IMHR EPICENTER (NPI# 1023472610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023472610 |
Entity Type | Organization |
Organization Name | IMHR EPICENTER |
Practice Address |
1415 N 1st St Phoenix AZ 85004-1604 |
Practice Telephone | 6023215738 |
Enumeration Date | 2016-04-08 |
Last Update Date | 2016-04-08 |
Authorized Official Name | CAROL LAGESSE (OPERATIONS DIRECTOR) |
Authorized Official Telephone | 6023215738 |
Is Organization Subpart | Y |
Parent Organization Name | INSTITUTE FOR MENTAL HEALTH RESEARCH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
1415 N 1ST ST |
City | PHOENIX |
State | AZ |
Zip Code | 85004-1604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699945261 | Wendy S Kutz | Social Worker | 1415 N 1st St, Phoenix, AZ 85004-1604 | 2008-03-10 |
1669015343 | Brittany Andrews | Counselor | 1415 N 1st St, Phoenix, AZ 85004-1604 | 2019-10-24 |
1245872530 | Gabriela Becerra | Counselor | 1415 N 1st St, Phoenix, AZ 85004-1604 | 2019-10-08 |
1790267011 | Psa Behavioral Health Agency | Public Health or Welfare | 1415 N 1st St, Phoenix, AZ 85004-1604 | 2018-09-04 |
1700160462 | Marlena Gonzales Gabaldon | Counselor | 1415 N 1st St, Phoenix, AZ 85004-1604 | 2011-09-29 |
1891008280 | Angela E Hernandez | Social Worker | 1415 N 1st St, Phoenix, AZ 85004-1604 | 2010-07-14 |
1124350244 | Martha M Palacio | Social Worker | 1415 N 1st St, Phoenix, AZ 85004-1604 | 2010-02-01 |
1114254885 | Alexandra O'hannon | Social Worker | 1415 N 1st St, Phoenix, AZ 85004-1604 | 2009-11-17 |
1215264221 | Kimberly S Noll | Social Worker | 1415 N 1st St, Phoenix, AZ 85004-1604 | 2009-11-11 |
1548596950 | Julie M Hutchens | Counselor | 1415 N 1st St, Phoenix, AZ 85004-1604 | 2009-10-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
Find all providers in zip 85004 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790384030 | Great Xpectations LLC | Community/Behavioral Health | 4014 W Christy Dr, Phoenix, AZ 85029-3958 | 2020-10-19 |
1386242295 | Mercy Cares LLC | Community/Behavioral Health | 2644 E Paradise Ln Apt D, Phoenix, AZ 85032-2945 | 2020-10-13 |
1124626080 | Beia's Families | Community/Behavioral Health | 3230 E Broadway Rd Ste C-235, Phoenix, AZ 85040-2873 | 2020-10-13 |
1518564442 | Infinity Groups Homes LLC | Community/Behavioral Health | 3523 E Everett Dr, Phoenix, AZ 85032-5136 | 2020-10-05 |
1013524230 | Civara Behavioral Health LLC | Community/Behavioral Health | 4010 W Cactus Rd, Phoenix, AZ 85029-2905 | 2020-10-01 |
1043827561 | Crossroads, Inc | Community/Behavioral Health | 2002 E Osborn Rd, Phoenix, AZ 85016-7236 | 2020-09-29 |
1043827025 | Guiding Steps Health Services, LLC | Community/Behavioral Health | 4926 E Mcdowell Rd, Phoenix, AZ 85008-4294 | 2020-09-24 |
1154931566 | Apex Transitional Housing Inc | Community/Behavioral Health | 13827 N 11th St, Phoenix, AZ 85022-4316 | 2020-08-01 |
1356959126 | Rock House Az, LLC | Community/Behavioral Health | 8650 N 35th Ave Ste 110, Phoenix, AZ 85051-3835 | 2020-07-17 |
1215554902 | Lydia Barton | Community/Behavioral Health | 1420 W Missouri Ave, Phoenix, AZ 85013-1919 | 2020-06-29 |
Find all providers in PHOENIX |
Please comment or provide details below to improve the information on IMHR EPICENTER.
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.