CANYONBEHAVIOR HEALTH (NPI# 1568768190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568768190 |
| Entity Type | Organization |
| Organization Name | CANYONBEHAVIOR HEALTH |
| Other Organization Name | CANYON PHYSICIANS |
| Practice Address |
815 E University Dr Mesa AZ 85203-8032 |
| Mailing Address |
1825 E Northern Ave 100 Phoenix AZ 85020-3940 |
| Practice Telephone | 4805072199 |
| Mailing Telephone | 4805072199 |
| Mailing Fax Number | 4805070611 |
| Enumeration Date | 2011-01-29 |
| Last Update Date | 2011-01-29 |
| Authorized Official Name | MR. DENNIS R PICKERING (OWNER) |
| Authorized Official Telephone | 4805072199 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Canyon Physicians | Other Name - Individual/Organization |
| Street Address |
815 E UNIVERSITY DR |
| City | MESA |
| State | AZ |
| Zip Code | 85203-8032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235316175 | Bernadette R Rosenberg | Pediatrics | 815 E University Dr, Mesa, AZ 85203-8032 | 2008-01-23 |
| 1285036798 | Richard Brubaker | Social Worker | 815 E University Dr, Mesa, AZ 85203-8032 | 2014-09-16 |
| 1235417072 | Dennis R Pickering | Counselor | 815 E University Dr, Mesa, AZ 85203-8032 | 2011-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
| 1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
| 1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
| 1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
| 1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
| 1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
| 1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
| 1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
| 1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
| 1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
| Find all providers in zip 85203 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414164 | Rosalie Marie Hasseltine | Counselor | 44 S Greenfield Rd Unit 9, Mesa, AZ 85206-1210 | 2020-07-13 |
| 1811552581 | Samuel Paul Bryant | Counselor | 1024 W Fremont Ave, Mesa, AZ 85210-9316 | 2019-05-07 |
| 1326511593 | Smith Behavioral Health, P.C. | Counselor | 225 W 1st St Unit 120, Mesa, AZ 85201-6554 | 2019-01-09 |
| 1013496751 | Renee Christine Deyden | Counselor | 533 W Guadalupe Rd Unit 1073, Mesa, AZ 85210-7761 | 2018-08-13 |
| 1245720663 | Kristian Jay Mastin | Counselor | 2345 S Alma School Rd Ste 102, Mesa, AZ 85210-4013 | 2018-05-10 |
| 1477055176 | Erik Adair Johnson | Counselor | 6262 E Broadway Rd Ste 110, Mesa, AZ 85206-6101 | 2018-03-08 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1679090369 | Jessica L Sisson | Counselor | 8844 E Pampa Ave, Mesa, AZ 85212-2829 | 2017-08-24 |
| 1417489162 | Emily Kirkland | Counselor | 2204 S Dobson Rd Ste 102, Mesa, AZ 85202-6457 | 2017-03-31 |
| 1609314434 | Jared Mcgrath | Counselor | 5345 E Mclellan Rd, Unit 53, Mesa, AZ 85205-3412 | 2017-01-31 |
| 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.