TIFFANY KENNEDY (NPI# 1033684162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033684162 |
| Entity Type | Individual |
| Full Name | TIFFANY KENNEDY |
| Practice Address |
10142 W Watkins St Tolleson AZ 85353-1289 |
| Practice Telephone | 7736271792 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | BH5506 | AZ | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710542451 | Tiffany Kennedy | Contractor | 2770 Eb Hamilton Dr Apt 203, Tifton, GA 31793-5060 | 2019-05-08 |
| 1528624525 | Tiffany Kennedy | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-05-15 |
| 1033680103 | Tiffany Grace Kennedy | Social Worker | 2110 16th St Ste 7, Bay City, MI 48708-7609 | 2018-12-16 |
| 1295278323 | Tiffany Kennedy | Case Manager/Care Coordinator | 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331-1391 | 2016-11-21 |
| 1275923260 | Tiffany Kennedy | Nurse Practitioner | 3248 Edgeland Hwy, Richburg, SC 29729-9478 | 2015-01-28 |
| 1366630998 | Tiffany C Kennedy | Physical Therapist | 540 Hughes Rd, Suite 8, Madison, AL 35758-8999 | 2007-10-09 |
| 1598802365 | Tiffany Lynn Kennedy | Marriage & Family Therapist | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2007-01-31 |
| Street Address |
10142 W WATKINS ST |
| City | TOLLESON |
| State | AZ |
| Zip Code | 85353-1289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235605775 | The Irie Place LLC | Community/Behavioral Health | 10142 W Watkins St, Tolleson, AZ 85353-1289 | 2018-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710503388 | Annie's Home, LLC | Home Health | 8517 W Chickasaw St., Tolleson, AZ 85353 | 2020-06-19 |
| 1427614429 | Destiny Behavioral Health Residential Care LLC 6 | Community Based Residential Treatment Facility, Mental Illness | 8755 W Pioneer Street, Tolleson, AZ 85353 | 2019-05-15 |
| 1831669258 | New Beginning Behavioral Health LLC | Psychiatric Residential Treatment Facility | 3329 S 87th Dr, Tolleson, AZ 85353 | 2018-11-28 |
| 1679049886 | Jaclyn Peters | Registered Nurse | 9401 West Garfield Street, Tolleson, AZ 85353 | 2018-10-16 |
| 1265949861 | Destiny Behavioral Health Residential Care LLC 5 | Community Based Residential Treatment Facility, Mental Illness | 10313 W Hess Street, Tolleson, AZ 85353 | 2018-01-04 |
| 1174858260 | Earl Dean Elwood | Pharmacist | 500 S. 99th Ave, Tolleson, AZ 85353 | 2009-10-07 |
| 1952533556 | Sun Valley Pharmacy LLC | Pharmacy | 219 W Pima, Gila Bend, AZ 85353 | 2009-08-14 |
| 1467570747 | Union Elementary School | Local Education Agency (LEA) | 3834 S 91st Ave, Tolleson, AZ 85353 | 2007-03-26 |
| 1285798462 | Promenade Dental Group, LLP | Dentist | 2755 S 99th Ave, Ste 105, Tolleson, AZ 85353 | 2006-12-21 |
| 1679636781 | Greta Denise Doss | Respite Care | 3006 S 102 Ln, Tolleson, AZ 85353 | 2006-12-19 |
| Find all providers in zip 85353 | ||||
| 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 |
|---|---|---|---|---|
| 1689811093 | New Hope of Arizona, Inc | Community/Behavioral Health | 9320 W Elwood St, Tolleson, AZ 85353-4205 | 2009-01-08 |
| 1710453154 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 8311 W Forest Grove Ave, Tolleson, AZ 85353-3628 | 2018-10-23 |
| 1235605775 | The Irie Place LLC | Community/Behavioral Health | 10142 W Watkins St, Tolleson, AZ 85353-1289 | 2018-10-23 |
| 1215422126 | Teri Hourihan Counseling, LLC | Community/Behavioral Health | 2911 S 87th Dr, Tolleson, AZ 85353-8650 | 2018-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700929 | True Wellness Support Services | Community/Behavioral Health | 8936 W Villa Rita Dr, Peoria, AZ 85382-3021 | 2020-11-05 |
| 1447851837 | Laws of Mindful Healing | Community/Behavioral Health | 3717 S Chaparral Rd, Apache Junction, AZ 85119-3608 | 2020-11-03 |
| 1790384030 | Great Xpectations LLC | Community/Behavioral Health | 4014 W Christy Dr, Phoenix, AZ 85029-3958 | 2020-10-19 |
| 1710586144 | Brighter Tomorrow's Family Services, LLC | Community/Behavioral Health | 644 N Country Club Dr Ste D, Mesa, AZ 85201-4983 | 2020-10-16 |
| 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 |
| 1558968099 | Seed Sower LLC | Community/Behavioral Health | 11526 W Bloomfield Rd, El Mirage, AZ 85335-3916 | 2020-10-07 |
| 1306443171 | Essential Health Services, LLC | Community/Behavioral Health | 2112 E Sanoque Ct, Gilbert, AZ 85298-6117 | 2020-10-05 |
| 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 |
| 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.