CEREBRO WELLNESS LLC (NPI# 1629689922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629689922 |
| Entity Type | Organization |
| Organization Name | CEREBRO WELLNESS LLC |
| Practice Address |
3031 W Northern Ave Ste 109 Phoenix AZ 85051-6695 |
| Mailing Address |
5223 1/2 S 5th St Phoenix AZ 85040-8707 |
| Practice Telephone | 6028883474 |
| Mailing Telephone | 6029042277 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | MR. BRYAN KEOKE LAZARO (OWNER) |
| Authorized Official Telephone | 6029042277 |
| Authorized Official Credential | PMHNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
3031 W NORTHERN AVE STE 109 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85051-6695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184250383 | Jhajaira Elizabeth Cadenas | Optometrist | 3937 W Northview Ave, Phoenix, AZ 85051 | 2020-03-19 |
| 1083270854 | Vision With Wings | Voluntary or Charitable | 9617 N. Metro Pkwy West, Ste. 1214, Phoeniz, AZ 85051 | 2019-05-16 |
| 1417510405 | Applied Behavioral Interventions Pllc | Dietitian, Registered | 10000 N. 31st Avenue Ste. A107, Phoenix, AZ 85051 | 2019-04-16 |
| 1558832683 | Liberty Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9649 N 36th Ave, Phoenix, AZ 85051 | 2018-12-16 |
| 1518459080 | Addie Robin Diroberts | Counselor | 10240 W. 31st Ave, Phoenix, AZ 85051 | 2018-05-31 |
| 1093239816 | Jason Allan Parker | Licensed Practical Nurse | 3310 West Cheryl Drive, Phoenix, AZ 85051 | 2017-08-02 |
| 1588019145 | Vanessa Eloise Hernandez | Counselor | 10000 N. 31st Ave., Applied Behavioral Interventions, Pllc, Phoenix, AZ 85051 | 2016-05-02 |
| 1912230178 | Mozelle Barr Martin | Counselor | 3734 W. Vista Ave., Phoenix, AZ 85051 | 2009-09-04 |
| 1316184542 | Tom Sowash Od & Associates PC | Optometrist | 9617 North Parkway West, #1160, Phoenix, AZ 85051 | 2009-01-09 |
| 1609026913 | Luma Z Sayegh | Dentist | 7012 N 35th Ave, Suite 1, Phoenix, AZ 85051 | 2008-09-23 |
| Find all providers in zip 85051 | ||||
| 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 |
|---|---|---|---|---|
| 1972121218 | Laxus Integrated Health Solutions LLC | Psychiatry & Neurology | 11225 N 28th Dr Ste A102-4, Phoenix, AZ 85029-5606 | 2020-07-13 |
| 1184257032 | Actify Neurotherapies, Pllc | Psychiatry & Neurology | 10720 W Indian School Rd Ste 19, Phoenix, AZ 85037-5799 | 2020-02-19 |
| 1912461856 | Mobile Medical LLC | Psychiatry & Neurology | 4120 N 108th Ave Ste 116, Phoenix, AZ 85037-5773 | 2019-01-24 |
| 1063900835 | Arizona Tms Therapy Center | Psychiatry & Neurology | 4602 N 16th St Ste 201, Phoenix, AZ 85016-5161 | 2018-04-27 |
| 1427565977 | Tanner Community Development Corporation | Psychiatry & Neurology | 700 E Jefferson St Ste 200, Phoenix, AZ 85034-2202 | 2018-01-05 |
| 1457860561 | Bianca Yvonne Lopez | Psychiatry & Neurology | 3001 N. 33rd Ave, Phoenix, AZ 85017 | 2017-09-21 |
| 1538683081 | Az Sober Living & Behavioral Health Group, LLC | Psychiatry & Neurology | 2920 N 24th Ave Ste 120, Phoenix, AZ 85015-5958 | 2017-07-26 |
| 1558715490 | Aaron Kramer | Psychiatry & Neurology | 16841 N 31st Ave Ste 170, Phoenix, AZ 85053-3080 | 2016-04-18 |
| 1104244300 | Jacob N Stein | Psychiatry & Neurology | 12424 N 32nd St Ste 100, Phoenix, AZ 85032-7156 | 2014-04-03 |
| 1902232408 | John A Liebert, Md PC | Psychiatry & Neurology | 5450 E High St, Suite 300, Phoenix, AZ 85054-5458 | 2013-09-17 |
| 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.