MAGELLAN HEALTH SERVICES OF ARIZONA, INC. (NPI# 1215051511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215051511 |
| Entity Type | Organization |
| Organization Name | MAGELLAN HEALTH SERVICES OF ARIZONA, INC. |
| Other Organization Name | MARICOPA CLINIC EAST PHOENIX |
| Practice Address |
1035 E Jefferson St #a Phoenix AZ 85034-2295 |
| Mailing Address |
4129 East Van Buren Street Suite 150 Phoenix AZ 85008 |
| Practice Telephone | 6022526731 |
| Mailing Telephone | 8006545465 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-10-15 |
| Authorized Official Name | DR. CHRIS ADAIR CARSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6027978333 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | BH2972 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 535536 | 05 |
| Other Name | Type Code |
|---|---|
| Maricopa Clinic East Phoenix | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598880205 | Magellan Health Services of Arizona, Inc. | Case Management | 702 W Dunlap Ave, Phoenix, AZ 85021-3529 | 2007-03-20 |
| 1518082569 | Magellan Health Services of Arizona, Inc. | Case Management | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2007-03-20 |
| 1750405064 | Magellan Health Services of Arizona, Inc. | Case Management | 5022 N 54th Ave, #4, Glendale, AZ 85301-7531 | 2007-03-19 |
| 1689798043 | Magellan Health Services of Arizona, Inc. | Case Management | 7020 N 56th Ave, Glendale, AZ 85301-2516 | 2007-03-19 |
| 1417071721 | Magellan Health Services of Arizona, Inc. | Case Management | 1616 E Roeser Rd, Phoenix, AZ 85040-3336 | 2007-03-19 |
| 1184748493 | Magellan Health Services of Arizona, Inc. | Case Management | 3640 W Osborn Rd, #1, Phoenix, AZ 85019-4006 | 2007-03-19 |
| 1629192992 | Magellan Health Services of Arizona, Inc. | Case Management | 4160 N 108th Ave, Phoenix, AZ 85037-5468 | 2007-03-19 |
| 1033233341 | Magellan Health Services of Arizona, Inc. | Case Management | 6330 E Thomas Rd, #200, Scottsdale, AZ 85251-7057 | 2007-03-19 |
| 1801910278 | Magellan Health Services of Arizona, Inc. | Case Management | 1225 E Broadway Rd, #240, Tempe, AZ 85282-1525 | 2007-03-19 |
| 1982728267 | Magellan Health Services of Arizona, Inc. | Case Management | 1300 N Central Ave, Phoenix, AZ 85004-1722 | 2007-03-19 |
| Street Address |
1035 E JEFFERSON ST #A |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85034-2295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811515901 | Peninah N Gitonga | Registered Nurse | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2020-07-06 |
| 1033574710 | Laura Ajero | Licensed Practical Nurse | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2015-12-22 |
| 1831565282 | Empact - Suicide Prevention Center | Community/Behavioral Health | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2015-08-19 |
| 1588056667 | Wendy Hannah Ownbey | Registered Nurse | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2015-02-26 |
| 1437541661 | Kay Lynn Simons | Registered Nurse | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2015-02-25 |
| 1376935569 | Deborah Jones Styer | Registered Nurse | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2015-02-24 |
| 1265838759 | Deborah Kay Hall | Case Manager/Care Coordinator | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2014-11-10 |
| 1356760102 | Maricopa County Special Health Care District | General Acute Care Hospital | 1035 E Jefferson St, Suite B, Phoenix, AZ 85034-2295 | 2014-04-09 |
| 1013275320 | Kevin Khuong Dang | Pharmacist | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2012-04-25 |
| 1336383066 | People of Color Network | Clinic/Center | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2009-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093208340 | Curtis James Bierscheid | Physical Therapist | 1828 E Sky Harbor Circle North, Building 2, Suite 150, Phoenix, AZ 85034 | 2018-06-12 |
| 1437654969 | Genoa Healthcare, LLC | Pharmacy | 1035 E Jefferson St Ste P1, Phoenix, AZ 85034 | 2018-03-27 |
| 1659871697 | Us Careways-phx | Clinic/Center | 3800 E Sky Harbor Blvd, Phoenix, AZ 85034 | 2018-02-16 |
| 1053854638 | Josiah Nnadozie Nwaokwa | Nurse Practitioner | 1035 E Jefferson Street, La Frontera -empact Spc, Phoenix, AZ 85034 | 2016-11-30 |
| 1568869915 | Lacee Johnson | Speech-Language Pathologist | 5025 E Washington Street, Suite 212, Phoenix, AZ 85034 | 2014-12-01 |
| 1679974406 | Jagdeep Bains | Pharmacist | 5324 E Washington St, #a, Phoenix, AZ 85034 | 2014-09-11 |
| 1275885030 | Nancy Louise Brewer | Nurse Practitioner | 3800 E Sky Harbor Blvd Fl T4, Phoenix, AZ 85034 | 2012-10-03 |
| 1386928414 | The Facts of Life Grouphome, Inc | Community/Behavioral Health | 1122 E. Buckeye Road, Phoenix, AZ 85034 | 2011-10-07 |
| 1649559832 | Us Medgroup Pa | Clinic/Center | 901 East Jefferson St, Phoenix, AZ 85034 | 2011-08-05 |
| 1689979106 | Latanya King | Counselor | 1122 East Buckeye Road, Suite B-1, Phoenix, AZ 85034 | 2011-01-13 |
| Find all providers in zip 85034 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151546 | Community 43 LLC | Case Management | 4343 N 16th St, Phoenix, AZ 85016-5338 | 2020-10-12 |
| 1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
| 1265057962 | Semper Fidelis Behavioral Health Care, LLC | Case Management | 111 N Dupont Cir Unit 337, Phoenix, AZ 85034-1847 | 2020-06-09 |
| 1386267706 | The Adam Dixon Perseverance Foundation | Case Management | 5060 N 19th Ave # 300-14, Phoenix, AZ 85015-3210 | 2020-05-20 |
| 1861031486 | Maggie's Place | Case Management | 4001 N 30th St, Phoenix, AZ 85016-6810 | 2019-12-30 |
| 1568014397 | Beia's Place | Case Management | 7225 S 2nd Gln, Phoenix, AZ 85041-7142 | 2019-07-11 |
| 1275095432 | All About You Behavioral Health Center Inc | Case Management | 2920 N 24th Ave Ste 240, Phoenix, AZ 85015-5960 | 2019-04-04 |
| 1417413949 | Abel's House Inc. | Case Management | 1127 W Peoria Ave, Phoenix, AZ 85029-5984 | 2019-02-20 |
| 1801369632 | 1514 Bethany Home Management, LLC | Case Management | 1514 W Bethany Home Rd, Phoenix, AZ 85015-2504 | 2019-01-03 |
| 1083192215 | Dcc, Inc. Dba Kidney Dialysis Avoidance Program | Case Management | 22601 N 19th Ave Ste 230, Phoenix, AZ 85027-1362 | 2018-07-31 |
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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.