MRS. ANGIE J GRAHAM (NPI# 1245463264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245463264 |
| Entity Type | Individual |
| Full Name | MRS. ANGIE J GRAHAM |
| Credential | PSY.D. |
| Practice Address |
8766 E. Hwy 69 C/o Donna Thaxton Humboldt Unified School District/sso Prescott Valley AZ 86314 |
| Practice Telephone | 9287594042 |
| Practice Fax Number | 9287594030 |
| Mailing Telephone | 9287594042 |
| Mailing Fax Number | 9287594030 |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
8766 E. HWY 69 C/O DONNA THAXTON HUMBOLDT UNIFIED SCHOOL DISTRICT/SSO |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316170335 | Wendy Farnsworth | Registered Nurse | 8766 E. Hwy 69, C/o Donna Thaxton Humboldt Unified School District/sso, Prescott Valley, AZ 86314 | 2009-08-25 |
| 1174892194 | Amanda Rosalie Barger | Registered Nurse | 8766 E. Hwy 69, Humboldt Unified School District #22/sso, Prescott Valley, AZ 86314 | 2011-12-20 |
| 1548582315 | Georgiana Rogers | Speech-Language Pathologist | 8766 E. Hwy 69, Humboldt Unified School District/sso, Prescott Valley, AZ 86314 | 2010-02-22 |
| 1518190537 | Michael J Pinnell | Psychologist | 8766 E. Hwy 69, C/o Donna Thaxton Humboldt Unified School District/sso, Prescott Valley, AZ 86314 | 2009-08-25 |
| 1053565010 | Lynne Sechler | Licensed Practical Nurse | 8766 E. Hwy 69, Humboldt Unified School District #22/sso, Prescott Valley, AZ 86314 | 2008-11-04 |
| 1922250117 | Deanne Fairley Heitzman | Occupational Therapist | 8766 E. Hwy 69, Humboldt Unified School District # 22/580, Prescott Valley, AZ 86314 | 2008-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861682080 | Patricia Louise Albrecht | Psychologist | 8501 E Yavapai Rd, Prescott Valley, AZ 86314-8622 | 2007-07-25 |
| 1265577902 | Rita Carol Cordero | Psychologist | Humboldt Unified School District #22 Special Services O, 8766 East Hwy 69, Prescott Valley, AZ 86314 | 2007-02-20 |
| 1538204276 | Marshall Kane | Psychologist | Humboldt Unified School District #22 Special Srvcs Ofic, 8766 East Hwy 69, Prescott Valley, AZ 86314 | 2007-02-20 |
| 1518190537 | Michael J Pinnell | Psychologist | 8766 E. Hwy 69, C/o Donna Thaxton Humboldt Unified School District/sso, Prescott Valley, AZ 86314 | 2009-08-25 |
| 1376760165 | Nancy D Sells | Psychologist | 8766 East Hwy 69, Humboldt Unified School District 22 Special Services Of, Prescott Valley, AZ 86314 | 2007-04-20 |
| 1326177247 | Kelly Murdock | Psychologist | 8766 East Hwy 69, Humboldt Unified School District 22, Prescott Valley, AZ 86314 | 2007-03-05 |
| 1609905520 | Sherron Hadlock | Psychologist | 8766 East Hwy 69, Humboldt Unified School District # 22 Special Services, Prescott Valley, AZ 86314 | 2007-03-05 |
| 1184769820 | Kelli L Smart | Psychologist | 8766 East Hwy 69, Humboldt Unified School District #22 Special Service, Prescott Valley, AZ 86314 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912691 | Jane Ann Petschow | Psychologist | 445 W Chandler Blvd Apt 464, Chandler, AZ 85225-1965 | 2020-11-02 |
| 1225635154 | Shannon Napelee | Psychologist | 9405 N 53rd Dr, Glendale, AZ 85302-3305 | 2020-10-04 |
| 1922616929 | Latisha Kareem Ojuriye | Psychologist | 400 N Coronado St Apt 1012, Chandler, AZ 85224-4184 | 2020-07-16 |
| 1689299133 | Chloe Arns | Psychologist | 16484 N 68th Ave, Peoria, AZ 85382-3981 | 2020-06-10 |
| 1710522487 | Aubri Hall | Psychologist | 21115 E Alyssa Rd, Queen Creek, AZ 85142-6556 | 2019-11-16 |
| 1659927242 | Kristin Lee Carbone-kebble | Psychologist | 480 Mate Ln, Lake Havasu City, AZ 86406-6201 | 2019-08-10 |
| 1841843067 | Rebecca Harmon | Psychologist | 6151 E Wildcat Dr, Cave Creek, AZ 85331-3043 | 2019-07-17 |
| 1922589126 | Lisa M Browne | Psychologist | 3584 E Fox Trotter Rd, Tucson, AZ 85739-8334 | 2018-08-24 |
| 1336637321 | Rebecca Simonson | Psychologist | 6200 E San Bernardino, Tucson, AZ 85715-3037 | 2018-04-25 |
| 1053826545 | Angela Coyle | Psychologist | 4841 W Lone Dove Dr, Marana, AZ 85658-4735 | 2017-12-06 |
| Find all providers with the same taxonomy | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
Please comment or provide details below to improve the information on MRS. ANGIE J GRAHAM.
| 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.