ROBERT BERIDHA (NPI# 1265844831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265844831 |
| Entity Type | Individual |
| Full Name | ROBERT BERIDHA |
| Credential | PHD |
| Practice Address |
4255 E Soliere Ave Apt 159 Flagstaff AZ 86004-7929 |
| Practice Telephone | 9283806081 |
| Mailing Telephone | 5413011138 |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2018-11-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
R4311 | OR | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | PSY-005043 | AZ | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 785 Faith Ave, Ashland, OR 975202512 | 5413066396 |
| Street Address |
4255 E SOLIERE AVE APT 159 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86004-7929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
| 1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
| 1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
| 1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
| 1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
| 1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
| 1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
| 1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
| 1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
| 1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
| Find all providers in zip 86004 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346853454 | Tim Buschmann | Psychologist | 5288 S Azurite Trl, Flagstaff, AZ 86005-6812 | 2020-08-28 |
| 1720552193 | Paul Andrew Nockels | Psychologist | 3600 Fox Lair Dr, Flagstaff, AZ 86004-7796 | 2019-01-17 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| 1215175377 | Judith Ann Waugh | Psychologist | 3876 N Forest Brook St, Flagstaff, AZ 86004-6820 | 2009-01-28 |
| 1720209307 | Beverlee J Gibbs-cassady | Psychologist | 416 N Kendrick St Ste 3, Flagstaff, AZ 86001-1598 | 2007-05-01 |
| 1417170440 | James Joy Cox | Psychologist | 416 North Kendrick Street, Suite 6, Flagstaff, AZ 86001 | 2007-04-10 |
| 1932239753 | Cori Kay Perkins | Psychologist | 2655 W Hogan Dr, Flagstaff, AZ 86001-1185 | 2007-03-07 |
| 1750416418 | Valarie Louise Hannemann | Psychologist | 1851 W Getaway Trl, Flagstaff, AZ 86001-8569 | 2007-02-22 |
| 1396895363 | Susan K Patrick | Psychologist | 617 N Humphreys St Ste 101, Flagstaff, AZ 86001-3063 | 2007-01-11 |
| 1336200260 | Michael Edward Gerner | Psychologist | 3 N Leroux St, Suite 207, Flagstaff, AZ 86001-5539 | 2006-12-13 |
| Find all providers in FLAGSTAFF | ||||
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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.