ARIZONA INTERGRATED TELE PSYCHIATRY AND TELE MEDICINE SERVICES LLC (NPI# 1629554126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629554126 |
| Entity Type | Organization |
| Organization Name | ARIZONA INTERGRATED TELE PSYCHIATRY AND TELE MEDICINE SERVICES LLC |
| Practice Address |
2735 E Main St Ste 2&3 Mesa AZ 85213-9269 |
| Practice Telephone | 4808671722 |
| Practice Fax Number | 4808671709 |
| Mailing Telephone | 4808671722 |
| Mailing Fax Number | 4808671709 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |
| Authorized Official Name | MEDINA KAMAU (PROVIDER) |
| Authorized Official Telephone | 4808671722 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | AP7446 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639642 | Arizona Intergrated Tele Psychiatry and Tele Medicine Services LLC | Counselor | 2735 E Main St Ste 3, Mesa, AZ 85213-9269 | 2019-10-02 |
| Street Address |
2735 E MAIN ST STE 2&3 |
| City | MESA |
| State | AZ |
| Zip Code | 85213-9269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861041733 | Belinda Wiens | Counselor | 2135 E University Dr., Suite 116, Mesa, AZ 85213 | 2019-09-04 |
| 1679099402 | Roxanne Nicole Greene | Physical Therapist | 2642 E Fairfield St, Mesa, AZ 85213 | 2017-08-14 |
| 1861921405 | Cameron Kastl | Dentist | 820 E University Dr, Mesa, AZ 85213 | 2017-06-07 |
| 1033667860 | Ricardo Helaman Perez | Dentist | 459 North Val Vista Drive, Mesa, AZ 85213 | 2016-09-21 |
| 1902221039 | The U-turn Foundation | Psychiatric Residential Treatment Facility | 2941 E Contessa St., Mesa, AZ 85213 | 2014-02-26 |
| 1720354194 | Roberta Lynn Ray | Registered Nurse | 824 N Gentry St., Mesa, AZ 85213 | 2012-03-29 |
| 1639483647 | William Lawrence Hull IIi | Dentist | 2855 E Brown Rd Ste 5, Mesa, AZ 85213 | 2010-08-02 |
| 1619299286 | Arizona Internal Medicine Associates LLC | Internal Medicine | 3435 E. Kael St, Mesa, AZ 85213 | 2010-02-23 |
| 1568691863 | Kathleen Ann Ruffin | Dental Hygienist | 2855 E. Brown Rd, Suite 15, Mesa, AZ 85213 | 2009-07-08 |
| 1356584890 | Sw Sports Medicine & Orthopedic Surgery | Orthopaedic Surgery | 2835 E. Brown Rd., Ste. 101, Mesa, AZ 85213 | 2009-04-14 |
| Find all providers in zip 85213 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1417435736 | Evelyn Burrell | Psychologist | 1930 S Alma School Rd Ste B120, Mesa, AZ 85210-3051 | 2018-07-30 |
| 1609389451 | Stacy E. Lamorgese | Psychologist | 4115 E Valley Auto Dr Ste 208, Mesa, AZ 85206-4612 | 2017-11-14 |
| 1790183200 | Kathleen Devine Bree | Psychologist | 1432 S Dobson Rd Ste 408, Mesa, AZ 85202-4777 | 2014-12-15 |
| 1841599941 | Carmen Lynne Lucia | Psychologist | 2045 S Vineyard Ste 139, Mesa, AZ 85210-6891 | 2011-03-15 |
| 1194920132 | Kay M. Seward | Psychologist | 4449 E Elmwood St, Mesa, AZ 85205-5251 | 2007-06-19 |
| 1922209493 | Tom Richard Ruddy | Psychologist | 2524 S El Paradiso Unit 10, Mesa, AZ 85202-7477 | 2007-05-30 |
| 1538203302 | Mariza Gonzales | Psychologist | 8742 E Luna Ave, Mesa, AZ 85209-5362 | 2007-02-16 |
| 1356483689 | Andrea Mijak | Psychologist | 2940 E Broadway Rd Apt 152, Mesa, AZ 85204-1753 | 2007-02-13 |
| Find all providers in MESA | ||||
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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.