TERROS, INC. (NPI# 1295784817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295784817 |
| Entity Type | Organization |
| Organization Name | TERROS, INC. |
| Practice Address |
4909 E Mcdowell Rd Phoenix AZ 85008-7735 |
| Mailing Address |
3003 N Central Ave Ste 400 Phoenix AZ 85012-2929 |
| Practice Telephone | 6026856000 |
| Practice Fax Number | 6022751355 |
| Mailing Telephone | 6026856000 |
| Mailing Fax Number | 6026856001 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | PEGGY CHASE (PRESIDENT/CEO) |
| Authorized Official Telephone | 6026856000 |
| Is Organization Subpart | Y |
| Parent Organization Name | TERROS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
OTC-5446 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 056996 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528443066 | Terros, Inc. | Clinic/Center | 8804 N 23rd Ave Bldg A, Suite A01 & A02, Phoenix, AZ 85021-4185 | 2015-07-27 |
| 1295129823 | Terros, Inc. | Clinic/Center | 3385 N Campbell Ave, Tucson, AZ 85719-2306 | 2015-03-20 |
| 1487072351 | Terros, Inc. | Substance Abuse Rehabilitation Facility | 5801 N 51st Ave, Glendale, AZ 85301-6057 | 2014-03-28 |
| 1841498060 | Terros, Inc. | Community/Behavioral Health | 3003 N Central Ave Ste 400, Phoenix, AZ 85012-2929 | 2007-07-10 |
| 1972135390 | Terros, Inc. | Community/Behavioral Health | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2020-02-05 |
| 1437626843 | Terros, Inc. | Clinic/Center | 4616 N 51st Ave Ste 108, Phoenix, AZ 85031-1720 | 2018-10-24 |
| 1235590712 | Terros, Inc. | Community/Behavioral Health | 3864 N 27th Ave, Phoenix, AZ 85017-4703 | 2016-03-11 |
| 1932593944 | Terros, Inc. | Clinic/Center | 1232 E Broadway Rd Ste 120, Tempe, AZ 85282-1510 | 2015-03-27 |
| 1467841023 | Terros, Inc. | Clinic/Center | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2015-01-20 |
| 1699173245 | Terros, Inc. | Clinic/Center | 6151-6153 W Olive Ave, Glendale, AZ 85302-4598 | 2014-12-15 |
| Street Address |
4909 E MCDOWELL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-7735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364590 | Nicole G Hanhan | Social Worker | 4909 E Mcdowell Rd, Phoenix, AZ 85008-4227 | 2020-07-24 |
| 1982227898 | Karyn Anne Mccreary | Social Worker | 4909 E Mcdowell Rd, Phoenix, AZ 85008-4227 | 2020-05-26 |
| 1841811551 | Linda J Williamson | Social Worker | 4909 E Mcdowell Rd, Phoenix, AZ 85008-4227 | 2020-05-04 |
| 1558993915 | Michael G Marcheschi | Counselor | 4909 E Mcdowell Rd, Phoenix, AZ 85008-4227 | 2020-02-04 |
| 1275184533 | Christina J Paschall | Counselor | 4909 E Mcdowell Rd, Phoenix, AZ 85008-4227 | 2019-09-26 |
| 1346898111 | Jordan R Nejaime | Social Worker | 4909 E Mcdowell Rd, Phoenix, AZ 85008-4227 | 2019-08-26 |
| 1639646946 | Terros Inc | Clinic/Center | 4909 E Mcdowell Rd, Phoenix, AZ 85008-7735 | 2018-10-25 |
| 1710466321 | Courtney Gaines | Nurse Practitioner | 4909 E Mcdowell Rd, Phoenix, AZ 85008-7735 | 2018-08-14 |
| 1265959951 | Terros Inc | Community/Behavioral Health | 4909 E Mcdowell Rd, Phoenix, AZ 85008-7735 | 2017-08-24 |
| 1043746696 | Sheryl Braat | Nurse Practitioner | 4909 E Mcdowell Rd, Phoenix, AZ 85008-7735 | 2017-05-02 |
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| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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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.