PEOPLE OF COLOR NETWORK (NPI# 1518101237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518101237 |
| Entity Type | Organization |
| Organization Name | PEOPLE OF COLOR NETWORK |
| Practice Address |
310 S Extension Rd Mesa AZ 85210-1292 |
| Mailing Address |
77 E Thomas Rd Ste 230 Phoenix AZ 85012-3100 |
| Practice Telephone | 4806153800 |
| Practice Fax Number | 4806153861 |
| Mailing Telephone | 6022533084 |
| Mailing Fax Number | 6022533732 |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2011-09-16 |
| Authorized Official Name | MANUEL TOMAS LEON (CEO) |
| Authorized Official Telephone | 6022533084 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 432084 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043240435 | People of Color Network | Case Management | 609 N 2nd Ave, Phoenix, AZ 85003-1653 | 2006-07-03 |
| 1194706986 | People of Color Network | Clinic/Center | 77 E.thomas Road, Suite 230, Phoenix, AZ 85012-3100 | 2005-11-08 |
| 1396075156 | People of Color Network | Case Management | 4520 N Central Ave, Suite 555 and 565, Phoenix, AZ 85012-1828 | 2009-12-30 |
| 1235373960 | People of Color Network | Clinic/Center | 1300 N Central Ave, Phoenix, AZ 85004-1722 | 2009-04-24 |
| 1336383066 | People of Color Network | Clinic/Center | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2009-04-24 |
| 1881838514 | People of Color Network | Clinic/Center | 1540 W Van Buren St, Phoenix, AZ 85007-2414 | 2009-04-24 |
| Street Address |
310 S EXTENSION RD |
| City | MESA |
| State | AZ |
| Zip Code | 85210-1292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518082569 | Magellan Health Services of Arizona, Inc. | Case Management | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2007-03-20 |
| 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 |
| 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 | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770058190 | Gentle Behavioral Health Pllc | Clinic/Center | 1041 S Lebaron Ste P, Mesa, AZ 85210-3630 | 2018-10-11 |
| 1902114648 | Marc Community Resources, Inc. | Clinic/Center | 647 W Frito Ave, Mesa, AZ 85210-4621 | 2010-09-15 |
| 1770812497 | Marc Community Resources, Inc. | Clinic/Center | 422 W Ivyglen St, Mesa, AZ 85201-2107 | 2009-12-08 |
| 1619912029 | Marc Community Resources, Inc. | Clinic/Center | 4250 E Florian Ave, Building 1, Mesa, AZ 85206 | 2006-06-19 |
| 1851914634 | Beitler Health LLC | Clinic/Center | 3707 E Southern Ave Ste 2020, Mesa, AZ 85206-6213 | 2020-05-27 |
| 1104331115 | Maricopa County Special Health Care District | Clinic/Center | 59 S Hibbert, Mesa, AZ 85210-1414 | 2017-12-13 |
| 1306155122 | Marc Community Resources, Inc. | Clinic/Center | 120 N Beverly, Mesa, AZ 85201-6322 | 2010-09-28 |
| 1346474343 | Partners In Recovery, LLC | Clinic/Center | 3450 N Higley Rd, Mesa, AZ 85215-9702 | 2009-05-06 |
| 1003935289 | June Siegel Msw Cisw PC | Clinic/Center | 1830 S Alma School Rd, Suite 135, Mesa, AZ 85210-3056 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497372908 | A Path of Resilience - Aprbhs - Rose House - LLC | Clinic/Center | 2258 W Wayland Rd, Phoenix, AZ 85041-3753 | 2020-06-30 |
| 1083237630 | The Heart Program | Clinic/Center | 4041 E Flower St, Phoenix, AZ 85018-6433 | 2020-05-18 |
| 1316569056 | Desert Heart Counseling Corp | Clinic/Center | 1536 E Maryland Ave Ste B300, Phoenix, AZ 85014-1475 | 2020-05-16 |
| 1922638055 | Lotus Health Arizona | Clinic/Center | 2600 E Southern Ave Ste I3, Tempe, AZ 85282-7738 | 2020-01-16 |
| 1689218687 | Devine Momentum Phoenix | Clinic/Center | 15342 W Turney Ave, Goodyear, AZ 85395-6323 | 2019-11-01 |
| 1588212195 | Tamarria Denga | Clinic/Center | 10000 N 31st Ave Ste D411, Phoenix, AZ 85051-1358 | 2019-08-27 |
| 1932768975 | Evolve Counseling & Behavioral Health Services | Clinic/Center | 1206 E Warner Rd # 203, Gilbert, AZ 85296-3132 | 2019-06-12 |
| 1073171153 | Heart Song Wellness LLC | Clinic/Center | 8617 W Union Hills Dr Ste 100, Peoria, AZ 85382-7001 | 2019-06-03 |
| 1659936680 | Sedona Family Counseling | Clinic/Center | 130 Castle Rock Rd Unit 65, Sedona, AZ 86351-8876 | 2019-05-06 |
| 1043778756 | Aye Wellness, Pllc | Clinic/Center | 2406 S 24th St Ste E100, Phoenix, AZ 85034-6801 | 2019-03-12 |
| 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.