MS. PATRICIA L. BRADLEY-BATES (NPI# 1205897121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205897121 |
Entity Type | Individual |
Full Name | MS. PATRICIA L. BRADLEY-BATES |
Other Name | MS. PATRICIA L. BATES |
Credential | LPC, LISAC |
Practice Address |
10220 N 31st Ave Suite 205 Phoenix AZ 85051-9581 |
Practice Telephone | 6028430000 |
Practice Fax Number | 6029971305 |
Mailing Telephone | 6028430000 |
Mailing Fax Number | 6029971305 |
Enumeration Date | 2006-03-30 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC-0052 | AZ | Behavioral Health & Social Service Providers |
X | 101YP2500X |
Counselor Specialization: Professional |
LPC-0757 | AZ | Behavioral Health & Social Service Providers |
Street Address |
10220 N 31ST AVE SUITE 205 |
City | PHOENIX |
State | AZ |
Zip Code | 85051-9581 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407845233 | Thomas William Callahan | Social Worker | 10220 N 31st Ave, Suite 205, Phoenix, AZ 85051-9581 | 2005-10-14 |
1699122127 | Deborah Ross Cary | Social Worker | 10220 N 31st Ave, #120, Phoenix, AZ 85051-9581 | 2016-05-13 |
1962828681 | Daniel Halter | Nurse Practitioner | 10220 N 31st Ave, Phoenix, AZ 85051-9581 | 2014-03-06 |
1184924904 | Arash Zamanian | Specialist | 10220 N 31st Ave, Suite #101, Phoenix, AZ 85051-9581 | 2010-10-26 |
1922143833 | Kimberly Dawn Nielsen | Social Worker | 10220 N 31st Ave, #101, Phoenix, AZ 85051 | 2007-02-20 |
1093893927 | Johanna C Lippert | Nurse Practitioner | 10220 N 31st Ave, Phoenix, AZ 85051-9562 | 2006-11-01 |
1225043755 | Southwest Behavioral Health Services | Clinic/Center | 10220 N 31st Ave, Phoenix, AZ 85051-9581 | 2006-07-31 |
1649250986 | Cynthia Kay Tobin | Nurse Practitioner | 10220 N 31st Ave, #101, Phoenix, AZ 85051 | 2006-01-20 |
1558352310 | Heidi H Howard | Social Worker | 10220 N 31st Ave, #205, Phoenix, AZ 85051-9581 | 2005-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184250383 | Jhajaira Elizabeth Cadenas | Optometrist | 3937 W Northview Ave, Phoenix, AZ 85051 | 2020-03-19 |
1083270854 | Vision With Wings | Voluntary or Charitable | 9617 N. Metro Pkwy West, Ste. 1214, Phoeniz, AZ 85051 | 2019-05-16 |
1417510405 | Applied Behavioral Interventions Pllc | Dietitian, Registered | 10000 N. 31st Avenue Ste. A107, Phoenix, AZ 85051 | 2019-04-16 |
1558832683 | Liberty Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9649 N 36th Ave, Phoenix, AZ 85051 | 2018-12-16 |
1518459080 | Addie Robin Diroberts | Counselor | 10240 W. 31st Ave, Phoenix, AZ 85051 | 2018-05-31 |
1093239816 | Jason Allan Parker | Licensed Practical Nurse | 3310 West Cheryl Drive, Phoenix, AZ 85051 | 2017-08-02 |
1588019145 | Vanessa Eloise Hernandez | Counselor | 10000 N. 31st Ave., Applied Behavioral Interventions, Pllc, Phoenix, AZ 85051 | 2016-05-02 |
1912230178 | Mozelle Barr Martin | Counselor | 3734 W. Vista Ave., Phoenix, AZ 85051 | 2009-09-04 |
1316184542 | Tom Sowash Od & Associates PC | Optometrist | 9617 North Parkway West, #1160, Phoenix, AZ 85051 | 2009-01-09 |
1609026913 | Luma Z Sayegh | Dentist | 7012 N 35th Ave, Suite 1, Phoenix, AZ 85051 | 2008-09-23 |
Find all providers in zip 85051 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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1366060477 | Rising Phoenix Neighborhood | Counselor | 202 E Earll Dr Unit 360-35, Phoenix, AZ 85012-2634 | 2020-07-06 |
1043832504 | Candice Marie Isaacson | Counselor | 2911 W Sunnyside Dr, Phoenix, AZ 85029-3302 | 2020-05-07 |
1639799356 | Harbor Health | Counselor | 3213 S 66th Ave, Phoenix, AZ 85043-1922 | 2020-04-22 |
1083247357 | Edward Scott White | Counselor | 2150 E Bell Rd Unit 1042, Phoenix, AZ 85022-2973 | 2020-02-14 |
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.