COMMUNITY INTERVENTION ASSOCIATES, INC. (NPI# 1255663423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255663423 |
| Entity Type | Organization |
| Organization Name | COMMUNITY INTERVENTION ASSOCIATES, INC. |
| Other Organization Name | COMMUNITY INTERVENTION ASSOCIATES |
| Practice Address |
1516 Ocotillo Avenue Parker AZ 85344-0000 |
| Mailing Address |
2851 S Avenue B Bldg 4 Yuma AZ 85364-7726 |
| Practice Telephone | 9286695319 |
| Practice Fax Number | 9286695368 |
| Mailing Telephone | 9283760026 |
| Mailing Fax Number | 9287822298 |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2013-08-28 |
| Authorized Official Name | MR. FRED R COGBURN (CEO) |
| Authorized Official Telephone | 9283760026 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY INTERVENTION ASSOCIATES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | BH3488 | AZ | Agencies |
| Y | 251S00000X | Community/Behavioral Health | BH-3994 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 750372 | 05 |
| Other Name | Type Code |
|---|---|
| Community Intervention Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518250620 | Community Intervention Associates, Inc. | Community/Behavioral Health | 1326 Hwy 92, Suite J, Bisbee, AZ 85603-0000 | 2011-05-23 |
| Street Address |
1516 OCOTILLO AVENUE |
| City | PARKER |
| State | AZ |
| Zip Code | 85344-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156366 | Kimberly Lynnette Kirkpatrick | Pharmacist | 12033 W Agency Ave, Parker, AZ 85344 | 2018-08-30 |
| 1811419534 | Cheryl Brooks | Registered Nurse | 12033 W. Agency Ave, Parker, AZ 85344 | 2017-07-14 |
| 1356877716 | Damian Jenkins | Specialist/Technologist, Other | 1200 S Mohave Ave, Parker, AZ 85344 | 2017-05-04 |
| 1821434184 | Rio Vista Surgical Associates P.C. | Surgery | 1200 Mohave Dr, Parker, AZ 85344 | 2013-05-14 |
| 1881039600 | Juan G Lopez | Counselor | 13376 1st Ave, Parker, AZ 85344 | 2013-05-07 |
| 1942581699 | Rocky Mountain Holdings LLC | Ambulance | 913 S Ocotillo Ave, Parker, AZ 85344 | 2011-09-07 |
| 1467732271 | Adam Caton | Podiatrist | 1713 S Kofa Ave Ste K, Parker, AZ 85344 | 2011-08-24 |
| 1902137516 | Shana Lee Tackett | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd, Parker Indian Health Center, Parker, AZ 85344 | 2010-01-21 |
| 1649501339 | Alice Rodriguez | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd., Parker, AZ 85344 | 2010-01-20 |
| 1821328931 | Armando Sosa Jr. | Student in an Organized Health Care Education/Training Program | 12330 Agency Road, Parker, AZ 85344 | 2010-01-12 |
| Find all providers in zip 85344 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649352170 | The Excel Group | Community/Behavioral Health | 1021 S Kofa Ave, Parker, AZ 85344-5021 | 2006-10-20 |
| 1649839069 | Start Talking, LLC | Community/Behavioral Health | 19563 E Mainstreet Ste 206h, Parker, CO 80138-7367 | 2019-06-10 |
| 1841459153 | The Excel Group | Community/Behavioral Health | 1021 S Kofa Ave, Parker, AZ 85344-5021 | 2008-06-03 |
| 1083887574 | Colorado River Indian Tribes | Community/Behavioral Health | Rr 1 Box 20, 12302 Kennedy Drive, Parker, AZ 85344-9701 | 2008-04-07 |
| 1639396591 | La Paz Counseling Services, Pllc | Community/Behavioral Health | 1017 S Laguna Ave, Parker, AZ 85344-4945 | 2007-04-19 |
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| 1710586144 | Brighter Tomorrow's Family Services, LLC | Community/Behavioral Health | 644 N Country Club Dr Ste D, Mesa, AZ 85201-4983 | 2020-10-16 |
| 1386242295 | Mercy Cares LLC | Community/Behavioral Health | 2644 E Paradise Ln Apt D, Phoenix, AZ 85032-2945 | 2020-10-13 |
| 1124626080 | Beia's Families | Community/Behavioral Health | 3230 E Broadway Rd Ste C-235, Phoenix, AZ 85040-2873 | 2020-10-13 |
| 1558968099 | Seed Sower LLC | Community/Behavioral Health | 11526 W Bloomfield Rd, El Mirage, AZ 85335-3916 | 2020-10-07 |
| 1306443171 | Essential Health Services, LLC | Community/Behavioral Health | 2112 E Sanoque Ct, Gilbert, AZ 85298-6117 | 2020-10-05 |
| 1518564442 | Infinity Groups Homes LLC | Community/Behavioral Health | 3523 E Everett Dr, Phoenix, AZ 85032-5136 | 2020-10-05 |
| 1013524230 | Civara Behavioral Health LLC | Community/Behavioral Health | 4010 W Cactus Rd, Phoenix, AZ 85029-2905 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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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.