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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235598236 | Brenda M. Carrillo | Speech-Language Pathologist | 2146 S Standard Ave, Santa Ana, CA 92707-3035 | 2016-02-18 |
1558687244 | Brenda Carrillo | Counselor | 5555 Reservoir Dr Ste 204, San Diego, CA 92120 | 2010-04-20 |
1104327279 | Brenda Carrillo | Behavior Technician | 4719 Viewridge Ave Ste 100, San Diego, CA 92123-1685 | 2018-02-23 |
1366895237 | Brenda Carrillo | Counselor | 2112 E 4th St Ste 107, Santa Ana, CA 92705-3849 | 2016-07-15 |
Street Address |
4510 N 37TH AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85019-3206 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 85019 |
Taxonomy Code | 103TS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | School |
Definition to come... |
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 |
Find all providers in PHOENIX |
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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.