MS. BRENDA ELIZABETH CARRILLO


Address: 4510 N 37th Ave, Phoenix, AZ 85019-3206
Phone: 6023362990

MS. BRENDA ELIZABETH CARRILLO (NPI# 1356487698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356487698
Entity Type Individual
Full Name MS. BRENDA ELIZABETH CARRILLO
Credential M.S. ED., CAGS, NCSP
Practice Address 4510 N 37th Ave
Phoenix
AZ 85019-3206
Mailing Address 7808 S 22nd Ln
Phoenix
AZ 85041-7741
Practice Telephone 6023362990
Mailing Telephone 6022768296
Enumeration Date 2007-01-30
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
Behavioral Health & Social Service Providers

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Office Location

Street Address 4510 N 37TH AVE
City PHOENIX
State AZ
Zip Code 85019-3206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437295813 Jonathan Bowen Psychologist 4510 N 37th Ave, Phoenix, AZ 85019-3206 2007-01-30
1790349553 Marie Yvana Isme Licensed Practical Nurse 4510 N 37th Ave, Phoenix, AZ 85019-3206 2019-04-26
1104390699 Miriam Muigai Licensed Practical Nurse 4510 N 37th Ave, Phoenix, AZ 85019-3206 2019-01-17
1205280757 Briana Hupe Registered Nurse 4510 N 37th Ave, Phoenix, AZ 85019-3206 2016-04-21
1659719482 Natalie Berman Nucci Speech-Language Pathologist 4510 N 37th Ave, Alhambra Elementary School District, Phoenix, AZ 85019-3206 2013-06-14
1881934669 Ryan Lorenz Bauer Speech-Language Pathologist 4510 N 37th Ave, Phoenix, AZ 85019-3206 2013-02-15
1912270299 Carlos Alberto Landabazo Specialist/Technologist 4510 N 37th Ave, Phoenix, AZ 85019-3206 2012-02-16
1063727469 Sara Kay Griggs Speech-Language Pathologist 4510 N 37th Ave, Phoenix, AZ 85019-3206 2010-08-10
1144554023 Ronald Lynn Hughes Psychologist 4510 N 37th Ave, Phoenix, AZ 85019-3206 2009-09-25
1609056977 Linda Diane Shadley Speech-Language Pathologist 4510 N 37th Ave, Phoenix, AZ 85019-3206 2007-11-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861964488 Roger Beck Slice Registered Nurse 6331 N. 39th Ave., Phoenix, AZ 85019 2018-12-20
1093204687 Patricia Enevy Gomez Jayme Physical Therapist 532 W Thomas Rd Suite 5, Phoenix, AZ 85019 2018-05-09
1396257762 Shirley Ann Furlong Licensed Practical Nurse Alhambra School District No 68, 4510 N 37th Avenue, Phoenix, AZ 85019 2017-10-25
1508253014 Benjamin Noel Zuniga Dentist 3542 W Camelback Rd, Phoenix, AZ 85019 2015-04-22
1063610475 German Dobson Cvs, L.L.C. Durable Medical Equipment & Medical Supplies Thomas & 43rd Ave, Phoenix, AZ 85019 2007-07-06
1558489575 Beverly Beierbach Wells Speech-Language Pathologist 3839 W Camelback Road, Phoenix, AZ 85019 2007-03-27
1497872600 Josefa Almanza Speech-Language Pathologist 4006 W Osborn Rd, Phoenix, AZ 85019 2007-03-23
1760550024 Steven C Chang Dentist 3608 W Camelback Rd, Phoenix, AZ 85019 2006-12-02
1891723623 George Figueroa Obstetrics & Gynecology 3660 W. Bethany Home Road, Suite A, Phoenix, AZ 85019 2006-06-29
1881169704 Janice Jinju Kim Dentist 3608 W Camelback Rd, Phoenix, AZ 85019 2018-10-07
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386171650 Tracey Denise Manigault Psychologist 8900 N Central Ave Ste 105, Phoenix, AZ 85020-2846 2017-05-17
1316326044 Nicole Nielsen Psychologist 622 E Nicolet Ave, Phoenix, AZ 85020-4943 2015-05-27
1770915985 Jill Larkin Psychologist 7747 W Pipestone Pl, Phoenix, AZ 85035-5096 2013-07-30
1639488570 Jacqueline Relyea Psychologist 6550 S 27th Ave, Phoenix, AZ 85041-5287 2010-09-27
1740597541 Kyle Vessell Psychologist 2625 E Cheryl Dr, Phoenix, AZ 85028-4319 2010-09-01
1972819084 Carl Grasso Psychologist 31413 N 20th Ave, Phoenix, AZ 85085-7021 2010-08-26
1568778132 Deborah Vogt Purscell Psychologist 1247 E Glenhaven Dr, Phoenix, AZ 85048-4734 2010-08-20
1548575426 Casie Rene'e Blount Psychologist 3609 N 27th St, Phoenix, AZ 85016-6747 2010-08-16
1093034209 Tiffani Allen Psychologist 1002 E Sheridan St, Phoenix, AZ 85006-1647 2010-05-27
1205164167 Parul Saxena Psychologist 8525 W Osborn Road, Desert Horizon School, Phoenix, AZ 85037 2009-12-03
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Competitor

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City PHOENIX
Zip Code 85019

Improve Information

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Dataset Information

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.

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