IDREAM PSYCHIATRY (NPI# 1497380604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497380604 |
Entity Type | Organization |
Organization Name | IDREAM PSYCHIATRY |
Other Organization Name | KIMBERLY COCHRAN |
Practice Address |
8194 West Deer Valley Rd 106-516 Peoria AZ 85382 |
Practice Telephone | 6237777551 |
Practice Fax Number | 6236666612 |
Mailing Telephone | 6237777551 |
Mailing Fax Number | 6236666612 |
Enumeration Date | 2020-03-08 |
Last Update Date | 2020-11-05 |
Authorized Official Name | DR. KIMBERLY COCHRAN (OWNER/PROVIDER) |
Authorized Official Telephone | 6237777551 |
Authorized Official Credential | PHD APRN PMHNP-B |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 993686 | 05 |
Other Name | Type Code |
---|---|
Kimberly Cochran | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
2105 Vista Oeste Nw # E-1331, Albuquerque, NM 871203693 | 6237777551 | 6236666612 |
7901 4th St N Ste 300, St Petersburg, FL 337024399 | 6237777551 | 6236666612 |
Street Address |
8194 WEST DEER VALLEY RD 106-516 |
City | PEORIA |
State | AZ |
Zip Code | 85382 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
1770137648 | Stefan Cseh | Occupational Therapy Assistant | 8765 W Keiton Lane #116, Peona, AZ 85382 | 2019-07-30 |
1174177422 | Assyrian Cultural Foundation of Arizona | Homemaker | 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 | 2019-07-25 |
1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
1497258727 | Nkemdirim Obiora | Nurse Practitioner | 7853 West Lone Cactus Drive, Peoria, AZ 85382 | 2018-03-13 |
1851893721 | Alyssa Michelle Bauman | Registered Nurse | 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 | 2018-03-06 |
1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
1134676562 | Unochloe Home LLC | Assisted Living Facility | 15442 N.86th Lane, Peoria, AZ 85382 | 2016-09-01 |
Find all providers in zip 85382 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225415136 | Human Service Center | Clinic/Center | 3500 W New Leaf Lane, Retreat Wing, Peoria, IL 61615 | 2015-04-29 |
1033340773 | Human Service Center | Clinic/Center | 3500 W New Leaf Ln, Peoria, IL 61615-3366 | 2009-07-29 |
1326279068 | Human Service Center | Clinic/Center | 2101 W Willow Knolls Dr, Peoria, IL 61614-1219 | 2009-07-29 |
1881630689 | Human Service Center | Clinic/Center | 228 Ne Jefferson, Peoria, IL 61603 | 2006-06-21 |
1578197877 | Chestnut Health Systems Inc | Clinic/Center | 1419 S Folkers Ave, Peoria, IL 61605-1391 | 2020-02-25 |
1154848216 | Children's Home Association of Illinois | Clinic/Center | 7225 W Plank Rd, Peoria, IL 61604-5252 | 2017-08-29 |
1932633427 | Children's Home Association of Illinois | Clinic/Center | 404 Ne Madison Ave, Peoria, IL 61603-3720 | 2017-04-12 |
1770960684 | Human Service Center | Clinic/Center | 130 N Richard Pryor Pl, Peoria, IL 61605-2484 | 2015-04-29 |
1134552870 | Children's Home Association of Illinois | Clinic/Center | 5401 N Knoxville Ave, #412a, Peoria, IL 61614 | 2013-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538787023 | Irma Behavioral Home LLC | Clinic/Center | 7034 W Irma Ln, Glendale, AZ 85308-9459 | 2020-07-10 |
1962022806 | Illuminate Recovery LLC | Clinic/Center | 10619 N Hayden Rd Ste A-108, Scottsdale, AZ 85260-8529 | 2020-04-21 |
1154940864 | Light House Group Home LLC | Clinic/Center | 108 E 2nd Ave Ste 101, Mesa, AZ 85210-1410 | 2020-04-13 |
1871128520 | Summit Bhc Mesa LLC | Clinic/Center | 860 N Center St Bldg 1-3, Mesa, AZ 85201-4201 | 2020-03-03 |
1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
1386284982 | Succeeding At Recovery LLC | Clinic/Center | 10702 W Peoria Ave, Sun City, AZ 85351-4062 | 2020-01-10 |
1538706775 | Soberman's Estate LLC | Clinic/Center | 5035 E Barwick Dr, Cave Creek, AZ 85331-5981 | 2019-12-06 |
1659918266 | Peace & Ease LLC | Clinic/Center | 14362 N Frank Lloyd Wright Blvd Ste B103, Scottsdale, AZ 85260-8881 | 2019-12-02 |
1124662788 | Jh Medical Services LLC | Clinic/Center | 4635 W Mcdowell Rd Ste 110, Phoenix, AZ 85035-4149 | 2019-11-06 |
1609429315 | Blueprints Therapeutic Services LLC | Clinic/Center | 114 S Virginia St, Prescott, AZ 86303-3803 | 2019-07-22 |
Find all providers with the same taxonomy |
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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.