EILEEN B SMITH (NPI# 1235276205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235276205 |
| Entity Type | Individual |
| Full Name | EILEEN B SMITH |
| Credential | EDD |
| Practice Address |
4825 E Roosevelt St Phoenix AZ 85008-5917 |
| Practice Telephone | 6026296500 |
| Practice Fax Number | 6026296504 |
| Mailing Telephone | 6026296500 |
| Mailing Fax Number | 6026296504 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
103TS0200X | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 581456 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831619113 | Eileen Katherine Smith | Audiologist | 43 New Scotland Ave # Mc-154, Albany, NY 12208-3412 | 2017-06-27 |
| 1497942668 | Eileen Denise Smith | Home Health | 6871 Lotus Way, West Jordan, UT 84084-7551 | 2007-10-01 |
| 1316051527 | Eileen A Smith | Psychiatry & Neurology | 8601 Village Drive, #118, San Antonio, TX 78217 | 2006-08-18 |
| 1558340554 | Eileen Pazderka Smith | Specialist | 228 W Birch St, Walla Walla, WA 99362-2935 | 2006-01-10 |
| 1063058576 | Eileen Mary Smith | Registered Nurse | 103 W Main St, Patchogue, NY 11772-3003 | 2019-11-19 |
| 1194246314 | Eileen Ruggles Smith | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2017-06-28 |
| 1770026015 | Eileen Smith | Counselor | 710 Versailles Blvd, Alexandria, LA 71303-2351 | 2016-11-18 |
| 1194068155 | Eileen F Smith | Audiologist | 4075 Park Ave, Memphis, TN 38111-7420 | 2013-03-28 |
| 1295011773 | Eileen Ann Smith | Registered Nurse | 3599 Big Ridge Rd, Spencerport, NY 14559-1709 | 2011-10-27 |
| 1588945422 | Eileen Elizabeth Smith | Occupational Therapy Assistant | 1415 Yellowstone River Rd, Billings, MT 59105-1834 | 2011-09-06 |
| Street Address |
4825 E ROOSEVELT ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-5917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396117768 | Melissa Marriott | Specialist/Technologist | 4825 E Roosevelt St, Phoenix, AZ 85008-5917 | 2015-10-26 |
| 1336379692 | Julie Kiefer | Psychologist | 4825 E Roosevelt St, Phoenix, AZ 85008-5917 | 2009-07-21 |
| 1457542524 | Charlotte Catherine Moore | Speech-Language Pathologist | 4825 E Roosevelt St, Phoenix, AZ 85008-5917 | 2007-08-05 |
| 1063625341 | Kathy L Putman | Registered Nurse | 4825 E Roosevelt St, Phoenix, AZ 85008-5917 | 2007-05-07 |
| 1841417581 | Janet Lynn Strack | Registered Nurse | 4825 E Roosevelt St, Phoenix, AZ 85008-5917 | 2007-04-20 |
| 1538386529 | Tricha Collinson | Registered Nurse | 4825 E Roosevelt St, Phoenix, AZ 85008-5917 | 2007-04-19 |
| 1427272061 | Miriam Garlant | Speech-Language Pathologist | 4825 E Roosevelt St, Phoenix, AZ 85008-5917 | 2007-04-13 |
| 1174654529 | Tracy Anita Adams | Registered Nurse | 4825 E Roosevelt St, Phoenix, AZ 85008-5917 | 2007-03-08 |
| 1841325743 | Balsz School District No 31 | Local Education Agency (LEA) | 4825 E Roosevelt St, Phoenix, AZ 85008-5917 | 2007-02-22 |
| 1932244589 | Kim A Horack | Speech-Language Pathologist | 4825 E Roosevelt St, Phoenix, AZ 85008-5917 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386171650 | Tracey Denise Manigault | Psychologist | 8900 N Central Ave Ste 105, Phoenix, AZ 85020-2846 | 2017-05-17 |
| 1316326044 | Nicole Nielsen | Psychologist | 622 E Nicolet Ave, Phoenix, AZ 85020-4943 | 2015-05-27 |
| 1770915985 | Jill Larkin | Psychologist | 7747 W Pipestone Pl, Phoenix, AZ 85035-5096 | 2013-07-30 |
| 1639488570 | Jacqueline Relyea | Psychologist | 6550 S 27th Ave, Phoenix, AZ 85041-5287 | 2010-09-27 |
| 1740597541 | Kyle Vessell | Psychologist | 2625 E Cheryl Dr, Phoenix, AZ 85028-4319 | 2010-09-01 |
| 1972819084 | Carl Grasso | Psychologist | 31413 N 20th Ave, Phoenix, AZ 85085-7021 | 2010-08-26 |
| 1568778132 | Deborah Vogt Purscell | Psychologist | 1247 E Glenhaven Dr, Phoenix, AZ 85048-4734 | 2010-08-20 |
| 1548575426 | Casie Rene'e Blount | Psychologist | 3609 N 27th St, Phoenix, AZ 85016-6747 | 2010-08-16 |
| 1093034209 | Tiffani Allen | Psychologist | 1002 E Sheridan St, Phoenix, AZ 85006-1647 | 2010-05-27 |
| 1205164167 | Parul Saxena | Psychologist | 8525 W Osborn Road, Desert Horizon School, Phoenix, AZ 85037 | 2009-12-03 |
| 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.