COMMUNITY INTERVENTION ASSOCIATES, INC. (NPI# 1518250620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518250620 |
| Entity Type | Organization |
| Organization Name | COMMUNITY INTERVENTION ASSOCIATES, INC. |
| Other Organization Name | COMMUNITY INTERVENTION ASSOCIATES |
| Practice Address |
1326 Hwy 92 Suite J Bisbee AZ 85603-0000 |
| Mailing Address |
2851 S Avenue B Bldg 4 Yuma AZ 85364-7726 |
| Practice Telephone | 5203663603 |
| Practice Fax Number | 5204323678 |
| Mailing Telephone | 9283760026 |
| Mailing Fax Number | 9287822298 |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2013-08-28 |
| Authorized Official Name | MR. FRED R COGBURN (CEO) |
| Authorized Official Telephone | 9283760026 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY INTERVENTION ASSOCIATES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | BH-3770 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 620609 | 05 |
| Other Name | Type Code |
|---|---|
| Community Intervention Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255663423 | Community Intervention Associates, Inc. | Community/Behavioral Health | 1516 Ocotillo Avenue, Parker, AZ 85344-0000 | 2010-02-12 |
| Street Address |
1326 HWY 92 SUITE J |
| City | BISBEE |
| State | AZ |
| Zip Code | 85603-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962490854 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 1326 Hwy 92, Bisbee, AZ 85603-1151 | 2005-10-13 |
| 1306150230 | Valerie E Westbrooke | Social Worker | 1326 Hwy 92, Suite J, Bisbee, AZ 85603 | 2010-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619221553 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 24 Howell Avenue, Bisbee, AZ 85603 | 2012-10-30 |
| 1144525080 | Denice Maylene Gaddie | Acupuncturist | 125 Bisbee Rd., Bisbee, AZ 85603 | 2011-01-25 |
| 1295038529 | Arizona Counseling & Treatment Services, L.L.C. | Community/Behavioral Health | #24 Howell St., Bisbee, AZ 85603 | 2010-12-08 |
| 1467753673 | Robert W. Luigs | Counselor | 229a Tombstone Canyon, Bisbee, AZ 85603 | 2010-11-04 |
| 1245544162 | Ernestina S Buck | Counselor | 33 Subway St, Bisbee, AZ 85603 | 2010-08-03 |
| 1558588558 | Juliet Elizabeth Caudle Kihl | Registered Nurse | 519 Melody Ln, Bisbee, AZ 85603 | 2007-04-19 |
| 1003032194 | Candace Lynne Quibell | Social Worker | 907 B Tombstone Canyon, Bisbee, AZ 85603 | 2007-04-17 |
| 1902924806 | Faye Chapman Hoese | Counselor | 24 Howell Ave., Box 544, Bisbee, AZ 85603 | 2007-03-27 |
| 1831214493 | Pamela Rose Blunt | Social Worker | 43 Howell Avenue, Bisbee, AZ 85603 | 2007-03-20 |
| 1578625091 | Derrick Thor Johnston | Dentist | 2 Naco Rd, Bisbee, AZ 85603 | 2006-12-14 |
| Find all providers in zip 85603 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619221553 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 24 Howell Avenue, Bisbee, AZ 85603 | 2012-10-30 |
| 1427354315 | Arizona Counseling & Treatment Services, L.L.C. | Community/Behavioral Health | 400 Arizona St, Bisbee, AZ 85603-1504 | 2011-02-10 |
| 1295038529 | Arizona Counseling & Treatment Services, L.L.C. | Community/Behavioral Health | #24 Howell St., Bisbee, AZ 85603 | 2010-12-08 |
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| 1790384030 | Great Xpectations LLC | Community/Behavioral Health | 4014 W Christy Dr, Phoenix, AZ 85029-3958 | 2020-10-19 |
| 1710586144 | Brighter Tomorrow's Family Services, LLC | Community/Behavioral Health | 644 N Country Club Dr Ste D, Mesa, AZ 85201-4983 | 2020-10-16 |
| 1386242295 | Mercy Cares LLC | Community/Behavioral Health | 2644 E Paradise Ln Apt D, Phoenix, AZ 85032-2945 | 2020-10-13 |
| 1124626080 | Beia's Families | Community/Behavioral Health | 3230 E Broadway Rd Ste C-235, Phoenix, AZ 85040-2873 | 2020-10-13 |
| 1558968099 | Seed Sower LLC | Community/Behavioral Health | 11526 W Bloomfield Rd, El Mirage, AZ 85335-3916 | 2020-10-07 |
| 1306443171 | Essential Health Services, LLC | Community/Behavioral Health | 2112 E Sanoque Ct, Gilbert, AZ 85298-6117 | 2020-10-05 |
| 1518564442 | Infinity Groups Homes LLC | Community/Behavioral Health | 3523 E Everett Dr, Phoenix, AZ 85032-5136 | 2020-10-05 |
| 1013524230 | Civara Behavioral Health LLC | Community/Behavioral Health | 4010 W Cactus Rd, Phoenix, AZ 85029-2905 | 2020-10-01 |
| 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.