MR. TRAVIS BLOCK (NPI# 1417199852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417199852 |
| Entity Type | Individual |
| Full Name | MR. TRAVIS BLOCK |
| Credential | M. ED., ED.S., NCSP |
| Practice Address |
11142 N 165th Dr Apt 113 Surprise AZ 85388-6652 |
| Practice Telephone | 5743092970 |
| Mailing Telephone | 5743092970 |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2009-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
4033699 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
11142 N 165TH DR APT 113 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85388-6652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410887 | Kids Dentists of Surprise and Orthodontics, LLP | Dentist | 15180 N. Cotton Lane, Suite 104, Surprise, AZ 85388 | 2019-07-25 |
| 1588148803 | Moahk Behavioral Home LLC | Assisted Living Facility | 16645 West Central Street, Surprise, AZ 85388 | 2018-09-21 |
| 1881118867 | Haja Sankoh | Behavior Technician | 16645 West Central St, Surprise, AZ 85388 | 2017-08-01 |
| 1235516675 | Benjamin J Hegenbarth | Family Medicine | 14981 Nth 174 Dr., Surprise, AZ 85388 | 2015-05-06 |
| 1447644521 | Urgent Care Centers of Arizona, LLC | Clinic/Center | 16840 W. Waddell Road, Suite 110, Surprise, AZ 85388 | 2015-03-26 |
| 1548512239 | We Care Medical Supply Plus | Durable Medical Equipment & Medical Supplies | 17317 W. Banff Lane, Surprise, AZ 85388 | 2012-10-05 |
| 1376871095 | Rebecca Kimberly Adamoli | Nurse's Aide | 17999 N. Surprise Farms Loop South, Surprise, AZ 85388 | 2009-11-19 |
| 1417281395 | Tracy Dunbar | Respite Care | 18245 West Port Royale Ln., Surprise, AZ 85388 | 2009-09-25 |
| 1467696617 | Eileen Georgina Soltis | Registered Nurse | 17359 W. Surprise Farms Loop N, Surprise, AZ 85388 | 2009-04-30 |
| 1538306360 | Wholistic Integrative Caring Network LLC | Nurse Practitioner | 16278 N. 164th Lane, Surprise, AZ 85388 | 2009-01-15 |
| Find all providers in zip 85388 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447522677 | June Maryanne Skula-channing | Psychologist | 638 Willowbrook Rd, Surprise, NY 12176-2314 | 2012-02-03 |
| 1912139882 | Ashley Ehrenstrom | Psychologist | 16066 N Parkview Pl, Surprise, AZ 85374-7461 | 2009-08-11 |
| 1285856252 | Joseph Anthony Dellamarggio | Psychologist | 17901 W. Lundberg Street, Surprise, AZ 85388 | 2007-05-02 |
| 1619012036 | Michael Austin Hans | Psychologist | 18079 W Ewers Dr, Surprise, AZ 85374-2953 | 2007-02-21 |
| 1326183500 | Gregory Vincent Lapointe Sr. | Psychologist | 18264 N 144th Ave, Surprise, AZ 85374-4237 | 2007-02-21 |
| 1619022191 | Katie Sarah Sprouls | Psychologist | 15034 N Parkview Pl, Surprise, AZ 85379-6076 | 2007-01-24 |
| 1477601037 | Treva A Hunt | Psychologist | 17865 W Gelding Dr, Surprise, AZ 85388-7533 | 2007-01-08 |
| 1053496547 | Jennifer Hargrave | Psychologist | 15802 N Parkview Pl, Surprise, AZ 85374 | 2006-10-25 |
| 1912287863 | Eileen M Rigdon | Psychologist | 15802 N Parkview Pl, Surprise, AZ 85374-7466 | 2011-08-24 |
| 1982983003 | Deanna M Peters | Psychologist | 15802 N Parkview Pl, Surprise, AZ 85374-7466 | 2011-08-07 |
| Find all providers in SURPRISE | ||||
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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.