ERIC CARMEN BETANCOURT


Address: 1424 S 7th Ave, Building B, Phoenix, AZ 85007-3902
Phone: 6022578970

ERIC CARMEN BETANCOURT (NPI# 1578945572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578945572
Entity Type Individual
Full Name ERIC CARMEN BETANCOURT
Credential PMHNP-BC
Practice Address 1424 S 7th Ave
Building B
Phoenix
AZ 85007-3902
Mailing Address 3450 N 3rd St
Phoenix
AZ 85012-2331
Practice Telephone 6022578970
Practice Fax Number 6022658533
Mailing Telephone 6022579339
Mailing Fax Number 6022658533
Enumeration Date 2015-06-25
Last Update Date 2015-06-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP7918 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1424 S 7TH AVE
BUILDING B
City PHOENIX
State AZ
Zip Code 85007-3902

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619982196 Southwest Behavioral Health Services Clinic/Center 1424 S 7th Ave, Phoenix, AZ 85007-3902 2006-07-31
1013396050 Kelle English Counselor 1424 S 7th Ave, Bldg. C, Phoenix, AZ 85007-3902 2015-05-22
1689735656 Robert Bohanske Psychologist 1424 S 7th Ave, Bldg A, Phoenix, AZ 85007-3902 2006-12-13
1255448833 Southwest Behavioral Health Services Psychiatric Residential Treatment Facility 1424 S 7th Ave, Phoenix, AZ 85007-3902 2006-08-23
1659380780 Southwest Behavioral Health Psychiatric Residential Treatment Facility 1424 S 7th Ave, Phoenix, AZ 85007-3902 2006-08-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861017824 Tembre Eliza Delong Student in an Organized Health Care Education/Training Program 230 South 12th Ave, Phoenix, AZ 85007 2020-06-15
1841706785 Circle The City Clinic/Center 206 S 12th Ave, Phoenix, AZ 85007 2017-12-14
1922559624 Community Bridges, Inc. Community/Behavioral Health 1125 W Jackson St, Phoenix, AZ 85007 2016-10-18
1912358045 Isabel Victoria Rodriguez Speech-Language Pathologist 2302 North 15th Avenue, Phoenix, AZ 85007 2016-06-30
1730441825 Sara Joyce Edmund Nurse Practitioner 1424 S 7th Avenue, Phoenix, AZ 85007 2012-06-13
1295781771 Ilin Chuang Pediatrics 150 N. 18th Ave., Suite 150, Arizona Depart. of Health Services, Phoenix, AZ 85007 2006-05-26
1518924802 Michael James Higbee Physician Assistant 1201 S. 7th Avenue, Suite 150, Phoenix, AZ 85007 2006-04-28
1942278676 David Paul Brown Emergency Medicine 1201 S 7 Avenue, Phoenix, AZ 85007 2006-03-09
1265409759 Carol D Watkins Emergency Medicine 1201 S 7th Avenue, Phoenix, AZ 85007 2006-03-02
1982695615 Mary Pat Nesbit Emergency Medicine 1201 S 7th Ave, Phoenix, AZ 85007 2005-11-02
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1043838527 Latasha Lynne Freeman Nurse Practitioner 1919 E Thomas Rd Bldg 5th, Phoenix, AZ 85016-7710 2020-07-10
1861019416 Gayle Cecilia Bachelier Nurse Practitioner 2302 N Central Ave Unit 303, Phoenix, AZ 85004-1373 2020-06-30
1871119156 Ashlyn Tellers Nurse Practitioner 21438 N 33rd Ave, Phoenix, AZ 85027-2241 2020-06-22
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Competitor

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City PHOENIX
Zip Code 85007

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Dataset Information

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.

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