DR. CHANTE PANTILA (NPI# 1437587201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437587201 |
| Entity Type | Individual |
| Full Name | DR. CHANTE PANTILA |
| Credential | DBH |
| Practice Address |
1209 S 1st Ave Phoenix AZ 85003-2605 |
| Practice Telephone | 6022586797 |
| Practice Fax Number | 6022547121 |
| Mailing Telephone | 6022586797 |
| Mailing Fax Number | 6022547121 |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2013-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LAC-13696 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
1209 S 1ST AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85003-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164496444 | David Burleigh Foster | Nurse Practitioner | 1209 S 1st Ave, Phoenix, AZ 85003-2605 | 2006-02-14 |
| 1659970325 | Stanley Kupata Mwendar | Pharmacist | 1209 S 1st Ave, Phoenix, AZ 85003-2605 | 2020-10-22 |
| 1215576202 | Ryan Scott Norton | Social Worker | 1209 S 1st Ave, Phoenix, AZ 85003-2692 | 2019-12-23 |
| 1982171609 | Valle Del Sol, Inc. | Community/Behavioral Health | 1209 S 1st Ave, Phoenix, AZ 85003-2605 | 2018-10-31 |
| 1740717024 | Maria Avena | Counselor | 1209 S 1st Ave, Phoenix, AZ 85003-2605 | 2017-05-17 |
| 1518337401 | Jacqueline Zengler | Counselor | 1209 S 1st Ave, Phoenix, AZ 85003-2605 | 2015-10-05 |
| 1497135388 | Herendira Valdez | Nurse Practitioner | 1209 S 1st Ave, Phoenix, AZ 85003-2605 | 2015-06-04 |
| 1982091443 | Juliene Williams | Social Worker | 1209 S 1st Ave, Phoenix, AZ 85003-2605 | 2015-04-22 |
| 1972910719 | Genoa Healthcare, LLC | Pharmacy | 1209 S 1st Ave, Phoenix, AZ 85003-2605 | 2014-07-14 |
| 1417220575 | Marleigh Corinne O'meara | Counselor | 1209 S 1st Ave, Phoenix, AZ 85003-2605 | 2012-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504406 | Jennifer A Day | Counselor | 125 South Avenue, Phoenix, AZ 85003 | 2019-12-10 |
| 1588148993 | Jillian Ralston | Optometrist | 112 W Mcdowell Road, Phoenix, AZ 85003 | 2018-09-20 |
| 1699254839 | Corner Pharmacy Incorporated | Pharmacy | 112 N 5th Ave Ste 101, Phoenix, AZ 85003 | 2018-08-08 |
| 1003279043 | Kimberly Brown | Technician, Other | 609 N 2nd Aveunue, 200, Phoenix, AZ 85003 | 2016-03-29 |
| 1548678626 | Douglas Barshter | Technician, Other | 602 N 2nd Avenue, Phoenix, AZ 85003 | 2014-08-01 |
| 1346655099 | Benjamin Heller | Family Medicine | 515 W Buckeye Rd Ste 104, Phoenix, AZ 85003 | 2014-06-20 |
| 1225383201 | Charles S Bell | Counselor | 609 North 2nd Ave., Phoenix, AZ 85003 | 2012-07-17 |
| 1790004133 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 50 W. Jefferson St., Suite 140, Phoenix, AZ 85003 | 2010-05-25 |
| 1184806960 | Word Play, LLC | Home Health | 808 N 4th Ave Unit 12, Phoenix, AZ 85003 | 2007-12-03 |
| 1609067842 | Salim Shafi | Dentist | 125 W Mcdowell Road, Phoenix, AZ 85003 | 2007-08-05 |
| Find all providers in zip 85003 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922615 | Gift of Hearts Home LLC | Counselor | 4547 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-11-02 |
| 1952901332 | Jennifer Barreras | Counselor | 1818 E Burgess Ln, Phoenix, AZ 85042-4518 | 2020-10-27 |
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1174135487 | Kelli Randon | Counselor | 14040 N Cave Creek Rd Ste 207, Phoenix, AZ 85022-6179 | 2020-08-18 |
| 1891307328 | Empire Health and Therapy LLC | Counselor | 1730 W Lacewood Pl, Phoenix, AZ 85045-0528 | 2020-08-17 |
| 1043821747 | Annette M Callahan | Counselor | 3229 E Briarwood Ter, Phoenix, AZ 85048-7843 | 2020-08-14 |
| 1528679032 | Apex Rising Community Services LLC | Counselor | 4150 W Peoria Ave Ste 220, Phoenix, AZ 85029-3956 | 2020-08-10 |
| 1780293654 | Mitsrain's House of Hope LLC | Counselor | 5744 N 41st Ave, Phoenix, AZ 85019-1814 | 2020-07-27 |
| 1740898378 | Samantha Cheyenne-dahl Moss | Counselor | 3519 E Shea Blvd Ste 138, Phoenix, AZ 85028-3349 | 2020-07-20 |
| 1083231856 | Amber Taylor | Counselor | 21640 N 19th Ave, Phoenix, AZ 85027-2720 | 2020-06-28 |
| 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.