KERSTIN P. HURLEY, PHD (NPI# 1316318728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316318728 |
| Entity Type | Organization |
| Organization Name | KERSTIN P. HURLEY, PHD |
| Practice Address |
155 Calle Portal Suite 300 Sierra Vista AZ 85635-2900 |
| Mailing Address |
155 Calle Portal Suite 100 Sierra Vista AZ 85635-2900 |
| Practice Telephone | 5204593011 |
| Practice Fax Number | 5204584467 |
| Mailing Telephone | 5204593012 |
| Mailing Fax Number | 5204593207 |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-12-31 |
| Authorized Official Name | JONATHAN P MELK (CEO) |
| Authorized Official Telephone | 5203641429 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY 27306 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA STATE BOARD OF PSYCHOLOGY | 4689 | 01 |
| Street Address |
155 CALLE PORTAL SUITE 300 |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235103508 | Kathleen Jane Vedock | Pediatrics | 155 Calle Portal, Suite 700, Sierra Vista, AZ 85635-2900 | 2006-02-14 |
| 1205381472 | Lakeisha Love | Nurse Practitioner | 155 Calle Portal, Suite 300, Sierra Vista, AZ 85635-2900 | 2016-08-17 |
| 1710342043 | Kerstin P Hurley | Psychologist | 155 Calle Portal, Suite 300, Sierra Vista, AZ 85635-2900 | 2015-12-31 |
| 1417331711 | Chiricahua Community Health Centers, Inc | Clinic/Center | 155 Calle Portal, Suite 300, Sierra Vista, AZ 85635-2900 | 2015-07-16 |
| 1033532163 | Akdhc, LLC | Internal Medicine | 155 Calle Portal, Suite 400, Sierra Vista, AZ 85635-2900 | 2014-01-24 |
| 1689925711 | Dean D Ettinger Md PC | Pediatrics | 155 Calle Portal, Suite 200, Sierra Vista, AZ 85635-2900 | 2012-09-28 |
| 1760781017 | Dixie Jean Millican | Nurse Practitioner | 155 Calle Portal, Suite 200, Sierra Vista, AZ 85635-2900 | 2011-03-24 |
| 1821309089 | Chiricahua Community Health Centers, Inc | Clinic/Center | 155 Calle Portal, Suite 700, Sierra Vista, AZ 85635-2900 | 2010-06-23 |
| 1649595174 | Amy Christine Clark | Family Medicine | 155 Calle Portal, Suite 300, Sierra Vista, AZ 85635-2900 | 2010-03-26 |
| 1790961167 | Carnett Clinic, LLC | Family Medicine | 155 Calle Portal, Suite 600, Sierra Vista, AZ 85635-2900 | 2008-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538128087 | Gary L Giangregorio | Psychologist | 25 El Camino Real, Suite 3, Sierra Vista, AZ 85635 | 2006-03-22 |
| 1568681021 | Casi Ellis Ruffo | Psychologist | 3555 E Fry Blvd, Sierra Vista, AZ 85635-2972 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346853454 | Tim Buschmann | Psychologist | 5288 S Azurite Trl, Flagstaff, AZ 86005-6812 | 2020-08-28 |
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1871116632 | Rhonda L. Smith | Psychologist | 4032 E Whitman St, Tucson, AZ 85711-2854 | 2020-05-27 |
| 1902426208 | Elisabetta Ambrosia | Psychologist | 4605 N Paseo Aquimuri, Tucson, AZ 85750-1613 | 2020-04-16 |
| 1861011314 | Nicole Marie Burr | Psychologist | 416 E Sheffield Ave, Chandler, AZ 85225-1157 | 2020-04-15 |
| 1760036826 | Rehabilitation Psychological Services | Psychologist | 2126 N Catalina Ave Unit 1, Tucson, AZ 85712-3364 | 2019-07-27 |
| 1831759240 | The University of Arizona | Psychologist | 1335 N Cherry Ave, Tucson, AZ 85721-0105 | 2019-06-18 |
| 1750849519 | Savannah Wright | Psychologist | 3001 S Pantano Edge Dr, Tucson, AZ 85730-2051 | 2019-03-11 |
| 1720552193 | Paul Andrew Nockels | Psychologist | 3600 Fox Lair Dr, Flagstaff, AZ 86004-7796 | 2019-01-17 |
| 1497226864 | Austin Mccall | Psychologist | 4425 W Olive Ave Ste 151, Glendale, AZ 85302-3855 | 2018-12-11 |
| Find all providers with the same taxonomy | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
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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.