MS. CONSTANCE NICOLE SERIO (NPI# 1487794756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487794756 |
| Entity Type | Individual |
| Full Name | MS. CONSTANCE NICOLE SERIO |
| Credential | ED.S., NCSP |
| Practice Address |
1030 N Blue Grotto Dr Gilbert AZ 85234-4905 |
| Mailing Address |
1333 W Guadalupe Rd Apt. 1123 Gilbert AZ 85233-3005 |
| Practice Telephone | 4809266301 |
| Practice Fax Number | 4808139011 |
| Mailing Telephone | 6026901021 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 884173 | 05 |
| Street Address |
1030 N BLUE GROTTO DR |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-4905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972667269 | Deborah Dirvonas | Speech-Language Pathologist | 1030 N Blue Grotto Dr, Gilbert, AZ 85234-4905 | 2006-12-20 |
| 1295219566 | Brittany Ann Velotta | Registered Nurse | 1030 N Blue Grotto Dr, Gilbert, AZ 85234-4905 | 2018-09-21 |
| 1922444116 | Dana White | Registered Nurse | 1030 N Blue Grotto Dr, Gilbert, AZ 85234-4905 | 2013-05-15 |
| 1750682860 | Megan Kathleen Spender | Speech-Language Pathologist | 1030 N Blue Grotto Dr, Gilbert, AZ 85234-4905 | 2010-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508170879 | Vandana Singh | Psychologist | 1131 S. Pheasant Drive, Gilbert, AZ 85296 | 2010-07-29 |
| 1316250186 | Praphul Suhash Niduram Ambedkar | Psychologist | 1131 S Pheasant Dr, Gilbert, AZ 85296-3062 | 2010-07-21 |
| 1275855835 | Lauren Wolkove | Psychologist | 375 S Columbus Dr, Gilbert, AZ 85296-2101 | 2010-02-24 |
| 1730401456 | Tyler Hunt | Psychologist | 230 N Cole Ct, Gilbert, AZ 85234-4250 | 2010-02-22 |
| 1902037583 | Michael Buchsbaum | Psychologist | 65 E Olive Ave, Apartment 213, Gilbert, AZ 85234-4553 | 2009-07-30 |
| 1811127806 | Teresa Sharrow | Psychologist | 4632 E Germann Rd, Apt 2047, Gilbert, AZ 85297-8362 | 2009-07-23 |
| 1144351578 | Alex R Bowman | Psychologist | 1945 S Ashland Ranch Rd, Gilbert, AZ 85296-4993 | 2007-03-08 |
| 1790831931 | Melinda J. Wilson | Psychologist | 1000 E Mesquite St, Gilbert, AZ 85296-1814 | 2007-01-27 |
| 1851440499 | Christa Marie Horin | Psychologist | 505 W Houston Ave, Gilbert, AZ 85233-2072 | 2007-01-10 |
| 1639309628 | Katrina Dunning | Psychologist | 4632 E Germann Rd, Apt 2047, Gilbert, AZ 85297-8362 | 2009-07-23 |
| Find all providers in GILBERT | ||||
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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.