DEAN WM MCKENZIE (NPI# 1548218555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548218555 |
| Entity Type | Individual |
| Full Name | DEAN WM MCKENZIE |
| Credential | MD |
| Practice Address |
502 W 29th St Tucson AZ 85713-3353 |
| Mailing Address |
504 W 29th St Tucson AZ 85713-3353 |
| Practice Telephone | 5208385600 |
| Mailing Telephone | 5208385600 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 042.0012187 | VT | Behavioral Health & Social Service Providers |
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
042.0012187 | VT | Allopathic & Osteopathic Physicians |
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
37977 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 372326 | 05 | |
| GA | 000606339A | 05 | |
| NY | 04391255 | 05 | |
| VT | 1019195 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 215 Stratton Rd, Rutland, VT 057014621 | 8027733386 | 8027734578 |
| Street Address |
502 W 29TH ST |
| City | TUCSON |
| State | AZ |
| Zip Code | 85713-3353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760021570 | Amanda Lynn Manzer | Counselor | 502 W 29th St, Tucson, AZ 85713-3394 | 2019-12-26 |
| 1336796861 | Katy M Obert | Marriage & Family Therapist | 502 W 29th St, Tucson, AZ 85713-3353 | 2019-08-20 |
| 1588137715 | Elizabeth Dampsey | Psychologist | 502 W 29th St, Tucson, AZ 85713-3394 | 2019-01-10 |
| 1033601745 | Melissa Evans Greene | Counselor | 502 W 29th St, Tucson, AZ 85713-3353 | 2018-05-30 |
| 1407388143 | Christina Rodriguez | Social Worker | 502 W 29th St, Tucson, AZ 85713-3353 | 2017-03-31 |
| 1861924839 | Danette Cienfuegos | Counselor | 502 W 29th St, Tucson, AZ 85713-3353 | 2017-03-29 |
| 1578004123 | Jennifer A Fout | Counselor | 502 W 29th St, Tucson, AZ 85713-3353 | 2017-03-15 |
| 1679020572 | La Frontera Center, Inc. | Community/Behavioral Health | 502 W 29th St, Tucson, AZ 85713-3353 | 2016-09-08 |
| 1225423460 | Annalisa Castro | Social Worker | 502 W 29th St, Tucson, AZ 85713-3353 | 2015-04-04 |
| 1962897652 | Linnea Linde | Social Worker | 502 W 29th St, Tucson, AZ 85713-3353 | 2015-03-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679115489 | Eric James Mccracken | Nurse Practitioner | 1230 South Cherrybell Stravanue, Tucson, AZ 85713 | 2019-10-14 |
| 1336702448 | Julie Tomkins | Psychiatry & Neurology | Behavioral Health Pavilion, 2800 E Ajo Way, Tucson, AZ 85713 | 2019-04-16 |
| 1861958332 | El Rio Santa Cruz Neighborhood Health Center, Inc | Pharmacy | 1230 S Cherrybell Strav, Tucson, AZ 85713 | 2019-02-20 |
| 1164993002 | Lisa Ann Lindsay | Nurse Practitioner | 1230 S Cherrybell Stravenue, Tucson, AZ 85713 | 2018-12-17 |
| 1043701717 | Ramsha Saeed Rao | Student in an Organized Health Care Education/Training Program | Maria Jennings 2800 E. Ajo Way, Tucson, AZ 85713 | 2018-05-29 |
| 1215381736 | Nancy G Larison | Counselor | 504 W 29th Street, La Frontera Center, Inc., Tucson, AZ 85713 | 2016-04-21 |
| 1053791749 | Eric Lederer | Emergency Medicine | 3950 S. Country Club Rd, Ste. 200, Tucson, AZ 85713 | 2015-06-08 |
| 1942625025 | Eugene Randolph Shields | Obstetrics & Gynecology | 2315 W. Ocelot Drive, Tucson, AZ 85713 | 2014-02-26 |
| 1821361973 | Irene A Laventure | Nurse Practitioner | 2800 East Ajo Way, University of Arizona Medical Center - South Campus, Tucson, AZ 85713 | 2012-02-21 |
| 1386917417 | Caring Together,llc | Respite Care | 2957 E 24th Street, Tucson, AZ 85713 | 2012-02-21 |
| Find all providers in zip 85713 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265653059 | Bennett Blum, Md Inc. | Psychiatry & Neurology | 5150 E Broadway Blvd, #1600, Tucson, AZ 85711-3762 | 2007-05-01 |
| 1982794160 | James Donald Mcdaniel | Psychiatry & Neurology | 1601 E Apache Park Pl, Tucson, AZ 85714-1775 | 2006-10-16 |
| 1063436699 | Timothy Ian Mueller | Psychiatry & Neurology | C/o Savahcs, 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2006-07-27 |
| 1750614467 | Matthew Charles Lally | Psychiatry & Neurology | 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 | 2009-09-13 |
| 1497821698 | Healthcare Southwest. Inc | Psychiatry & Neurology | 2016 S 4th Ave, Tucson, AZ 85713-3509 | 2006-11-28 |
| 1679657910 | Wenhui Cai | Psychiatry & Neurology | 502 W 29th St, Tucson, AZ 85713-3353 | 2006-10-24 |
| 1750471900 | Patricia Kane | Psychiatry & Neurology | 3620 N Mountain Ave, Tucson, AZ 85719-1938 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1821430562 | Rajeev Billing | Psychiatry & Neurology | 16620 N 40th St Ste I5, Phoenix, AZ 85032 | 2013-07-23 |
| 1639239015 | Jaime T Michel | Psychiatry & Neurology | 3250a E 40th St, Yuma, AZ 85365-7748 | 2006-12-08 |
| 1962584185 | Monica Gabriela Faria | Psychiatry & Neurology | 8541 E Anderson Dr Ste 105, Scottsdale, AZ 85255-5430 | 2006-10-19 |
| 1487635389 | Spectrum Healthcare Group, Inc. | Psychiatry & Neurology | 8 E Cottonwood St, Cottonwood, AZ 86326-4382 | 2005-11-08 |
| 1174155089 | Hyangsook Lee Patel | Psychiatry & Neurology | 9225 N 3rd St Ste 102, Phoenix, AZ 85020-2455 | 2020-02-08 |
| 1073166278 | Ascend Telemedicine, LLC | Psychiatry & Neurology | 312 N Alma School Rd Ste 11, Chandler, AZ 85224-4354 | 2019-07-17 |
| 1619482478 | Alevea Mental Health, LLC | Psychiatry & Neurology | 2034 E Southern Ave, Tempe, AZ 85282-7522 | 2017-12-02 |
| 1962829986 | Richard Ulrich | Psychiatry & Neurology | 16620 N 40th St Ste I5, Phoenix, AZ 85032 | 2014-03-27 |
| 1164699328 | Robert B Ogesen II | Psychiatry & Neurology | 15215 S 48th St, Ste 152, Phoenix, AZ 85044 | 2008-05-15 |
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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.