EVAN DUFFY (NPI# 1467471011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467471011 |
Entity Type | Individual |
Full Name | EVAN DUFFY |
Credential | MD |
Practice Address |
570 W Brown Rd Mesa AZ 85201-3227 |
Mailing Address |
2929 E Thomas Rd Phoenix AZ 85016-8034 |
Practice Telephone | 4803442007 |
Practice Fax Number | 4806490783 |
Mailing Telephone | 6024705000 |
Enumeration Date | 2006-07-18 |
Last Update Date | 2011-11-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
31830 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 803652 | 05 |
Street Address |
570 W BROWN RD |
City | MESA |
State | AZ |
Zip Code | 85201-3227 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922052182 | Laura Don | Psychiatry & Neurology | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2006-05-20 |
1215581699 | Maria L. Cholley | Counselor | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2019-07-24 |
1720575111 | Ryan David Mahelona | Psychiatry & Neurology | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2018-04-20 |
1609395847 | Bahoo Ghafoor | Psychiatry & Neurology | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2017-09-19 |
1083146807 | Brook Choulet | Psychiatry & Neurology | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2017-03-30 |
1861840001 | Brittany Pierce | Psychologist | 570 W Brown Rd, Mesa, AZ 85201 | 2016-05-27 |
1003273855 | Maricopa County Special Health Care District | Clinic/Center | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2016-01-25 |
1861860736 | Nandni Gupta | Psychiatry & Neurology | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2015-09-09 |
1952788143 | Meera Mehta | Psychiatry & Neurology | 570 W Brown Rd, Mesa, AZ 85201 | 2015-04-27 |
1013337989 | Randeep Hayer | Psychiatry & Neurology | 570 W Brown Rd, Mesa, AZ 85201 | 2014-04-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
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Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972894111 | Claire M Sollars | Psychiatry & Neurology | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2011-04-21 |
1366769093 | Shivana Devi Naidoo | Psychiatry & Neurology | 840 E Mckellips Rd, Suite 110, Mesa, AZ 85203-9645 | 2010-04-20 |
1437482544 | District Medical Group, Inc | Psychiatry & Neurology | 570 W Brown Rd, Administration, Mesa, AZ 85201-3227 | 2009-09-09 |
1982622072 | Erum Ali | Psychiatry & Neurology | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2006-07-17 |
1710911979 | Sukanya Chandra Sharma | Psychiatry & Neurology | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2006-07-11 |
1063445088 | Joanna Kowalik | Psychiatry & Neurology | 570 W Brown Rd, Desert Vita Behavioral Center, Mesa, AZ 85201-3227 | 2006-07-10 |
1528006756 | Lisa A. Cobourn | Psychiatry & Neurology | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2006-06-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881257970 | Wellpsyche Scottsdale PC | Psychiatry & Neurology | 7150 E Camelback Rd Ste 422, Scottsdale, AZ 85251-1200 | 2019-04-15 |
1699296574 | Sandra M Zebrowski | Psychiatry & Neurology | 4350 E Cotton Center Blvd Ste 100, Suite 100, Phoenix, AZ 85040-8852 | 2017-06-30 |
1083099170 | Lois G Mclean | Psychiatry & Neurology | 77 Old Highway 188, Unit 130, Tonto Basin, AZ 85553-9996 | 2015-07-30 |
1780070805 | Carolyn Powers Wiersma | Psychiatry & Neurology | Us Highway 191 & Hospital Road, Chinle, AZ 86503 | 2015-04-15 |
1598164675 | Focus Therapeutics, LLC | Psychiatry & Neurology | 6835 East Camelback Road, Suite B13, Scottsdale, AZ 85251 | 2014-08-14 |
1700164399 | Ricardo Angelo Manganaro | Psychiatry & Neurology | 5801 S Rural Rd, Tempe, AZ 85283-2901 | 2011-07-30 |
1780979740 | Roberto I. Bracamonte, M.d., P.C. | Psychiatry & Neurology | 3550 E Pinchot Ave, Building B, Phoenix, AZ 85018-7434 | 2011-06-17 |
1306016258 | Andrew T. Haber | Psychiatry & Neurology | 5930 E Stella Ln, Paradise Valley, AZ 85253-4276 | 2008-03-06 |
1619164829 | Alfredo C. Ramirez, Md Pllc | Psychiatry & Neurology | 8684 E Semple Street, Tucson, AZ 85747 | 2007-10-02 |
1174749535 | John I. Maurer | Psychiatry & Neurology | Po Drawer Ph, Chinle, AZ 86503 | 2007-04-17 |
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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.