DR. STEVEN R PATRICK (NPI# 1396714192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396714192 |
| Entity Type | Individual |
| Full Name | DR. STEVEN R PATRICK |
| Credential | PH.D. |
| Practice Address |
617 N Humphreys St Suite 101 Flagstaff AZ 86001-3063 |
| Mailing Address |
617 N Humphreys St Ste 101 Flagstaff AZ 86001-3063 |
| Practice Telephone | 9287793783 |
| Practice Fax Number | 9287731150 |
| Mailing Telephone | 9287793783 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2008-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3396 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 533390 | 05 |
| Street Address |
617 N HUMPHREYS ST SUITE 101 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-3063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518141985 | Anxiety Disorders and Medical Psychology Treatment Center, P.C. | Psychologist | 617 N Humphreys St, Suite 101, Flagstaff, AZ 86001-3063 | 2007-12-20 |
| 1225193790 | Sheilah M. Wilson | Counselor | 617 N Humphreys St, Suite 101, Flagstaff, AZ 86001-3063 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891970703 | Susan E Swann Ph.d. PC | Psychologist | 305 E Cherry Ave, Suite 200, Flagstaff, AZ 86001-4626 | 2008-01-09 |
| 1376743104 | Christina Grampp Hibbert | Psychologist | 710 N Beaver St Bldg 2-2, Flagstaff, AZ 86001-3145 | 2007-07-19 |
| 1164638789 | Suzanne R. Daiss | Psychologist | 1030 N San Francisco St Ste 210, Flagstaff, AZ 86001-3262 | 2007-05-14 |
| 1295802189 | Sandra Jeanne Brim | Psychologist | 15 E Cherry Ave, Suite 206, Flagstaff, AZ 86001-4699 | 2006-11-29 |
| 1720150055 | J Caislin Weathers | Psychologist | 223 N San Francisco St, Flagstaff, AZ 86001 | 2006-11-14 |
| 1376575787 | Roxanne Ruth Witte | Psychologist | 222 N Verde St, Flagstaff, AZ 86001-4636 | 2006-07-07 |
| 1174592380 | Carol L. O'saben | Psychologist | 4289 Canyon Loop, Flagstaff, AZ 86005-3726 | 2006-03-17 |
| 1265917116 | Stephanie Jeane Hatch | Psychologist | 408 N Kendrick St Ste 4, Flagstaff, AZ 86001-1582 | 2018-09-26 |
| 1730598194 | Lauren Meadows Canniff | Psychologist | 408 N Kendrick St, Suite 4, Flagstaff, AZ 86001-1582 | 2014-08-10 |
| 1306171723 | Osvelia Gonzalez Deeds | Psychologist | 930 N Switzer Canyon Dr, Ste 105, Flagstaff, AZ 86001-4824 | 2009-10-04 |
| Find all providers in FLAGSTAFF | ||||
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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.