MR. JOSE MENDIVIL (NPI# 1083834501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083834501 |
| Entity Type | Individual |
| Full Name | MR. JOSE MENDIVIL |
| Practice Address |
735 E Fillmore St Phoenix AZ 85006-3324 |
| Mailing Address |
7043 W Purdue Ave Peoria AZ 85345-8857 |
| Practice Telephone | 6022574851 |
| Practice Fax Number | 6022574852 |
| Mailing Telephone | 6238780436 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
AZ | Behavioral Health & Social Service Providers |
| Street Address |
735 E FILLMORE ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-3324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376761247 | Patricia Jesse I | Psychologist | 735 E Fillmore St, Phoenix, AZ 85006-3324 | 2007-04-23 |
| 1770763088 | Joyce Bailey Arnett | Registered Nurse | 735 E Fillmore St, Phoenix, AZ 85006-3324 | 2007-11-05 |
| 1053525279 | Kim Carter | Counselor | 735 E Fillmore St, Phoenix, AZ 85006-3324 | 2007-05-09 |
| 1346462991 | Dan Steve Garcia | Counselor | 735 E Fillmore St, Phoenix, AZ 85006 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235547654 | Brian Prince | Counselor | 837 W Colter St, Apt. 51, Phoenix, AZ 85013-2269 | 2014-07-29 |
| 1477786028 | Patricia Short | Counselor | 3607 E Windmere Dr, Phoenix, AZ 85048-7312 | 2009-08-31 |
| 1689821175 | Cynthia L Scrimager | Counselor | 7841 N 18th St, Phoenix, AZ 85020-4408 | 2008-08-26 |
| 1366699647 | Susan Anne Chamberlain | Counselor | 4828 E Lapuente Ave, Phoenix, AZ 85044 | 2008-08-19 |
| 1699954339 | Jackie Pilla | Counselor | 4229 N 16th St, Phoenix, AZ 85016-5318 | 2007-10-30 |
| 1023206679 | Laurie Malles | Counselor | 5631 N 35th Ave, Phoenix, AZ 85017-2316 | 2007-10-09 |
| 1023233590 | Abigail Dolin | Counselor | 1101 E Thomas Rd, Phoenix, AZ 85014-5447 | 2007-04-17 |
| 1386763001 | Virginia J Markham | Counselor | 2820 W Rose Garden Ln, Phoenix, AZ 85027-3108 | 2007-03-28 |
| 1467758979 | Timothy John Sanger II | Counselor | 7654 N 19th Ave, Phoenix, AZ 85021-7025 | 2011-01-31 |
| 1003122136 | Beverly Seyler | Counselor | 4525 E Saint Anne Ave, Phoenix, AZ 85042-5359 | 2010-08-26 |
| 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.