JENNIFER L ECONOPOULY (NPI# 1316133812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316133812 |
| Entity Type | Individual |
| Full Name | JENNIFER L ECONOPOULY |
| Practice Address |
1025 N Country Club Dr Mesa AZ 85201-3307 |
| Practice Telephone | 4804720502 |
| Practice Fax Number | 4804720705 |
| Mailing Telephone | 4804720502 |
| Mailing Fax Number | 4804720705 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
1025 N COUNTRY CLUB DR |
| City | MESA |
| State | AZ |
| Zip Code | 85201-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144200288 | Debra Gonzales | Registered Nurse | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2006-01-17 |
| 1629678693 | Autrey Taylor Veitel | Specialist/Technologist | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2020-10-29 |
| 1790390375 | Rebecca Ann Galaviz | Registered Nurse | 1025 N Country Club Dr, Mesa, AZ 85201-3302 | 2020-09-10 |
| 1811506652 | Erika Mcsweeney | Occupational Therapist | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2020-07-28 |
| 1780293415 | Samantha Gubka | Occupational Therapist | 1025 N Country Club Dr, Mesa, AZ 85201-3302 | 2020-07-28 |
| 1003425851 | Kaye Sjoholm | Physical Therapist | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2020-07-28 |
| 1740899574 | Brooke Danielle Ermisch | Speech-Language Pathologist | 1025 N Country Club Dr, Mesa, AZ 85201-3302 | 2020-07-28 |
| 1023626371 | Taylor Dunnahoo | Speech-Language Pathologist | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2020-07-22 |
| 1093349524 | Jana Campos | Occupational Therapist | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2020-02-24 |
| 1730719287 | Nicole Frey | Registered Nurse | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2020-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508378209 | Shanna Schopmeyer | Psychologist | 9646 E Baltimore St, Mesa, AZ 85207-8030 | 2017-11-02 |
| 1063806354 | Shannon Follett | Psychologist | 10020 E Isleta Ave, Mesa, AZ 85209-7783 | 2015-03-24 |
| 1326356221 | Todd Mckay | Psychologist | 2055 S Rogers, Mesa, AZ 85202-6524 | 2010-09-14 |
| 1720394042 | Kerry Rae Williams | Psychologist | 738 S Longmore, Mesa, AZ 85202-1908 | 2010-08-24 |
| 1639300098 | Heather Hynes | Psychologist | 4831 E Dixon St, Mesa, AZ 85205-6456 | 2009-08-03 |
| 1255562120 | Steven Casamento | Psychologist | 1710 S Gilbert Rd, Apt 1090, Mesa, AZ 85204-8031 | 2009-07-27 |
| 1871749846 | Gg Heintz-jacobs | Psychologist | 2940 E Broadway Rd, #231, Mesa, AZ 85204-1751 | 2008-08-11 |
| 1578753315 | Michael Dale Fidler | Psychologist | 1158 E Hackamore St, Mesa, AZ 85203-4333 | 2007-07-27 |
| 1851517833 | Bonnie Jean Bartol | Psychologist | 705 S 32nd St, Mesa Public Schools Taylor Jr High, Mesa, AZ 85204 | 2007-04-18 |
| 1669514329 | Elizabeth Danielson | Psychologist | 3120 N Red Mountain, Mesa, AZ 85207-1068 | 2007-02-12 |
| Find all providers in MESA | ||||
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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.