MEDITERRANEAN MENTAL HEALTH CENTER, INC. (NPI# 1619903986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619903986 |
| Entity Type | Organization |
| Organization Name | MEDITERRANEAN MENTAL HEALTH CENTER, INC. |
| Practice Address |
30 Acoma Blvd S 101-103 Lake Havasu City AZ 86403-5957 |
| Practice Telephone | 9286800604 |
| Practice Fax Number | 9286800605 |
| Mailing Telephone | 9286800604 |
| Mailing Fax Number | 9286800605 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2012-10-22 |
| Authorized Official Name | DR. VASILIOS W. KAPERONIS (PRESIDENT) |
| Authorized Official Telephone | 9286800604 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
20732 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
30 ACOMA BLVD S 101-103 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-5957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992285852 | Act Mental Health Services, LLC | Nurse Practitioner | 30 Acoma Blvd S, Lake Havasu City, AZ 86403-5957 | 2018-08-20 |
| 1689809600 | Mirta I Kaperonis | Counselor | 30 Acoma Blvd S, Suite101-103, Lake Havasu City, AZ 86403-5957 | 2009-05-19 |
| 1124214093 | Vasilios W Kaperonis | Psychiatry & Neurology | 30 Acoma Blvd S, #101-103, Lake Havasu City, AZ 86403-5957 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841286820 | Caroline M Koch | Psychiatry & Neurology | 2187 Swanson Ave, Lake Havasu City, AZ 86403-6838 | 2005-09-23 |
| 1164423646 | Barbara Jean Perry | Psychiatry & Neurology | 1979 Mcculloch Blvd N, Suite 203, Lake Havasu City, AZ 86403-0953 | 2005-08-09 |
| 1124214093 | Vasilios W Kaperonis | Psychiatry & Neurology | 30 Acoma Blvd S, #101-103, Lake Havasu City, AZ 86403-5957 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466244 | Adam Colbert Md, Pllc | Psychiatry & Neurology | 2550 E River Rd Unit 13205, Tucson, AZ 85718-9527 | 2020-10-30 |
| 1629689922 | Cerebro Wellness LLC | Psychiatry & Neurology | 3031 W Northern Ave Ste 109, Phoenix, AZ 85051-6695 | 2020-08-11 |
| 1972121218 | Laxus Integrated Health Solutions LLC | Psychiatry & Neurology | 11225 N 28th Dr Ste A102-4, Phoenix, AZ 85029-5606 | 2020-07-13 |
| 1174148076 | Spark Healthcare LLC | Psychiatry & Neurology | 8906 North 80th Place, Scottsdale, AZ 85258-2132 | 2020-06-16 |
| 1184257032 | Actify Neurotherapies, Pllc | Psychiatry & Neurology | 10720 W Indian School Rd Ste 19, Phoenix, AZ 85037-5799 | 2020-02-19 |
| 1851922512 | Mettamerica | Psychiatry & Neurology | 600 E State Highway 260 Ste 2, Payson, AZ 85541-4967 | 2020-01-31 |
| 1003470840 | Katherine Cheeves Md, Pllc | Psychiatry & Neurology | 141 S Mccormick St Ste 112, Prescott, AZ 86303-4730 | 2019-04-26 |
| 1336702448 | Julie Tomkins | Psychiatry & Neurology | Behavioral Health Pavilion, 2800 E Ajo Way, Tucson, AZ 85713 | 2019-04-16 |
| 1053974071 | Siddesh Gopalakrishnan | Psychiatry & Neurology | Department of Psychiatry, Bhp, 2800 E. Ajo Way, Tucson, AZ 85713-6204 | 2019-04-16 |
| 1124681358 | Alexander Paul Lang | Psychiatry & Neurology | 2800 E Ajo Way Dept Of, Tucson, AZ 85713-6204 | 2019-04-14 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
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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.