maricopa, AZ 85138 | 2018-01-03 |
1063939411 | Christina Kern | Specialist/Technologist | 42623 W. Colby Dr., Maricopa, AZ 85138 | 2017-08-26 |
1205357191 | Konadu Family | Community Based Residential Treatment Facility, Mental Illness | 40030 W Coltin Way, Maricopa, AZ 85138 | 2017-06-29 |
1205365723 | Linda Wheeler | Respite Care | 36876 W. Mattino Lane, Maricopa, AZ 85138 | 2017-06-08 |
Find all providers in zip 85138 |
Taxonomy Code | 103TB0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Cognitive & Behavioral |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780201905 | Aimee Nyirakanyana | Psychologist | 9225 W Willow Bend Ln, Phoenix, AZ 85037-2444 | 2020-07-03 |
1093340606 | Taylord LLC | Psychologist | 2302 N Central Ave Unit 604, Phoenix, AZ 85004-1377 | 2020-03-04 |
1497388433 | Jeffrey Louis Tinius | Psychologist | 1341 E Ellis Dr, Tempe, AZ 85282-7261 | 2020-02-18 |
1366088585 | Arizona Wellcare LLC | Psychologist | 2515 E Thomas Rd Ste 16, Phoenix, AZ 85016-7946 | 2019-11-22 |
1508401266 | Patricia Lavallee | Psychologist | 6128 W Mcrae Way, Glendale, AZ 85308-7635 | 2019-11-16 |
1528626074 | Keauna Olugu | Psychologist | 17249 N. 7th St, 1128, Phoenix, AZ 85022 | 2019-05-30 |
1073081808 | Kassinda King Bayo | Psychologist | 3109 S 100th Dr, Tolleson, AZ 85353-8434 | 2018-11-09 |
1891263315 | Kendra Jeske | Psychologist | 921 N Kenneth Dr, Green Valley, AZ 85614-5224 | 2018-11-02 |
1851887251 | Robert Dicarlo | Psychologist | 8350 E Raintree Dr Ste 120, Scottsdale, AZ 85260-2691 | 2018-07-09 |
1013385384 | Ashley Michelle Loeb | Psychologist | 4130 E Nighthawk Way, Phoenix, AZ 85048-0556 | 2015-09-03 |
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.