THE HAVEN'S OUTPATIENT CLINIC (NPI# 1083968549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083968549 |
| Entity Type | Organization |
| Organization Name | THE HAVEN'S OUTPATIENT CLINIC |
| Practice Address |
2601 N Campbell Ave Suite 110 Tucson AZ 85719-3163 |
| Practice Telephone | 5206234590 |
| Practice Fax Number | 5206236015 |
| Mailing Telephone | 5206234590 |
| Mailing Fax Number | 5206236015 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |
| Authorized Official Name | MARGARET HIGGINS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5206234590 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
BH3868 | AZ | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215300819 | The Haven's Outpatient Clinic | Substance Abuse Rehabilitation Facility | 2601 N Campbell Ave, Suite 105, Tucson, AZ 85719-2651 | 2015-11-04 |
| Street Address |
2601 N CAMPBELL AVE SUITE 110 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719-3163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659793180 | Dermspectra, LLC | Physiological Laboratory | 2601 N Campbell Ave, Suite 205, Tucson, AZ 85719-3163 | 2014-01-17 |
| 1215300819 | The Haven's Outpatient Clinic | Substance Abuse Rehabilitation Facility | 2601 N Campbell Ave, Suite 105, Tucson, AZ 85719-2651 | 2015-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| Find all providers in zip 85719 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457604126 | Tucson Transitional Living LLC | Clinic/Center | 1309 N Venice Ave, Tucson, AZ 85712-3935 | 2012-10-18 |
| 1922034685 | Valley Hope Association | Clinic/Center | 3275 W Ina Rd, Suite 135, Tucson, AZ 85741-2328 | 2006-06-24 |
| 1902449077 | Hidden Paradox, LLC | Clinic/Center | 4144 E Broadway Blvd, Tucson, AZ 85711-3455 | 2019-10-22 |
| 1235657461 | Arizona Rehab Campus, LLC | Clinic/Center | 6944 E Tanque Verde Rd, Tucson, AZ 85715 | 2017-09-08 |
| 1457802274 | Rincon Recovery, LLC | Clinic/Center | 5956 E Pima St, Ste 140, Tucson, AZ 85712-4375 | 2016-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787023 | Irma Behavioral Home LLC | Clinic/Center | 7034 W Irma Ln, Glendale, AZ 85308-9459 | 2020-07-10 |
| 1962022806 | Illuminate Recovery LLC | Clinic/Center | 10619 N Hayden Rd Ste A-108, Scottsdale, AZ 85260-8529 | 2020-04-21 |
| 1154940864 | Light House Group Home LLC | Clinic/Center | 108 E 2nd Ave Ste 101, Mesa, AZ 85210-1410 | 2020-04-13 |
| 1871128520 | Summit Bhc Mesa LLC | Clinic/Center | 860 N Center St Bldg 1-3, Mesa, AZ 85201-4201 | 2020-03-03 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1386284982 | Succeeding At Recovery LLC | Clinic/Center | 10702 W Peoria Ave, Sun City, AZ 85351-4062 | 2020-01-10 |
| 1538706775 | Soberman's Estate LLC | Clinic/Center | 5035 E Barwick Dr, Cave Creek, AZ 85331-5981 | 2019-12-06 |
| 1659918266 | Peace & Ease LLC | Clinic/Center | 14362 N Frank Lloyd Wright Blvd Ste B103, Scottsdale, AZ 85260-8881 | 2019-12-02 |
| 1124662788 | Jh Medical Services LLC | Clinic/Center | 4635 W Mcdowell Rd Ste 110, Phoenix, AZ 85035-4149 | 2019-11-06 |
| 1609429315 | Blueprints Therapeutic Services LLC | Clinic/Center | 114 S Virginia St, Prescott, AZ 86303-3803 | 2019-07-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on THE HAVEN'S OUTPATIENT CLINIC.
| 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.