GENTRY PEDIATRIC BEHAVIORAL SERVICES (NPI# 1346581097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346581097 |
| Entity Type | Organization |
| Organization Name | GENTRY PEDIATRIC BEHAVIORAL SERVICES |
| Practice Address |
7600 N 16th St Suite 218 Phoenix AZ 85020-4431 |
| Practice Telephone | 6023122911 |
| Mailing Telephone | 6023122911 |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |
| Authorized Official Name | DR. JOSEPH GENTRY (PRESIDENT/CEO) |
| Authorized Official Telephone | 6023122911 |
| Authorized Official Credential | PH.D., BCBA-D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | BA-15 | AZ | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | 3913 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
7600 N 16TH ST SUITE 218 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85020-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750387783 | George M Armendariz | Anesthesiology | 7600 N 16th St, Suite 150, Phoenix, AZ 85020-4431 | 2005-06-23 |
| 1215470208 | Mckenzie Lowrie | Behavioral Analyst | 7600 N 16th St, Phoenix, AZ 85020-4431 | 2016-11-23 |
| 1851663900 | T I E Edquid Anesthesia LLC | Anesthesiology | 7600 N 16th St, Suite 150, Phoenix, AZ 85020-4431 | 2012-02-06 |
| 1841577194 | Ivnap, Inc | Nurse Anesthetist, Certified Registered | 7600 N 16th St, Ste 150, Phoenix, AZ 85020-4431 | 2011-11-14 |
| 1477836799 | Lori Long | Psychologist | 7600 N 16th St, Suite 218, Phoenix, AZ 85020-4431 | 2011-09-22 |
| 1477835403 | Eunlee Chung Do Pllc | Internal Medicine | 7600 N 16th St, Suite 150, Phoenix, AZ 85020-4431 | 2011-09-15 |
| 1649551482 | Debra Ann Davis | Psychologist | 7600 N 16th St, Suite 218, Phoenix, AZ 85020-4431 | 2011-09-07 |
| 1922389097 | Robert E Raffel M D Inc | Anesthesiology | 7600 N 16th St, Suite 150, Phoenix, AZ 85020-4431 | 2011-09-02 |
| 1700188315 | Gozar Anesthesiology Pllc | Anesthesiology | 7600 N 16th St, Suite 150, Phoenix, AZ 85020-4431 | 2010-12-02 |
| 1467786590 | Professional Health Care Network, LLC | Home Health | 7600 N 16th St, Suite 140, Phoenix, AZ 85020-4431 | 2009-09-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
| 1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
| 1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
| 1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
| 1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
| 1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
| 1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
| 1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
| Find all providers in zip 85020 | ||||
| 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 |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1407319486 | Joan Ledvina Parr | Psychologist | 13 Glenbrook Dr, Phoenix, MD 21131-2007 | 2019-04-08 |
| 1720591365 | Think Psychological and Consulting Services Pllc | Psychologist | 2632 S 83rd Ave Ste 100-481, Phoenix, AZ 85043-7206 | 2017-11-06 |
| 1558880682 | Christine Breuer | Psychologist | 21630 N 19th Ave Ste B17, Phoenix, AZ 85027-2715 | 2017-09-09 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1225584030 | Sojourner Health | Psychologist | 2224 E Fillmore St, Phoenix, AZ 85006-3815 | 2016-08-31 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1982097614 | T. M. Barratt | Psychologist | 3550 N. Central Ave. Suite 1407, Phoenix, AZ 85012 | 2015-03-04 |
| 1003204827 | Melissa Ann Lake | Psychologist | 4552 W Cottontail Rd, Phoenix, AZ 85086-1449 | 2014-12-31 |
| 1699196915 | Deborah Gladding | Psychologist | 36625 N 18th St, Phoenix, AZ 85086-5715 | 2014-01-05 |
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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.