SOUTHERN ARIZONA INTEGRATED MEDICINE, LLC (NPI# 1477900348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477900348 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ARIZONA INTEGRATED MEDICINE, LLC |
| Practice Address |
1604 N Country Club Rd Tucson AZ 85716-3119 |
| Mailing Address |
10869 N Scottsdale Rd Suite 103-195 Scottsdale AZ 85254-5280 |
| Practice Telephone | 4803151141 |
| Mailing Telephone | 4803151141 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-07-27 |
| Authorized Official Name | CHARLES ANDERSON (CEO) |
| Authorized Official Telephone | 4803151141 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| Street Address |
1604 N COUNTRY CLUB RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85716-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295120319 | Hlgl LLC | Substance Abuse Rehabilitation Facility | 1604 N Country Club Rd, Tucson, AZ 85716-3119 | 2015-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063065043 | Kristi Watson Mdpc | Clinic/Center | Hodges Eye Care and Surgical Location, 1502 N. Tucson Blvd, Tucson, AZ 85716 | 2019-07-19 |
| 1639731326 | Leigh-anne Andre | Social Worker | 1135 N. Jones Blvd, Tucson, AZ 85716 | 2019-07-02 |
| 1053802462 | Thomas Scott Mcvean | Technician, Pathology | 718 N Richey Blvd, Tucson, AZ 85716 | 2018-05-21 |
| 1063923787 | Intermountain Health Center, Inc. | Clinic/Center | 3815 E. Monte Vista, Apt. 1101, Tuscon, AZ 85716 | 2017-10-20 |
| 1992224729 | Rocio Fonseca | Counselor | 1014 N Country Club, Tucson, AZ 85716 | 2017-09-13 |
| 1548784473 | Adrian Linda Fait | Speech-Language Pathologist | Child & Family Resources, Inc., 2800 E. Broadway Blvd, Tucson, AZ 85716 | 2017-08-02 |
| 1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
| 1396114211 | Craig Stark | Internal Medicine | 2978 E Greenlee St, Tucson, AZ 85716 | 2015-09-21 |
| 1598142283 | Layla Carol Bradley | Nurse Practitioner | 3832 E. Speedway, Minute Clinic, Tucson, AZ 85716 | 2015-05-01 |
| 1134547813 | Maeve Shaughnessy | Counselor | 2921 E Fort Lowell Rd Ste 207, Tucson, AZ 85716 | 2014-03-31 |
| Find all providers in zip 85716 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205498805 | Gabrielle Lawrence Phd PC | Psychologist | 10245 E Via Linda Blvd., Ste. 105, Scottsdale, AZ 85258-5316 | 2019-07-03 |
| 1598255036 | Apple Blossom Counseling, LLC | Psychologist | 1021 S Greenfield Rd Unit 1115, Mesa, AZ 85206-2663 | 2018-05-10 |
| 1043853807 | Eboni Joi Fields | Psychologist | 4801 E Mcdowell Rd, Phoenix, AZ 85008-7725 | 2019-10-24 |
| 1568925741 | Scottsdale Integrated Medical Services, LLC | Psychologist | 10446 N 74th St Ste 150, Scottsdale, AZ 85258-1045 | 2019-04-13 |
| 1518314665 | Western Integrated Medical Services, LLC | Psychologist | 10609 N Hayden Rd, Suite E 106, Scottsdale, AZ 85260-8531 | 2016-05-18 |
| 1922426956 | Holistic Medical Group | Psychologist | 32 S Macdonald, Mesa, AZ 85210-1310 | 2014-04-07 |
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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.