MARK T CALLESEN MD PC (NPI# 1588727259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588727259 |
| Entity Type | Organization |
| Organization Name | MARK T CALLESEN MD PC |
| Practice Address |
1201 S Alma School Rd Suite 11750 Mesa AZ 85210-2008 |
| Practice Telephone | 4804644606 |
| Practice Fax Number | 4804640613 |
| Mailing Telephone | 4804644606 |
| Mailing Fax Number | 4804640613 |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARK TRAVIS CALLESEN (PRESIDENT) |
| Authorized Official Telephone | 4804644606 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 23058 | AZ | Residential Treatment Facilities |
| Street Address |
1201 S ALMA SCHOOL RD SUITE 11750 |
| City | MESA |
| State | AZ |
| Zip Code | 85210-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457345472 | Thomas Carroll Hall | Social Worker | 1201 S Alma School Rd, Suite 11750, Mesa, AZ 85210-2008 | 2005-09-06 |
| 1588821763 | Holly Lawder | Radiology | 1201 S Alma School Rd, Mesa, AZ 85210-2008 | 2008-05-16 |
| 1396833141 | Curtis Charles Anderson | Psychologist | 1201 S Alma School Rd, Suite 11750, Mesa, AZ 85210-2008 | 2006-10-10 |
| 1477511103 | Stephen John Anthony | Psychologist | 1201 S Alma School Rd, Suite 11750, Mesa, AZ 85210-2008 | 2006-05-03 |
| 1568451359 | Michael Kornreich | Radiology | 1201 S Alma School Rd, Suite 14000, Mesa, AZ 85210-2008 | 2005-10-14 |
| 1912996638 | Penny Lee Bowen | Radiology | 1201 S Alma School Rd, Suite 14000, Mesa, AZ 85210-2008 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932609948 | Silver Lining Behavioral Health Care Homes | Psychiatric Residential Treatment Facility | 552 S Sunwood Cir, Mesa, AZ 85204-3223 | 2018-02-16 |
| 1902221039 | The U-turn Foundation | Psychiatric Residential Treatment Facility | 2941 E Contessa St., Mesa, AZ 85213 | 2014-02-26 |
| 1669776522 | Marc Community Resources, Inc. | Psychiatric Residential Treatment Facility | 918 E Millett Ave, Mesa, AZ 85204-4229 | 2011-01-06 |
| 1184928285 | Tilda Manor, Inc | Psychiatric Residential Treatment Facility | 3228 E Isabella Ave, Mesa, AZ 85204-7343 | 2011-01-04 |
| 1144558842 | The U-turn Foundation | Psychiatric Residential Treatment Facility | 1820 S Los Alamos, Mesa, AZ 85204-7227 | 2009-11-18 |
| 1427276815 | The U-turn Foundation | Psychiatric Residential Treatment Facility | 4005 E Edgewood Ave, Mesa, AZ 85206-5104 | 2007-04-23 |
| 1902945256 | General Health Corporation | Psychiatric Residential Treatment Facility | 3939 E University Dr, Mesa, AZ 85205-6911 | 2007-02-05 |
| 1447315544 | Tilda Manor | Psychiatric Residential Treatment Facility | 1404 N Ananea, Mesa, AZ 85207-3877 | 2006-12-27 |
| 1942473038 | Elmwood Group Homes | Psychiatric Residential Treatment Facility | 2355 E Elmwood St, Mesa, AZ 85213-5909 | 2008-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040123 | Choice Business Strategies LLC | Psychiatric Residential Treatment Facility | 29400 N 123rd Gln, Peoria, AZ 85383-4096 | 2020-10-14 |
| 1417565292 | Horizon Group Homes LLC | Psychiatric Residential Treatment Facility | 378 E Tropical Dr, Casa Grande, AZ 85122-5086 | 2020-07-17 |
| 1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
| 1073138673 | Hightower Behavioral Health Services | Psychiatric Residential Treatment Facility | 13206 W Crestvale Dr, Peoria, AZ 85383-5496 | 2020-06-10 |
| 1437773942 | Excellent Care LLC | Psychiatric Residential Treatment Facility | 14029 N 39th Ave, Phoenix, AZ 85053-5438 | 2020-06-01 |
| 1730701517 | Jezzob Behavioral Health LLC | Psychiatric Residential Treatment Facility | 4918 W Apollo Rd, Laveen, AZ 85339-6289 | 2020-05-14 |
| 1235750977 | Sagamar Behavioral Care Home, LLC | Psychiatric Residential Treatment Facility | 4444 N 13th Pl Apt 3, Phoenix, AZ 85014-4584 | 2020-05-05 |
| 1508492703 | Rehoboth LLC | Psychiatric Residential Treatment Facility | 41947 W Rosa Dr, Maricopa, AZ 85138-2550 | 2020-03-19 |
| 1851926661 | Cadens Health and Wellness LLC | Psychiatric Residential Treatment Facility | 5244 W Apollo Rd, Laveen, AZ 85339-6912 | 2020-03-12 |
| 1114552122 | Angel Heart Behavioral Health IIi LLC | Psychiatric Residential Treatment Facility | 9223 W Meadow Brook, 9223 W Meadow Brook Ave, Phoenix, AZ 85037-8503 | 2020-03-10 |
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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.