MR. MICHAEL CALLAN GRAHAM (NPI# 1285748228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285748228 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL CALLAN GRAHAM |
| Credential | MC |
| Practice Address |
4545 N. 36th Street, Suite 102 Phoenix AZ 85018 |
| Mailing Address |
Po Box 20045 Wickenburg AZ 85358-5045 |
| Practice Telephone | 4806950252 |
| Practice Fax Number | 4806669292 |
| Mailing Telephone | 4806950252 |
| Mailing Fax Number | 4806669292 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2015-05-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC-11555 | AZ | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-0112 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922459346 | Michael William Graham | Physical Therapist | 10 Playland Dr, Saint Albans, WV 25177-3440 | 2016-06-27 |
| 1164731477 | Michael Graham | Registered Nurse | 5728 Yearling St, Lakewood, CA 90713-1854 | 2010-10-04 |
| 1689801813 | Michael Patrick John Graham | Counselor | 3705 Marquette Ave Ne, Albuquerque, NM 87108-1031 | 2009-06-15 |
| 1861632507 | Michael Graham Sr. | Counselor | 796 Highland Avenue, Waterbury, CT 06708-4710 | 2009-02-20 |
| 1013125319 | Michael James Graham | Dentist | 406 3rd Ave Ne, Cullman, AL 35055-2928 | 2007-05-18 |
| 1598985657 | Michael Steven Graham | Family Medicine | 37 Haystack Rd, Hinesburg, VT 05461-6613 | 2007-04-30 |
| 1023237591 | Michael Bernard Graham | Internal Medicine | 2775 Sanders Rd, Suite C1, Northbrook, IL 60062-6110 | 2007-04-24 |
| 1902927502 | Michael Charles Graham | Hearing Instrument Specialist | 13112 Nacogdoches Rd Ste 2, San Antonio, TX 78217-1548 | 2007-04-02 |
| 1083776868 | Michael E Graham | Obstetrics & Gynecology | 4720 S I-10 Service Road, Suite 104, Metairie, LA 70001 | 2006-12-15 |
| 1205901477 | Michael Clyde Graham | Physician Assistant | 225 6th St, Potlatch, ID 83855-5002 | 2006-11-22 |
| Street Address |
4545 N. 36TH STREET, SUITE 102 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098483 | Skyfalls LLC | Plastic Surgery | 3723 E Sells Drive, Phoenix, AZ 85018 | 2019-11-25 |
| 1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
| 1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
| 1902322472 | Saskia Soliz | Behavioral Analyst | 2940 N 40th Street, Unit 19, Phoenix, AZ 85018 | 2017-08-16 |
| 1700233418 | Harriet Frost | Marriage & Family Therapist | 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 | 2016-05-23 |
| 1356733547 | Margaret Murphy Conley | Acupuncturist | 3040 N 44th St Ste 3, Phoenix, AZ 85018 | 2015-02-24 |
| 1457766792 | Anne Marie Hatch | Psychiatry & Neurology | 5090 N 40th St Ste 250a, Phoenix, AZ 85018 | 2014-06-25 |
| 1972848315 | Crystal M Ostermeyer | Physician Assistant | 4350 East Camelback Rd, Suite G-100, Phoenix, AZ 85018 | 2012-12-11 |
| 1699029652 | Monte Vista School | Local Education Agency (LEA) | 3501 E. Osborn Road, Phoenix, AZ 85018 | 2012-10-30 |
| 1962754028 | Jill R. Zweig D.o., PC | Psychiatry & Neurology | 5110 N 40th Street, Suite 104, Phoenix, AZ 85018 | 2012-10-12 |
| Find all providers in zip 85018 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557729 | Psychological and Consulting Services LLC | Counselor | 331 N 1st Ave Ste 102, Phoenix, AZ 85003-4528 | 2020-10-27 |
| 1447863683 | Mindscape Wellness LLC | Counselor | 4545 N 36th St Ste 117, Phoenix, AZ 85018-3473 | 2020-08-27 |
| 1700496718 | Suma Hodge | Counselor | 2341 N 83rd Dr, Phoenix, AZ 85037-3742 | 2020-08-04 |
| 1992322127 | North Pointe Services | Counselor | 1807 W Sienna Bouquet Pl, Phoenix, AZ 85085-8042 | 2020-07-03 |
| 1023630308 | Mary Squires Moran | Counselor | 14040 N Cave Creek Rd Ste 205, Phoenix, AZ 85022-6179 | 2020-05-10 |
| 1467087106 | Omnipotent Health Services | Counselor | 3442 W Paradise Dr, Phoenix, AZ 85029-2239 | 2020-03-03 |
| 1124650536 | Erica Van Parys | Counselor | 3207 E Medlock Dr, Phoenix, AZ 85018-1426 | 2020-02-05 |
| 1790324556 | Amy Kathleen Engle | Counselor | 2432 W Peoria Ave Ste 1123, Phoenix, AZ 85029-4733 | 2019-12-26 |
| 1851934012 | Extinguishing Fear Life Coaching | Counselor | 4435 E Chandler Blvd, Phoenix, AZ 85048-7649 | 2019-10-21 |
| 1134761661 | Kerry Jean Ramella | Counselor | 809 W Maryland Ave, Phoenix, AZ 85013-1325 | 2019-10-16 |
| 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.