MRS. TAMMY SUE OOTHOUDT (NPI# 1457768459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457768459 |
| Entity Type | Individual |
| Full Name | MRS. TAMMY SUE OOTHOUDT |
| Practice Address |
1140 South Little Fox Trail Camp Verde AZ 86322 |
| Mailing Address |
P.o. Box 2554 Camp Verde AZ 86322 |
| Practice Telephone | 9283012264 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Street Address |
1140 SOUTH LITTLE FOX TRAIL |
| City | CAMP VERDE |
| State | AZ |
| Zip Code | 86322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244234 | Aileen Green | Specialist/Technologist | Camp Verde Elementary, 200 Camp Lincoln Rd, Camp Verde, AZ 86322 | 2020-10-29 |
| 1295358083 | Michelle Thu Nguyen | Dentist | 1996 Doug's Park Rd., Camp Verde, AZ 86322 | 2020-05-27 |
| 1982140372 | Kelly Michaud Ayotte | Nurse Practitioner | 885 S. Peach Lane, Camp Verde, AZ 86322 | 2017-01-10 |
| 1508225301 | Jennifer Lynn Wolf | Specialist/Technologist | 253 E Stolen Blvd, Camp Verde, AZ 86322 | 2016-02-22 |
| 1700288792 | Ramiro Lambaria IIi | Dentist | 1996 Doug's Park Rd, Camp Verde, AZ 86322 | 2014-09-22 |
| 1669798146 | Camp Verde Family Chiropractic & Wellness Center Inc. | Chiropractor | 564 Main Street Suite #108, Camp Verde, AZ 86322 | 2010-04-09 |
| 1841522869 | Kyle Earl French | Chiropractor | 564 S Main Street, Suite 108, Camp Verde, AZ 86322 | 2010-02-01 |
| 1386871440 | Kadeen Mansor | Physical Therapist | 6345 S Cedar Springs St, Camp Verde, AZ 86322 | 2009-06-16 |
| 1811146574 | Karin M. Hauenstein | Social Worker | 449 Sixth Street, Camp Verde, AZ 86322 | 2008-09-17 |
| 1295917474 | Jane Mathews | Counselor | 1094 N. Gilbert Way, Camp Verde, AZ 86322 | 2007-11-29 |
| Find all providers in zip 86322 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040123 | Choice Business Strategies LLC | Psychiatric Residential Treatment Facility | 29400 N 123rd Gln, Peoria, AZ 85383-4096 | 2020-10-14 |
| 1417565292 | Horizon Group Homes LLC | Psychiatric Residential Treatment Facility | 378 E Tropical Dr, Casa Grande, AZ 85122-5086 | 2020-07-17 |
| 1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
| 1073138673 | Hightower Behavioral Health Services | Psychiatric Residential Treatment Facility | 13206 W Crestvale Dr, Peoria, AZ 85383-5496 | 2020-06-10 |
| 1437773942 | Excellent Care LLC | Psychiatric Residential Treatment Facility | 14029 N 39th Ave, Phoenix, AZ 85053-5438 | 2020-06-01 |
| 1730701517 | Jezzob Behavioral Health LLC | Psychiatric Residential Treatment Facility | 4918 W Apollo Rd, Laveen, AZ 85339-6289 | 2020-05-14 |
| 1235750977 | Sagamar Behavioral Care Home, LLC | Psychiatric Residential Treatment Facility | 4444 N 13th Pl Apt 3, Phoenix, AZ 85014-4584 | 2020-05-05 |
| 1508492703 | Rehoboth LLC | Psychiatric Residential Treatment Facility | 41947 W Rosa Dr, Maricopa, AZ 85138-2550 | 2020-03-19 |
| 1851926661 | Cadens Health and Wellness LLC | Psychiatric Residential Treatment Facility | 5244 W Apollo Rd, Laveen, AZ 85339-6912 | 2020-03-12 |
| 1114552122 | Angel Heart Behavioral Health IIi LLC | Psychiatric Residential Treatment Facility | 9223 W Meadow Brook, 9223 W Meadow Brook Ave, Phoenix, AZ 85037-8503 | 2020-03-10 |
| Find all providers with the same taxonomy | ||||
| City | CAMP VERDE |
| Zip Code | 86322 |
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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.