EDVENTURES GROUP PINON (NPI# 1659690287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659690287 |
| Entity Type | Organization |
| Organization Name | EDVENTURES GROUP PINON |
| Other Organization Name | KHADJENOURY LLC |
| Practice Address |
1 Mile North of Pinon Navajo Rt Hwy 41 Pinon AZ 86510 |
| Mailing Address |
8848 Willow Hills Ct Sandy UT 84093-1889 |
| Practice Telephone | 5209076890 |
| Practice Fax Number | 8019309134 |
| Mailing Telephone | 5209076890 |
| Mailing Fax Number | 8019309134 |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2010-05-21 |
| Authorized Official Name | MR. SIAMAK KHADJENOURY (CEO) |
| Authorized Official Telephone | 5209076890 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| khadjenoury LLC | Doing Business As Name - Organization |
| Street Address |
1 MILE NORTH OF PINON NAVAJO RT HWY 41 |
| City | PINON |
| State | AZ |
| Zip Code | 86510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191429 | Steven Ngo | Pharmacist | Navajo Route 2 - 2 Miles East of Pinon, Pinon, AZ 86510 | 2020-10-15 |
| 1164996435 | Connie Ranger | Technician | 1.5 Mile West Pinon Rodeo Ground, Pinon, AZ 86510 | 2019-01-19 |
| 1528542420 | Megan Ritchey | Nurse Practitioner | 2007-2 Whipporwhill Springs Drive, Pinon, AZ 86510 | 2018-09-18 |
| 1598266876 | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility | Clinic/Center | 2175 State Road 4, Pinon, AZ 86510 | 2018-02-22 |
| 1336595040 | Earl Gerald Garcia Carlos | Family Medicine | Navajo Service Rte 41, Pinon, AZ 86510 | 2016-05-11 |
| 1215392097 | Charity Benson | Pharmacist | Nr4 2 Miles East of Pinon, Pinon, AZ 86510 | 2015-12-22 |
| 1780090761 | Daniel R Johnson | Nutritionist | Ihs Pinon Health Center Navajo Rt 4, Pinon, AZ 86510 | 2014-07-10 |
| 1851635734 | Lauren Kelli Houston | Pharmacist | Navajo Route 4, 2 Miles East of Pinon, Pinon, AZ 86510 | 2012-11-16 |
| 1578723748 | Karen Williams | Registered Nurse | Nr4 Two Miles East of Pinon, Pinon, AZ 86510 | 2008-06-11 |
| 1962674325 | Elaine Bizahaloni | Social Worker | Nr 4 Two Miles East of Pinon, Pinon, AZ 86510 | 2008-03-26 |
| Find all providers in zip 86510 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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| 1508480377 | Muhammad Azeem Butt | Clinic/Center | 44796 W Sandhill Rd, Maricopa, AZ 85139-9113 | 2020-06-07 |
| 1598394850 | Rite of Passage Inc | Clinic/Center | 20275 E Rittenhouse Rd Ste 105, Queen Creek, AZ 85142-4534 | 2020-04-07 |
| 1417593575 | Obsidian Health and Wellness LLC | Clinic/Center | 13321 W Indian School Rd Ste A107, Litchfield Park, AZ 85340-4339 | 2019-11-25 |
| 1285289736 | Ericka Catrise Barker | Clinic/Center | 12858 W Alvarado Rd, Avondale, AZ 85392-7144 | 2019-08-01 |
| 1003469057 | East Valley Child Psychology | Clinic/Center | 1910 S Stapley Dr Ste 221, Mesa, AZ 85204-6680 | 2019-07-18 |
| 1851874036 | Arizonas New Hope | Clinic/Center | 5045 W Baseline Rd Ste A105-214, Laveen, AZ 85339-7392 | 2018-09-13 |
| 1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
| 1760972947 | Arizona's Children Association | Clinic/Center | 1420 N Greenfield Rd Ste 100&101, Gilbert, AZ 85234 | 2018-05-14 |
| 1609305564 | The Highway: A Self-harm and Suicide Prevention Service | Clinic/Center | 7572 E Buena Vista Dr, Prescott Valley, AZ 86314-5563 | 2017-06-05 |
| Find all providers with the same taxonomy | ||||
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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.