SCOTTSDALE INTEGRATED MEDICAL SERVICES, LLC (NPI# 1568925741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568925741 |
| Entity Type | Organization |
| Organization Name | SCOTTSDALE INTEGRATED MEDICAL SERVICES, LLC |
| Practice Address |
10446 N 74th St Ste 150 Scottsdale AZ 85258-1045 |
| Mailing Address |
Po Box 412 Scottsdale AZ 85252-0412 |
| Practice Telephone | 4804142596 |
| Mailing Telephone | 4804142596 |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2019-04-16 |
| Authorized Official Name | MICHELLE SIWEK (MANAGER) |
| Authorized Official Telephone | 4804142596 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| Street Address |
10446 N 74TH ST STE 150 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85258-1045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922396639 | Scottsdale Recovery Center, LLC | Community/Behavioral Health | 10446 N 74th St Ste 150, Scottsdale, AZ 85258-1045 | 2011-07-14 |
| 1962062661 | Michelle T Sproule | Counselor | 10446 N 74th St Ste 150, Scottsdale, AZ 85258-1045 | 2019-06-17 |
| 1871156851 | Lisa Moody | Counselor | 10446 N 74th St Ste 150, Scottsdale, AZ 85258-1045 | 2019-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302790 | Vhs Outpatient Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 8630 E Via Venture, Ste 201, Scottsdale, AZ 85258 | 2020-09-25 |
| 1790396943 | Arielle Dawne Bohorquez | Registered Nurse | 10466 N 74th Street Suite 150, Scottsdale, AZ 85258 | 2020-08-12 |
| 1487272795 | Orthopedic Specialists of North America, Pllc | Clinic/Center | 8405 N Pima Center Parkway, Scottsdale, AZ 85258 | 2020-07-13 |
| 1649819475 | Therapy With Heart | Marriage & Family Therapist | 8737 E. Via De Commercio, Suite 200, Scottsdale, AZ 85258 | 2019-12-26 |
| 1184190688 | Amy Marie Burke | Clinical Nurse Specialist | 9201 E. Moutain View Rd #220, Scottsdale, AZ 85258 | 2018-10-23 |
| 1154806446 | Cook Family Healthcare & Professional Services, PC | Clinic/Center | 9700 N. 91st. Street, Ste. A-115, Scottsdlae, AZ 85258 | 2018-10-02 |
| 1801378377 | Michelle Marie Kometh | Social Worker | 9449 N 90th St Suite 205, Scottsdale, AZ 85258 | 2018-08-31 |
| 1275028862 | Sarah Maria Goff | Dentist | 8390 E Via De Ventura Ste F200, Scottsdale, AZ 85258 | 2018-06-26 |
| 1508353582 | Brittany Rose Carey | Nurse Practitioner | Matrix Medical Network, 9201 E Mountain View Rd # 220, Scottsdale, AZ 85258 | 2018-04-16 |
| 1760984215 | Ascension Medical LLC | Psychiatry & Neurology | 9590 E Ironwood Sq Suite 210, Scottsdale, AZ 85258 | 2018-03-01 |
| Find all providers in zip 85258 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205498805 | Gabrielle Lawrence Phd PC | Psychologist | 10245 E Via Linda Blvd., Ste. 105, Scottsdale, AZ 85258-5316 | 2019-07-03 |
| 1518314665 | Western Integrated Medical Services, LLC | Psychologist | 10609 N Hayden Rd, Suite E 106, Scottsdale, AZ 85260-8531 | 2016-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598255036 | Apple Blossom Counseling, LLC | Psychologist | 1021 S Greenfield Rd Unit 1115, Mesa, AZ 85206-2663 | 2018-05-10 |
| 1043853807 | Eboni Joi Fields | Psychologist | 4801 E Mcdowell Rd, Phoenix, AZ 85008-7725 | 2019-10-24 |
| 1477900348 | Southern Arizona Integrated Medicine, LLC | Psychologist | 1604 N Country Club Rd, Tucson, AZ 85716-3119 | 2016-05-19 |
| 1922426956 | Holistic Medical Group | Psychologist | 32 S Macdonald, Mesa, AZ 85210-1310 | 2014-04-07 |
| City | SCOTTSDALE |
| Zip Code | 85258 |
Please comment or provide details below to improve the information on SCOTTSDALE INTEGRATED MEDICAL SERVICES, LLC.
| 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.