Mark S Simpson (NPI# 1518952662, PAC ID# 6709901044) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
Nation Provider ID (NPI) | 1518952662 |
PAC ID by PECOS | 6709901044 |
Professional Enrollment ID | I20100910000202 |
Full Name | Mark S Simpson |
Organization Legal Name | AMANECER COMMUNITY COUNSELING CENTER |
Address |
785 Anthony Dr Anthony NM 88021 |
Phone Number | 5758825100 |
Gender | M |
Graduation Year | 2003 |
Primary Specialty | PSYCHOLOGIST, CLINICAL |
Group Practice PAC ID | 4486938446 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
785 Anthony Dr, Anthony, NM 88021 | 5758825100 | AMANECER COMMUNITY COUNSELING CENTER |
Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 | 9287298256 | THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION |
Organization Legal Name | AMANECER COMMUNITY COUNSELING CENTER |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Martin Nicholas Ancona | Psychologist, Clinical | Amanecer Community Counseling Center | 785 Anthony Dr, Anthony, NM 88021 |
Valerie W Acosta | Nurse Practitioner | Amanecer Community Counseling Center | 785 Anthony Dr, Anthony, NM 88021 |
Sandra Martinez | Psychologist, Clinical | Amanecer Community Counseling Center | 785 Anthony Dr, Anthony, NM 88021 |
Street Address |
785 ANTHONY DR |
City | ANTHONY |
State | NM |
Zip | 88021 |
Name | Specialty | Organization | Address |
---|---|---|---|
Martin Nicholas Ancona | Psychologist, Clinical | Amanecer Community Counseling Center | 785 Anthony Dr, Anthony, NM 88021 |
Valerie W Acosta | Nurse Practitioner | Amanecer Community Counseling Center | 785 Anthony Dr, Anthony, NM 88021 |
Sandra Martinez | Psychologist, Clinical | Amanecer Community Counseling Center | 785 Anthony Dr, Anthony, NM 88021 |
Name | Specialty | Organization | Address |
---|---|---|---|
Keri A Hobert | Family Practice | La Clinica De Familia, Inc. | 880 Anthony Dr, Anthony, NM 88021-9346 |
Maria Vanessa Menanteau | Certified Nurse Midwife | La Clinica De Familia, Inc. | 880 Anthony Dr, Anthony, NM 88021-9346 |
City | ANTHONY |
Zip Code | 88021 |
Specialty | PSYCHOLOGIST, CLINICAL |
City + Specialty | ANTHONY + PSYCHOLOGIST, CLINICAL |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.