ALFHONSO TRACEY HAVATONE (NPI# 1114279114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114279114 |
| Entity Type | Individual |
| Full Name | ALFHONSO TRACEY HAVATONE |
| Credential | LCSW-11476 |
| Practice Address |
10005 E Osborn Rd Scottsdale AZ 85256-4019 |
| Mailing Address |
11445 N 39th Ln Phoenix AZ 85029-3003 |
| Practice Telephone | 4803625505 |
| Practice Fax Number | 4803627586 |
| Mailing Telephone | 6024345246 |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LCSW-11476 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | EMPLOYER | 860143787 | 01 |
| Street Address |
10005 E OSBORN RD |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85256-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144263377 | Michael P Truesdell | Family Medicine | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2006-06-14 |
| 1558975334 | Shannon Black Franklin | Social Worker | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2020-08-31 |
| 1376152454 | Hannah Field Allen | Social Worker | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2020-07-24 |
| 1255950481 | Kassidy Dickson | Counselor | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2020-04-08 |
| 1285143420 | David Otto Meyer | Dentist | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2017-09-20 |
| 1366951519 | Priscilla Marie Wilson | Nurse Practitioner | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2017-09-20 |
| 1801314000 | Salt River Pima Maricopa Indian Community | Clinic/Center | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2017-09-07 |
| 1992234843 | Akdhc,llc | Internal Medicine | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2017-06-05 |
| 1083142988 | Erin Wilkinson | Social Worker | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2017-05-23 |
| 1710421854 | Sara Branscum | Counselor | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2016-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518312883 | Lisa Kaufman | Counselor | 10005 E Osborne Rd, Scottsdale, AZ 85256 | 2016-04-25 |
| 1790208767 | Bonnie A. Gray | Psychologist | 9000 E Chaparral Rd, Scottsdale, AZ 85256-2625 | 2017-07-21 |
| 1891334728 | Globaltranz Family Health Clin | Clinic/Center | 7350 N Dobson Rd # 130, Scottsdale, AZ 85256-2710 | 2019-12-23 |
| 1518419134 | Careatc-talking Stick | Clinic/Center | 7350 N Dobson Rd, Scottsdale, AZ 85256-2710 | 2016-10-30 |
| 1922659325 | Careatc | Clinic/Center | 7350 N Dobson Rd, Scottsdale, AZ 85256-2710 | 2019-09-26 |
| 1568574374 | Renal Dimensions, LLC | Clinic/Center | 10301 E Osborn Rd, Scottsdale, AZ 85256-4008 | 2006-08-31 |
| 1326391061 | Winnifred Ellen Mendivil | Counselor | 10005 E. Osborn Road, Scottsdale, AZ 85256-4019 | 2012-10-18 |
| 1114144185 | Robert Scott Boyle | Pharmacist | 10005 E Osborn Rd Bldg 61, Scottsdale, AZ 85256-4019 | 2007-04-19 |
| 1598851297 | Steven Neil Thompson | Nurse Practitioner | Salt River Clinic, 10005 E. Osborn, Scottsdale, AZ 85256-4019 | 2006-10-04 |
| 1790210755 | Salt River Pima-maricopa Indian Community | Pharmacy | 10005 E Osborn Rd Bldg 61, Scottsdale, AZ 85256-4019 | 2017-04-27 |
| Find all providers in zip 85256 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990311 | Makenzie Lynn Middleton | Counselor | 8310 E Mcdonald Dr # 7103, Scottsdale, AZ 85250-6277 | 2020-10-25 |
| 1184223620 | Jennifer L Salazar | Counselor | 7730 E Greenway Rd, Scottsdale, AZ 85260-1786 | 2020-10-24 |
| 1225647910 | Marie Elaine Sloane | Counselor | 10675 E Mercer Ln, Scottsdale, AZ 85259-3849 | 2020-07-28 |
| 1043839616 | Brandon W. Curtis Pllc | Counselor | 8170 N 86th Pl Ste 206, Scottsdale, AZ 85258-4616 | 2020-04-13 |
| 1881230936 | Eve Knadjian | Counselor | 8414 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6665 | 2019-11-25 |
| 1497304968 | Alex Zoloto | Counselor | 14602 E Larkspur Dr, Scottsdale, AZ 85259-2105 | 2019-09-08 |
| 1184281867 | Trauma Healing Center LLC | Counselor | 8755 E Bell Rd Ste 104, Scottsdale, AZ 85260-1309 | 2019-05-29 |
| 1144796368 | Lacey Jo Schuster | Counselor | 12051 N 96th St, Scottsdale, AZ 85260-5913 | 2018-10-15 |
| 1245719236 | Grossman & Grossman, Ltd. | Counselor | 5929 E Charter Oak Rd, Scottsdale, AZ 85254-4348 | 2018-08-09 |
| 1235623109 | Jennifer Nicole Yorgensen | Counselor | 5040 E Shea Blvd Ste 164, Scottsdale, AZ 85254-4686 | 2018-06-14 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85256 |
Please comment or provide details below to improve the information on ALFHONSO TRACEY HAVATONE.
| 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.