JONATHAN DAHLQUIST (NPI# 1639577901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639577901 |
| Entity Type | Individual |
| Full Name | JONATHAN DAHLQUIST |
| Practice Address |
2505 W Beryl Ave Phoenix AZ 85021-1641 |
| Mailing Address |
202 E Earll Drive Suite 200 Phoenix AZ 85012-2647 |
| Practice Telephone | 6025995509 |
| Practice Fax Number | 6022622111 |
| Mailing Telephone | 6025995404 |
| Mailing Fax Number | 6025995704 |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
2505 W BERYL AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85021-1641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942371992 | Triple R Behavioral Health, Inc. | Community/Behavioral Health | 2505 W Beryl Ave, Phoenix, AZ 85021-1607 | 2006-11-13 |
| 1205479367 | Anikka Ducharme Castle | Counselor | 2505 W Beryl Ave, Phoenix, AZ 85021-1641 | 2019-10-22 |
| 1083175368 | Patrick T. Culhane | Counselor | 2505 W Beryl Ave, Phoenix, AZ 85021-1641 | 2019-03-28 |
| 1922406206 | Amy Huerta | Case Manager/Care Coordinator | 2505 W Beryl Ave, Phoenix, AZ 85021-1641 | 2014-12-18 |
| 1902204266 | Wendy Riddle | Case Manager/Care Coordinator | 2505 W Beryl Ave, Phoenix, AZ 85021-1641 | 2014-12-18 |
| 1336546019 | Cary Van Atta | Case Manager/Care Coordinator | 2505 W Beryl Ave, Phoenix, AZ 85021-1641 | 2014-11-25 |
| 1144626144 | Rebecca Jeanne Lutz | Counselor | 2505 W Beryl Ave, Phoenix, AZ 85021-1641 | 2014-11-18 |
| 1124424163 | Denise Crawford | Case Manager/Care Coordinator | 2505 W Beryl Ave, Phoenix, AZ 85021-1641 | 2014-11-18 |
| 1295131449 | Erica Marie Mccullough | Case Manager/Care Coordinator | 2505 W Beryl Ave, Phoenix, AZ 85021-1641 | 2014-11-17 |
| 1699171835 | Janet Marie Quintana | Case Manager/Care Coordinator | 2505 W Beryl Ave, Phoenix, AZ 85021-1641 | 2014-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
| 1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
| 1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
| 1841832664 | Madison Westby | Physical Therapist | 717 W Dunlap Ave # 100, Phoenix, AZ 85021 | 2019-10-14 |
| 1861967481 | Southwest Family Naturopathic Clinic Pllc | Naturopath | 1530 W Glendale Ave Suite 103, Phoenix, AZ 85021 | 2018-10-10 |
| 1184101461 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8804 N 23rd Ave, Suite A01/a02, Phoenix, AZ 85021 | 2018-07-19 |
| 1568970150 | Alycia Ann Poloni | Occupational Therapist | 7129 N 23d Ave, Phoenix, AZ 85021 | 2018-01-17 |
| 1154839165 | Cyrus Professional Corporation | Dentist | 2401 W. Glendale Ave, Ste 102, Phoenix, AZ 85021 | 2018-01-12 |
| 1568980779 | Marla Jean Clay | Licensed Practical Nurse | 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021 | 2017-09-07 |
| 1801325162 | Kaitlin King | Nurse Practitioner | 8824 N 9th Ave, Phoenix, AZ 85021 | 2017-06-08 |
| Find all providers in zip 85021 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439538 | April J Winston | Case Manager/Care Coordinator | 2375 E Camelback Rd Ste 600628, Phoenix, AZ 85016-3424 | 2020-08-25 |
| 1629603469 | Glenda Dillard | Case Manager/Care Coordinator | 7405 S 39th Dr, Phoenix, AZ 85041-6002 | 2020-03-11 |
| 1215592746 | Debra Ann Beldone | Case Manager/Care Coordinator | 4435 N 21st Pl, Phoenix, AZ 85016-5559 | 2019-05-09 |
| 1720553753 | Cynthia Marie Quinn | Case Manager/Care Coordinator | 301 W Jefferson St Ste 3200, Phoenix, AZ 85003-2143 | 2018-10-05 |
| 1013496199 | Uptown Medical LLC | Case Manager/Care Coordinator | 3724 N 3rd St Ste 300, Phoenix, AZ 85012-2036 | 2018-08-09 |
| 1518451251 | Advanced Behavioral Health Services, LLC | Case Manager/Care Coordinator | 9417 N 17th Pl, Phoenix, AZ 85020-2310 | 2018-06-17 |
| 1255835997 | Miracle On 29th Street | Case Manager/Care Coordinator | 18210 N 29th St, Phoenix, AZ 85032-1103 | 2018-03-19 |
| 1538662077 | Maryvale Medical LLC | Case Manager/Care Coordinator | 7141 W Thomas Rd Ste 101, Phoenix, AZ 85033-5518 | 2018-03-12 |
| 1265930614 | Desert Ridge Medical LLC | Case Manager/Care Coordinator | 26224 N Tatum Blvd Ste 11, Phoenix, AZ 85050-7500 | 2018-01-30 |
| 1477098671 | Joyce Ann Leflore | Case Manager/Care Coordinator | 4424 E Baseline Rd Apt 1144, Phoenix, AZ 85042-7410 | 2016-12-23 |
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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.