PRACTICAL DEVELOPMENT (NPI# 1114309945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114309945 |
Entity Type | Organization |
Organization Name | PRACTICAL DEVELOPMENT |
Practice Address |
1965 Commerce Center Cir Suite C Prescott AZ 86301-4484 |
Practice Telephone | 9282379378 |
Practice Fax Number | 9547468231 |
Enumeration Date | 2015-06-29 |
Last Update Date | 2015-06-29 |
Authorized Official Name | CLINT RICHARDS (PROGRAM DIRECTOR) |
Authorized Official Telephone | 9282379378 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | PRACTICAL DEVELOPMENT, LLC | 1 Nordic Way, Melrose, MA 02176 |
Street Address |
1965 COMMERCE CENTER CIR SUITE C |
City | PRESCOTT |
State | AZ |
Zip Code | 86301-4484 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
Find all providers in zip 86301 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609429315 | Blueprints Therapeutic Services LLC | Clinic/Center | 114 S Virginia St, Prescott, AZ 86303-3803 | 2019-07-22 |
1770955338 | Northern Arizona Center for Addiction, LLC | Clinic/Center | 195 Plaza Dr, Prescott, AZ 86303-5549 | 2015-10-22 |
1871987495 | Embark Recovery LLC | Clinic/Center | 3727 Karicio Ln, Prescott, AZ 86303-6829 | 2015-03-20 |
1710377650 | Compass Recovery Center LLC | Clinic/Center | 711 S. Granite St, Prescott, AZ 86303 | 2015-01-30 |
1528401072 | Freedom Recovery Center, LLC. | Clinic/Center | 1470 W Gurley St, Prescott, AZ 86305-2855 | 2013-04-15 |
1487701454 | Decision Point, LLC | Clinic/Center | 505 W. Whipple St., Prescott, AZ 86301-1747 | 2007-01-04 |
1306475751 | Pinnacle Treatment Center LLC | Clinic/Center | 445 Miller Valley Rd, Prescott, AZ 86301-2925 | 2020-04-07 |
1184193963 | Embark Recovery LLC | Clinic/Center | 3727 Karicio Ln, Prescott, AZ 86303-6829 | 2018-11-21 |
1952807414 | Holdfast Recovery | Clinic/Center | 1470 W Gurley St, Prescott, AZ 86305-2855 | 2018-04-03 |
1295110476 | Royal Life Centers, LLC | Clinic/Center | 655 W Gurley St, Prescott, AZ 86305-3619 | 2015-07-29 |
Find all providers in PRESCOTT |
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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.