DR. CAROLINE M. O'DONOGHUE (NPI# 1205920329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205920329 |
| Entity Type | Individual |
| Full Name | DR. CAROLINE M. O'DONOGHUE |
| Credential | PH.D. |
| Practice Address |
3910 S Rural Rd Suite A-1 Tempe AZ 85282-5581 |
| Mailing Address |
1729 W Belfast St Mesa AZ 85201-6137 |
| Practice Telephone | 4808942425 |
| Practice Fax Number | 4809219441 |
| Mailing Telephone | 4809642772 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC-11609 | AZ | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
0181 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
3910 S RURAL RD SUITE A-1 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-5581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699175034 | Jessica Hinton | Social Worker | 3910 S Rural Rd, Suite J, Tempe, AZ 85282-5581 | 2014-09-03 |
| 1679908685 | Jillian Jesalva | Marriage & Family Therapist | 3910 S Rural Rd, Suite J, Tempe, AZ 85282-5581 | 2013-09-09 |
| 1437584737 | Thomas W Puckett | Social Worker | 3910 S Rural Rd, Suite J, Tempe, AZ 85282-5581 | 2013-09-05 |
| 1003164187 | Amy Burnside | Social Worker | 3910 S Rural Rd, Suite J, Tempe, AZ 85282-5581 | 2012-08-21 |
| 1194097592 | Courtney J Lansdowne | Social Worker | 3910 S Rural Rd, Suite J, Tempe, AZ 85282-5581 | 2012-01-31 |
| 1891067427 | Cynthia E Kiddoo | Counselor | 3910 S Rural Rd, Suite J, Tempe, AZ 85282-5581 | 2012-01-27 |
| 1932471562 | Holly G Fechtmeyer | Social Worker | 3910 S Rural Rd, Suite J, Tempe, AZ 85282-5581 | 2012-01-27 |
| 1689972390 | J A Associates, Ltd. | Community/Behavioral Health | 3910 S Rural Rd, Suite A-1, Tempe, AZ 85282-5581 | 2011-03-03 |
| 1427221183 | Tracy Alison Krause | Counselor | 3910 S Rural Rd, Suite J, Tempe, AZ 85282-5581 | 2008-04-02 |
| 1053442699 | Sharon Adams | Counselor | 3910 S Rural Rd, Suite J, Tempe, AZ 85282-5581 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780149468 | Stacie Barkin | Counselor | 2600 E Southern Ave Ste E1, Tempe, AZ 85282-7744 | 2019-02-06 |
| 1790225415 | John Moakler | Counselor | 1208 E Broadway Rd, Suite 215, Tempe, AZ 85282-1514 | 2017-02-28 |
| 1477973170 | Awakening Recovery Center | Counselor | 1204 E Baseline Rd, Suite 208, Tempe, AZ 85283-1454 | 2014-04-21 |
| 1205157021 | Marcia Diane | Counselor | 1801 S. Jentilly Lane, Suite B-16, Tempe, AZ 85281 | 2010-06-15 |
| 1265663504 | Sharon Suzette Smith-wilborn | Counselor | 4839 S Darrow Dr, G162, Tempe, AZ 85282-6684 | 2009-08-04 |
| 1194967612 | Deborah Jeongweon Cheng | Counselor | 2120 S. Mcclintock Dr, Suite 105, Tempe, AZ 85282-4950 | 2009-03-30 |
| 1215193826 | Don De Valle | Counselor | 921 E Mission Dr, Tempe, AZ 85283-4785 | 2008-08-03 |
| 1356517676 | Joshua Locke Azevedo | Counselor | 648 S River Dr, Tempe, AZ 85281-3012 | 2008-05-06 |
| 1801069216 | Dorothea Thereasa De Lugt Collins | Counselor | 730 E Solana Dr, Tempe, AZ 85281-6836 | 2008-04-07 |
| 1225209380 | Azevedo Inc | Counselor | 4820 S. Mill Ave., Suite 101, Tempe, AZ 85282 | 2008-03-17 |
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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.