MAGELLAN HEALTH SERVICES OF ARIZONA, INC. (NPI# 1629192992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629192992 |
| Entity Type | Organization |
| Organization Name | MAGELLAN HEALTH SERVICES OF ARIZONA, INC. |
| Other Organization Name | MARICOPA CLINIC GARDEN LAKES |
| Practice Address |
4160 N 108th Ave Phoenix AZ 85037-5468 |
| Mailing Address |
4129 East Van Buren Street Suite 150 Phoenix AZ 85008 |
| Practice Telephone | 6239326950 |
| Mailing Telephone | 8006545465 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-10-15 |
| Authorized Official Name | DR. CHRIS ADAIR CARSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6027978333 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | BH2960 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 145673 | 05 |
| Other Name | Type Code |
|---|---|
| Maricopa Clinic Garden Lakes | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598880205 | Magellan Health Services of Arizona, Inc. | Case Management | 702 W Dunlap Ave, Phoenix, AZ 85021-3529 | 2007-03-20 |
| 1518082569 | Magellan Health Services of Arizona, Inc. | Case Management | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2007-03-20 |
| 1750405064 | Magellan Health Services of Arizona, Inc. | Case Management | 5022 N 54th Ave, #4, Glendale, AZ 85301-7531 | 2007-03-19 |
| 1689798043 | Magellan Health Services of Arizona, Inc. | Case Management | 7020 N 56th Ave, Glendale, AZ 85301-2516 | 2007-03-19 |
| 1417071721 | Magellan Health Services of Arizona, Inc. | Case Management | 1616 E Roeser Rd, Phoenix, AZ 85040-3336 | 2007-03-19 |
| 1184748493 | Magellan Health Services of Arizona, Inc. | Case Management | 3640 W Osborn Rd, #1, Phoenix, AZ 85019-4006 | 2007-03-19 |
| 1033233341 | Magellan Health Services of Arizona, Inc. | Case Management | 6330 E Thomas Rd, #200, Scottsdale, AZ 85251-7057 | 2007-03-19 |
| 1801910278 | Magellan Health Services of Arizona, Inc. | Case Management | 1225 E Broadway Rd, #240, Tempe, AZ 85282-1525 | 2007-03-19 |
| 1982728267 | Magellan Health Services of Arizona, Inc. | Case Management | 1300 N Central Ave, Phoenix, AZ 85004-1722 | 2007-03-19 |
| 1811011232 | Magellan Health Services of Arizona, Inc. | Case Management | 5030 W Mcdowell Rd, #16, Phoenix, AZ 85035-3945 | 2007-03-19 |
| Street Address |
4160 N 108TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85037-5468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720258577 | Southwest Behavioral Health Services, Inc | Clinic/Center | 4160 N 108th Ave, Phoenix, AZ 85037-5468 | 2008-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
| 1770126260 | Medical Management Systems, Inc. | Assisted Living Facility | 2209 N. Rascon Loop, Phoenix, AZ 85037 | 2019-10-28 |
| 1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
| 1578025136 | Jennifer Natasha Kunz | Nurse Practitioner | Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 | 2019-04-03 |
| 1740751320 | Mariposa Phoenix Al Partners, Lp | Assisted Living Facility | 3100 N 91st Avenue, Phoenix, AZ 85037 | 2018-12-08 |
| 1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
| 1922522242 | Tree of Life Mental Health Systems, LLC | Behavior Technician | 8400 W. Virginia, #1138, Phoenix, AZ 85037 | 2017-07-28 |
| 1720500465 | Moc Phoenix, LLC | Assisted Living Facility | 3000 N. 91st Avenue, Phoenix, AZ 85037 | 2017-07-14 |
| 1407385826 | Not Alone Home Care, LLC | In Home Supportive Care | 9422 W Palm Lane, Phoenix, AZ 85037 | 2017-06-08 |
| 1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
| Find all providers in zip 85037 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151546 | Community 43 LLC | Case Management | 4343 N 16th St, Phoenix, AZ 85016-5338 | 2020-10-12 |
| 1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
| 1265057962 | Semper Fidelis Behavioral Health Care, LLC | Case Management | 111 N Dupont Cir Unit 337, Phoenix, AZ 85034-1847 | 2020-06-09 |
| 1386267706 | The Adam Dixon Perseverance Foundation | Case Management | 5060 N 19th Ave # 300-14, Phoenix, AZ 85015-3210 | 2020-05-20 |
| 1861031486 | Maggie's Place | Case Management | 4001 N 30th St, Phoenix, AZ 85016-6810 | 2019-12-30 |
| 1568014397 | Beia's Place | Case Management | 7225 S 2nd Gln, Phoenix, AZ 85041-7142 | 2019-07-11 |
| 1275095432 | All About You Behavioral Health Center Inc | Case Management | 2920 N 24th Ave Ste 240, Phoenix, AZ 85015-5960 | 2019-04-04 |
| 1417413949 | Abel's House Inc. | Case Management | 1127 W Peoria Ave, Phoenix, AZ 85029-5984 | 2019-02-20 |
| 1801369632 | 1514 Bethany Home Management, LLC | Case Management | 1514 W Bethany Home Rd, Phoenix, AZ 85015-2504 | 2019-01-03 |
| 1083192215 | Dcc, Inc. Dba Kidney Dialysis Avoidance Program | Case Management | 22601 N 19th Ave Ste 230, Phoenix, AZ 85027-1362 | 2018-07-31 |
| Find all providers in PHOENIX | ||||
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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.