DISTRICT MEDICAL GROUP INC (NPI# 1124299334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124299334 |
| Entity Type | Organization |
| Organization Name | DISTRICT MEDICAL GROUP INC |
| Other Organization Name | DESERT HORIZON PSYCHIATRIC SERVICES |
| Practice Address |
840 E Mckellips Rd Suite #110 Mesa AZ 85203-9645 |
| Mailing Address |
2929 E Thomas Rd Phoenix AZ 85016-8034 |
| Practice Telephone | 6024705520 |
| Practice Fax Number | 4806490783 |
| Mailing Telephone | 6024705000 |
| Mailing Fax Number | 6024705064 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2013-03-21 |
| Authorized Official Name | TERESA CORDEIRO (CREDENTIALING DIRECTOR) |
| Authorized Official Telephone | 6024705000 |
| Is Organization Subpart | Y |
| Parent Organization Name | DISTRICT MEDICAL GROUP INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Desert Horizon Psychiatric Services | Other Name - Individual/Organization |
| Street Address |
840 E MCKELLIPS RD SUITE #110 |
| City | MESA |
| State | AZ |
| Zip Code | 85203-9645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760444590 | John Graham Boyes | Nurse Practitioner | 840 E Mckellips Rd, Suite 101, Mesa, AZ 85203-9645 | 2006-04-05 |
| 1922346451 | Carmen Lynn Henry | Family Medicine | 840 E Mckellips Rd, Suite 101, Mesa, AZ 85203-9645 | 2013-01-17 |
| 1932444304 | Heather Marie Hodnett | Family Medicine | 840 E Mckellips Rd, Suite 101, Mesa, AZ 85203-9645 | 2012-12-11 |
| 1366769093 | Shivana Devi Naidoo | Psychiatry & Neurology | 840 E Mckellips Rd, Suite 110, Mesa, AZ 85203-9645 | 2010-04-20 |
| 1811219074 | Sheryl Lee Skinner | Nurse Practitioner | 840 E Mckellips Rd, Suite 101, Mesa, AZ 85203-9645 | 2010-02-15 |
| 1437383874 | Rachel S Erdmann | Nurse Practitioner | 840 E Mckellips Rd, 101, Mesa, AZ 85203-9645 | 2009-05-13 |
| 1194988311 | Rhianna Meadows | Family Medicine | 840 E Mckellips Rd, Suite 101, Mesa, AZ 85203-9645 | 2008-07-08 |
| 1649291766 | Suzanne Marguerite Payton | Registered Nurse | 840 E Mckellips Rd, Suite 101, Mesa, AZ 85203-9645 | 2006-07-22 |
| 1093764938 | Heritage Technologies, LLC | Family Medicine | 840 E Mckellips Rd, Ste 101, Mesa, AZ 85203-9645 | 2006-05-09 |
| 1487617718 | Richard James Dinsdale | Family Medicine | 840 E Mckellips Rd, Suite101, Mesa, AZ 85203-9645 | 2006-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
| 1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
| 1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
| 1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
| 1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
| 1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
| 1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
| 1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
| 1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
| 1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
| Find all providers in zip 85203 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669983433 | Integrity Mental Health LLC | Psychiatry & Neurology | 455 N Mesa Dr Ste 6, Mesa, AZ 85201-5936 | 2017-10-19 |
| 1578088605 | Lee Cohn | Psychiatry & Neurology | 1720 N Gentry Cir, Mesa, AZ 85213-3417 | 2017-08-09 |
| 1841633641 | Aris Mosley | Psychiatry & Neurology | 570 W. Brown Rd., Mesa, AZ 85201 | 2013-04-10 |
| 1750642153 | Cerola Guerdie Charles | Psychiatry & Neurology | 5416 E Southern Ave Ste 106, Mesa, AZ 85206-3622 | 2012-06-01 |
| 1144438243 | Adnan Celjo | Psychiatry & Neurology | 1855 W Baseline Rd Ste 101, Mesa, AZ 85202 | 2007-05-20 |
| 1306980164 | Chandler Tamara Gunning | Psychiatry & Neurology | 3740 E Southern, Suite 110, Mesa, AZ 85206 | 2007-02-16 |
| 1689753352 | Jaroslaw F Opechowski | Psychiatry & Neurology | 2929 N. Power Rd, Suite 101, Mesa, AZ 85215 | 2006-11-03 |
| 1346323110 | Jose Alberto Agosto | Psychiatry & Neurology | 310 South Extension Road, Mesa, AZ 85210 | 2006-10-23 |
| 1760429856 | Michael Brennan | Psychiatry & Neurology | 868 E University Dr, Mesa, AZ 85203-8033 | 2006-05-31 |
| 1922052182 | Laura Don | Psychiatry & Neurology | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2006-05-20 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on DISTRICT MEDICAL GROUP INC.
| 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.