MAGELLAN HEALTH SERVICES OF ARIZONA, INC. (NPI# 1518082569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518082569 |
| Entity Type | Organization |
| Organization Name | MAGELLAN HEALTH SERVICES OF ARIZONA, INC. |
| Other Organization Name | MARICOPA CLINIC CENTRO ESPERANZA |
| Practice Address |
310 S Extension Rd Mesa AZ 85210-1292 |
| Mailing Address |
4129 East Van Buren Street Suite 150 Phoenix AZ 85008 |
| Practice Telephone | 4806153800 |
| Mailing Telephone | 8006545465 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-10-15 |
| Authorized Official Name | DR. CHRIS ADAIR CARSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6027978333 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | BH2964 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 805426 | 05 |
| Other Name | Type Code |
|---|---|
| Maricopa Clinic Centro Esperanza | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598880205 | Magellan Health Services of Arizona, Inc. | Case Management | 702 W Dunlap Ave, Phoenix, AZ 85021-3529 | 2007-03-20 |
| 1750405064 | Magellan Health Services of Arizona, Inc. | Case Management | 5022 N 54th Ave, #4, Glendale, AZ 85301-7531 | 2007-03-19 |
| 1689798043 | Magellan Health Services of Arizona, Inc. | Case Management | 7020 N 56th Ave, Glendale, AZ 85301-2516 | 2007-03-19 |
| 1417071721 | Magellan Health Services of Arizona, Inc. | Case Management | 1616 E Roeser Rd, Phoenix, AZ 85040-3336 | 2007-03-19 |
| 1184748493 | Magellan Health Services of Arizona, Inc. | Case Management | 3640 W Osborn Rd, #1, Phoenix, AZ 85019-4006 | 2007-03-19 |
| 1629192992 | Magellan Health Services of Arizona, Inc. | Case Management | 4160 N 108th Ave, Phoenix, AZ 85037-5468 | 2007-03-19 |
| 1033233341 | Magellan Health Services of Arizona, Inc. | Case Management | 6330 E Thomas Rd, #200, Scottsdale, AZ 85251-7057 | 2007-03-19 |
| 1801910278 | Magellan Health Services of Arizona, Inc. | Case Management | 1225 E Broadway Rd, #240, Tempe, AZ 85282-1525 | 2007-03-19 |
| 1982728267 | Magellan Health Services of Arizona, Inc. | Case Management | 1300 N Central Ave, Phoenix, AZ 85004-1722 | 2007-03-19 |
| 1811011232 | Magellan Health Services of Arizona, Inc. | Case Management | 5030 W Mcdowell Rd, #16, Phoenix, AZ 85035-3945 | 2007-03-19 |
| Street Address |
310 S EXTENSION RD |
| City | MESA |
| State | AZ |
| Zip Code | 85210-1292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548653942 | Latosha Moorehead | Registered Nurse | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2015-03-09 |
| 1104219674 | Cindy Gramm | Registered Nurse | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2015-03-09 |
| 1134511397 | Yvette Pena Rhodes | Registered Nurse | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2015-02-25 |
| 1154713345 | Shannon Ryszka | Social Worker | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2015-02-24 |
| 1518101237 | People of Color Network | Clinic/Center | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2009-04-24 |
| 1164621959 | Bridgette Galye Balasko | Psychiatry & Neurology | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2007-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861984205 | Community Bridges, Inc. | Case Management | 460 N Mesa Dr Ste 101, Mesa, AZ 85201-5949 | 2018-06-01 |
| 1457859894 | Smart Health Solutions LLC | Case Management | 7413 E Northridge Cir, Mesa, AZ 85207-2090 | 2018-01-31 |
| 1659662468 | Community Bridges, Inc | Case Management | 358 E Javelina Ave, Mesa, AZ 85210-6207 | 2011-04-27 |
| 1922304310 | Community Bridges, Inc | Case Management | 1012 S Stapley Dr, Bldg 5, Mesa, AZ 85204-4270 | 2011-02-01 |
| 1639356918 | Community Bridges, Inc | Case Management | 554-1 S. Bellview, Mesa, AZ 85204 | 2008-01-29 |
| 1851425920 | American Health Group | Case Management | 2152 S Vineyard Ste 103, Mesa, AZ 85210-6881 | 2007-03-14 |
| 1033114442 | Tlgs Network LLC | Case Management | 1855 W Baseline Rd, Ste 260, Mesa, AZ 85202-9004 | 2005-06-14 |
| 1851830301 | Beech Medical Group, Inc. | Case Management | 2017 E Adobe St, Mesa, AZ 85213-6740 | 2017-02-16 |
| 1760933154 | Community Bridges, Inc. | Case Management | 1855 W Baseline Rd, Suite 101, Mesa, AZ 85202-9000 | 2016-10-20 |
| 1346678935 | Adobe Care and Wellness LLC | Case Management | 2017 E Adobe St, Mesa, AZ 85213-6740 | 2013-10-17 |
| Find all providers in MESA | ||||
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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.