KAUFMAN INTEGRATED HEALTHCARE, LLC (NPI# 1295162626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295162626 |
| Entity Type | Organization |
| Organization Name | KAUFMAN INTEGRATED HEALTHCARE, LLC |
| Practice Address |
17505 N 79th Ave Suite 315 Glendale AZ 85308-8725 |
| Practice Telephone | 6028209398 |
| Mailing Telephone | 6028209398 |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |
| Authorized Official Name | DR. SHELLEY S. KAUFMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6022570560 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
BH4321 | AZ | Ambulatory Health Care Facilities |
| Street Address |
17505 N 79TH AVE SUITE 315 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-8725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740248376 | Shelley S Kaufman | Psychologist | 17505 N 79th Ave, Suite 315, Glendale, AZ 85308-8725 | 2006-05-03 |
| 1417430778 | Daniela Rothenberg | Counselor | 17505 N 79th Ave, Glendale, AZ 85308-8725 | 2018-09-12 |
| 1548768914 | Elizabeth Williams | Counselor | 17505 N 79th Ave, 311-g, Glendale, AZ 85308-8725 | 2018-01-31 |
| 1700384070 | Michele Wiest | Social Worker | 17505 N 79th Ave, Glendale, AZ 85308-8725 | 2018-01-31 |
| 1518493303 | Deborah E Beebe | Dietitian, Registered | 17505 N 79th Ave, Suite 407, Glendale, AZ 85308 | 2017-05-11 |
| 1972044436 | Integrative Healing Counseling Service, Pllc | Social Worker | 17505 N 79th Ave, Suite 311f, Glendale, AZ 85308-8725 | 2017-03-17 |
| 1609317791 | Az Balanced Living Solutions, LLC | Counselor | 17505 N 79th Ave, Suite 305-c, Glendale, AZ 85308-8725 | 2017-03-09 |
| 1841730041 | Wendy Ann Whitsett | Counselor | 17505 N 79th Ave, Suite 305-c, Glendale, AZ 85308-8725 | 2017-03-07 |
| 1073055414 | Amanda Anderson, Mms, Pa-c, Pllc | Psychiatry & Neurology | 17505 N 79th Ave, Suite 206, Glendale, AZ 85308-8725 | 2016-11-16 |
| 1164973285 | Sherri Mankofsky | Dietitian, Registered | 17505 N 79th Ave, Suite 407, Glendale, AZ 85308-8725 | 2016-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1578001731 | Eastside Mental Health Group Inc | Clinic/Center | 800 S Central Ave Ste 307, Glendale, CA 91204-4644 | 2017-02-08 |
| 1548808405 | Mcgady & Associates Psychological Services Plc | Clinic/Center | 4425 W Olive Ave Ste 151a, Glendale, AZ 85302-3843 | 2019-12-11 |
| 1649752627 | Akos Behavioral Health, LLC | Clinic/Center | 5104 N 67th Ave, Glendale, AZ 85301-6541 | 2018-09-05 |
| 1598251233 | Liz Gustafson Psychotherapy | Clinic/Center | 450 N Brand Blvd Ste 600, Glendale, CA 91203-2349 | 2018-07-05 |
| 1902209992 | Pacific Health Medical Group | Clinic/Center | 319 S Brand Blvd, Glendale, CA 91204-1701 | 2014-10-03 |
| 1912175217 | Life Healing Center | Clinic/Center | 7155 W Campo Bello Dr, Suite B160, Glendale, AZ 85308-8590 | 2008-02-20 |
| 1043307598 | Medical Psychology Associates, Inc. | Clinic/Center | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2006-10-06 |
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| 1083237630 | The Heart Program | Clinic/Center | 4041 E Flower St, Phoenix, AZ 85018-6433 | 2020-05-18 |
| 1316569056 | Desert Heart Counseling Corp | Clinic/Center | 1536 E Maryland Ave Ste B300, Phoenix, AZ 85014-1475 | 2020-05-16 |
| 1922638055 | Lotus Health Arizona | Clinic/Center | 2600 E Southern Ave Ste I3, Tempe, AZ 85282-7738 | 2020-01-16 |
| 1689218687 | Devine Momentum Phoenix | Clinic/Center | 15342 W Turney Ave, Goodyear, AZ 85395-6323 | 2019-11-01 |
| 1588212195 | Tamarria Denga | Clinic/Center | 10000 N 31st Ave Ste D411, Phoenix, AZ 85051-1358 | 2019-08-27 |
| 1932768975 | Evolve Counseling & Behavioral Health Services | Clinic/Center | 1206 E Warner Rd # 203, Gilbert, AZ 85296-3132 | 2019-06-12 |
| 1073171153 | Heart Song Wellness LLC | Clinic/Center | 8617 W Union Hills Dr Ste 100, Peoria, AZ 85382-7001 | 2019-06-03 |
| 1659936680 | Sedona Family Counseling | Clinic/Center | 130 Castle Rock Rd Unit 65, Sedona, AZ 86351-8876 | 2019-05-06 |
| 1043778756 | Aye Wellness, Pllc | Clinic/Center | 2406 S 24th St Ste E100, Phoenix, AZ 85034-6801 | 2019-03-12 |
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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.