INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT (NPI# 1285722611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285722611 |
Entity Type | Organization |
Organization Name | INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT |
Other Organization Name | HARRISON1020 |
Practice Address |
1020 S Harrison Rd Ste 100 Tucson AZ 85748 |
Mailing Address |
Po Box 86537 Tucson AZ 85754-6537 |
Practice Telephone | 5027211887 |
Practice Fax Number | 5027210069 |
Mailing Telephone | 5207211887 |
Mailing Fax Number | 5207210069 |
Enumeration Date | 2006-10-11 |
Last Update Date | 2020-01-06 |
Authorized Official Name | ROSE MARY LOPEZ (PRESIDENT AND CEO) |
Authorized Official Telephone | 5207211887 |
Authorized Official Credential | MBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | BH-4144 | AZ | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
STATE LICENSE | OTC6716 | 01 | |
AZ | 056326 | 05 |
Other Name | Type Code |
---|---|
Harrison1020 | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639397441 | Intermountain Centers for Human Development | Case Management | 413 Grant Ave, Santa Fe, NM 87501-1301 | 2007-04-24 |
1104900539 | Intermountain Centers for Human Development | Residential Treatment Facility, Emotionally Disturbed Children | 633 Aqua Fria, Santa Fe, NM 87501 | 2006-10-24 |
1861042012 | Intermountain Centers for Human Development | Clinic/Center | 401 N Bonita Ave, Tucson, AZ 85709-5001 | 2019-09-18 |
1760932859 | Intermountain Centers for Human Development | Community/Behavioral Health | 5055 E Broadway Blvd Ste C104, Tucson, AZ 85711-3641 | 2016-10-12 |
1104122902 | Intermountain Centers for Human Development | Community Based Residential Treatment Facility, Mental Illness | 4025 N Drake Pl, Tucson, AZ 85749-8299 | 2011-01-27 |
1598910044 | Intermountain Centers for Human Development | Residential Treatment Facility, Emotionally Disturbed Children | 4025 N Drake Pl, Tucson, AZ 85749-8299 | 2008-11-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT | 7820 E Broadway Ste 100, Po Box 17749, Tucson, AZ 85710 |
Street Address |
1020 S HARRISON RD STE 100 |
City | TUCSON |
State | AZ |
Zip Code | 85748 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497783195 | Matthew L Sparrow | Physical Therapist | 1020 S Harrison Rd, Ste 120, Tucson, AZ 85748-6610 | 2006-06-29 |
1427595586 | Joshua Greenway | Physical Therapist | 1020 S Harrison Rd, Ste 120, Tucson, AZ 85748-6610 | 2017-01-27 |
1821535907 | Abigail Zwierzchowski | Physical Therapist | 1020 S Harrison Rd, Ste 120, Tucson, AZ 85748-6610 | 2017-01-26 |
1972056935 | Adam Joseph Rave | Physical Therapist | 1020 S Harrison Rd, Ste 120, Tucson, AZ 85748-6610 | 2016-07-26 |
1962868646 | Brianna R. Kennedy | Physical Therapy Assistant | 1020 S Harrison Rd, Suite 120, Tucson, AZ 85748-6610 | 2016-01-11 |
1215307707 | Rita Silverberg | Counselor | 1020 S Harrison Rd, Tucson, AZ 85748-6610 | 2015-09-28 |
1316314255 | Paula Irene Spicerkuhn | Behavioral Analyst | 1020 S Harrison Rd, Tucson, AZ 85748-6610 | 2015-08-26 |
1881019644 | Elizabeth Barry | Counselor | 1020 S Harrison Rd, Tucson, AZ 85748-6610 | 2014-03-03 |
1427473321 | Zandra Goldstein | Counselor | 1020 S Harrison Rd, Tucson, AZ 85748-6610 | 2014-02-28 |
1841597788 | Laura Valenzuela | Speech-Language Pathologist | 1020 S Harrison Rd, Tucson, AZ 85748-6610 | 2011-02-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750892246 | Intermountain Health Center, Inc. | Community/Behavioral Health | 994 S. Harrison Road, Tucson, AZ 85748 | 2017-10-24 |
1083125587 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1020 South Harrison Road, Tucson, AZ 85748 | 2017-10-24 |
1730699679 | Southern Arizona Urgent Care, LLC | Clinic/Center | 1040 S. Harrison Rd, Ste. 120, Tucson, AZ 85748 | 2017-10-05 |
1730609652 | Kathleen R Hizer | Social Worker | 2051 S Calle Mesa Del Oso, Tucson, AZ 85748 | 2017-06-21 |
1629453170 | Augustin Igulu Lukwango | Contractor | 994 S Harrison Road, Tucson, AZ 85748 | 2015-07-27 |
1588051353 | Cheol M. Choi | Dentist | 9565 E 22nd St Ste 143, Tucson, AZ 85748 | 2015-04-20 |
1295168722 | Sandra Lee Chmiel | Veterinarian | 9855 E Speedway Blvd, Unit 12103, Tucson, AZ 85748 | 2013-08-20 |
1134420649 | Leslie Cicalese | Pharmacist | 1145 South Harrison Rd, Tucson, AZ 85748 | 2010-11-15 |
1760711923 | Enrique Romero | Specialist/Technologist, Other | 10339 E Cowhead Saddle Ln, Tucson, AZ 85748 | 2009-12-17 |
1437348349 | Audrey Wolfel | Nurse Practitioner | 10315 Broadway Boulevard, Tucson, AZ 85748 | 2007-10-16 |
Find all providers in zip 85748 |
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 |
---|---|---|---|---|
1265047435 | Sarah Mcmillan Counseling Pllc | Community/Behavioral Health | 6460 E Grant Rd # 30661, Tucson, AZ 85715-8800 | 2020-09-14 |
1851902274 | Connections Counseling Inc | Community/Behavioral Health | 450 E Navajo Rd, Tucson, AZ 85705-3939 | 2020-08-10 |
1619503224 | Willingness Counseling Pllc | Community/Behavioral Health | 5775 S Saddle Ridge Ln, Tucson, AZ 85746-3635 | 2020-03-14 |
1174162143 | Buena Vista Recovery, LLC | Community/Behavioral Health | 5151 E Pima St Ste 110, Tucson, AZ 85712-3627 | 2019-12-23 |
1053877639 | Getaway Advanced Services LLC | Community/Behavioral Health | 3780 E Felix Blvd, Tucson, AZ 85706-1926 | 2019-02-19 |
1255815577 | Jane St. Perre | Community/Behavioral Health | 1955 W Grant Rd Ste 125p, Tucson, AZ 85745-1471 | 2018-09-21 |
1225519416 | The University of Arizona | Community/Behavioral Health | 4210 N Campbell Ave, Tucson, AZ 85719-1109 | 2018-08-24 |
1497244214 | Sage Counseling, Inc. | Community/Behavioral Health | 2221 E Broadway Blvd Ste 200, Tucson, AZ 85719-6032 | 2018-05-07 |
1316440241 | Rob Zonfrelli Counseling LLC | Community/Behavioral Health | 10501 E Seven Generations Way Ste 121, Tucson, AZ 85747-5828 | 2018-03-16 |
1730681685 | Casa De Los Ninos, Inc. | Community/Behavioral Health | 1120 N 5th Avenue, Tucson, AZ 85705 | 2018-03-07 |
Find all providers in TUCSON |
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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.