EMPACT - SUICIDE PREVENTION CENTER (NPI# 1023553211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023553211 |
| Entity Type | Organization |
| Organization Name | EMPACT - SUICIDE PREVENTION CENTER |
| Other Organization Name | TEMPE COMPREHENSIVE COMMUNITY HEALTH PROGRAM |
| Practice Address |
618 S Madison Dr Tempe AZ 85281-7248 |
| Practice Telephone | 4807841514 |
| Practice Fax Number | 4809673528 |
| Mailing Telephone | 4807841514 |
| Mailing Fax Number | 4809673528 |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2017-06-15 |
| Authorized Official Name | LAURA LARSON-HUFFAKER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4807841514 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | OTC6752 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 756486 | 05 |
| Other Name | Type Code |
|---|---|
| Tempe Comprehensive Community Health Program | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164972485 | Empact - Suicide Prevention Center | Community/Behavioral Health | 914 S 52nd St, Tempe, AZ 85281-9500 | 2016-10-11 |
| 1073911293 | Empact - Suicide Prevention Center | Community/Behavioral Health | 21476 N John Wayne Pkwy, Suite C101, Maricopa, AZ 85139-8983 | 2014-12-22 |
| 1477715803 | Empact - Suicide Prevention Center | Community/Behavioral Health | 21476 N. John Wayne Parkway, Suite # C101, C103, C104, Maricopa, AZ 85139-8983 | 2008-06-26 |
| 1255940649 | Empact - Suicide Prevention Center | Community Based Residential Treatment Facility, Mental Illness | 108 E 2nd Ave, Mesa, AZ 85210-1410 | 2020-07-30 |
| 1194245449 | Empact - Suicide Prevention Center | Community/Behavioral Health | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2017-06-27 |
| 1114462306 | Empact - Suicide Prevention Center | Community/Behavioral Health | 11518 E Apache Trl, #129, Apache Junction, AZ 85120-3551 | 2016-12-27 |
| 1437694767 | Empact - Suicide Prevention Center | Community/Behavioral Health | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2016-12-22 |
| 1093259301 | Empact - Suicide Prevention Center | Community/Behavioral Health | 2474 E Hunt Hwy, #100, San Tan Valley, AZ 85143-5210 | 2016-12-06 |
| 1255881579 | Empact - Suicide Prevention Center | Community/Behavioral Health | 11518 E Apache Trl, #129, Apache Junction, AZ 85120-3551 | 2016-10-11 |
| 1831565282 | Empact - Suicide Prevention Center | Community/Behavioral Health | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2015-08-19 |
| Street Address |
618 S MADISON DR |
| City | TEMPE |
| State | AZ |
| Zip Code | 85281-7248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023194289 | Benet R Press | Psychiatry & Neurology | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2006-10-31 |
| 1528600012 | Thomas J Pemberton | Registered Nurse | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2019-10-16 |
| 1346899440 | Karl Wick Pmhnp-bc LLC | Nurse Practitioner | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2019-09-10 |
| 1346895992 | James W Flint | Nurse Practitioner | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2019-08-09 |
| 1790265171 | Christine Louise Taylor | Counselor | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2018-08-15 |
| 1265920490 | Lori Jones | Counselor | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2018-04-24 |
| 1962905208 | Shana Lynn Thompson Smith | Social Worker | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2018-03-13 |
| 1508368333 | Sarah Swonder | Social Worker | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2018-03-07 |
| 1194245449 | Empact - Suicide Prevention Center | Community/Behavioral Health | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2017-06-27 |
| 1013458629 | Jennifer Lindsey Atwood Green | Nurse Practitioner | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2017-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807052 | Thomas Langer | Specialist/Technologist | 1317 S Terrace Rd, Box #156, Tempe, AZ 85281 | 2020-10-02 |
| 1073124525 | Cinthia Guadalupe Arredondo Paramo | Nurse Practitioner | 1840 W. Broadway Rd., Tempe, AZ 85281 | 2020-08-10 |
| 1780219451 | Margaret Corbett | Specialist/Technologist | 500 East Veterans Way, Tempe, AZ 85281 | 2020-03-03 |
| 1457990913 | Renee Marie Rundle | Nurse Practitioner | 1750 E. University, Tempe, AZ 85281 | 2020-01-02 |
| 1265904932 | Halah Alateeq | Speech-Language Pathologist | Asu Speech & Hearing Clinic 975 S Myrtle Ave, Tempe, AZ 85281 | 2018-12-19 |
| 1962980961 | Calvin Wah Ngo | Dentist | 555 N. College Avenue, Apr 4018, Tempe, AZ 85281 | 2018-08-01 |
| 1922501840 | Sydney Blankenship | Physical Therapist | 260 E Rio Salado Pkwy, Apt 2045, Tempe, AZ 85281 | 2018-03-16 |
| 1609376698 | Agnes' Centers for Domestic Solutions | Community/Behavioral Health | 455 S 48th Street, 106, Tempe, AZ 85281 | 2018-02-15 |
| 1053826636 | Marta Solano | Nurse Practitioner | 415 S 48th St Ste 107, Tempe, AZ 85281 | 2017-12-05 |
| 1578085551 | Invitro Genetics Arizona | Clinical Medical Laboratory | 437 S. 48th Street, Suite 106, Tempe, AZ 85281 | 2017-07-12 |
| Find all providers in zip 85281 | ||||
| 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 |
|---|---|---|---|---|
| 1851907943 | House of Hope Residential Homes LLC | Community/Behavioral Health | 1427 S College Ave, Tempe, AZ 85281-6616 | 2020-09-23 |
| 1740806108 | Unique Family Services, LLC | Community/Behavioral Health | 2000 E Southern Ave Ste 102&104, Tempe, AZ 85282-7510 | 2020-06-22 |
| 1255965901 | Earle & Earle, Pllc | Community/Behavioral Health | 1835 E 6th St Ste 21, Tempe, AZ 85281-2964 | 2020-03-02 |
| 1073147856 | Sage Counseling, Inc. | Community/Behavioral Health | 4427 S Rural Rd Ste 5, Tempe, AZ 85282-7061 | 2020-03-02 |
| 1235776741 | Rising Youth LLC | Community/Behavioral Health | 501 S 48th St Ste 110, Tempe, AZ 85281-2313 | 2019-12-03 |
| 1033772702 | Ruby Breeden | Community/Behavioral Health | 4450 S Rural Rd Ste D, Tempe, AZ 85282-7017 | 2019-04-18 |
| 1609376698 | Agnes' Centers for Domestic Solutions | Community/Behavioral Health | 455 S 48th Street, 106, Tempe, AZ 85281 | 2018-02-15 |
| 1831612803 | Devoted Guardians Ddd LLC | Community/Behavioral Health | 1705 W Ruby Dr Ste 107, Tempe, AZ 85284-1060 | 2017-07-21 |
| 1164972485 | Empact - Suicide Prevention Center | Community/Behavioral Health | 914 S 52nd St, Tempe, AZ 85281-9500 | 2016-10-11 |
| 1619322864 | Buwalda Psychological Services | Community/Behavioral Health | 1405 E Guadalupe Rd, Tempe, AZ 85283-3971 | 2016-04-25 |
| Find all providers in TEMPE | ||||
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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.