ALAN LEE OGUS (NPI# 1013936228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013936228 |
Entity Type | Individual |
Full Name | ALAN LEE OGUS |
Credential | PH D |
Practice Address |
110 West Camelback Road Suite 200 Phoenix AZ 85013 |
Mailing Address |
3430 North Mountain Ridge Unit 70 Mesa AZ 85207 |
Practice Telephone | 6022302222 |
Practice Fax Number | 6022302026 |
Mailing Telephone | 4808303963 |
Mailing Fax Number | 6022302026 |
Enumeration Date | 2006-07-19 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1008 | NC | Behavioral Health & Social Service Providers |
Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
3463 | AZ | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | AHCCS PROVIDER NUMBER | 787624 | 01 |
Street Address |
110 WEST CAMELBACK ROAD SUITE 200 |
City | PHOENIX |
State | AZ |
Zip Code | 85013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
Find all providers in zip 85013 |
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 |
1366088585 | Arizona Wellcare LLC | Psychologist | 2515 E Thomas Rd Ste 16, Phoenix, AZ 85016-7946 | 2019-11-22 |
1528626074 | Keauna Olugu | Psychologist | 17249 N. 7th St, 1128, Phoenix, AZ 85022 | 2019-05-30 |
1013385384 | Ashley Michelle Loeb | Psychologist | 4130 E Nighthawk Way, Phoenix, AZ 85048-0556 | 2015-09-03 |
1457501876 | Joseph A Gentry | Psychologist | 7600 N 16th St Ste 110, Phoenix, AZ 85020-4446 | 2008-09-22 |
1700902764 | Susanne Griffin | Psychologist | 7227 North 16th Street, Suite 219, Phoenix, AZ 85020-5251 | 2007-03-21 |
1447204359 | Donald R. Townsend | Psychologist | 3040 E Cactus Rd, Ste A, Phoenix, AZ 85032-7196 | 2006-05-22 |
1427678143 | Kristin Larson | Psychologist | 2930 E Northern Ave Ste A105, Phoenix, AZ 85028-4844 | 2020-04-22 |
1457806796 | Aleksandr Levitan | Psychologist | 2375 E Camelback Rd Ste 600, Phoenix, AZ 85016-3493 | 2016-08-16 |
Find all providers in PHOENIX |
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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.