MR. DOUGLAS GEORGE PHELING


Address: 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3798
Phone: 9285056911

MR. DOUGLAS GEORGE PHELING (NPI# 1730256066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730256066
Entity Type Individual
Full Name MR. DOUGLAS GEORGE PHELING
Credential MA
Practice Address 2200 Havasupai Blvd
Lake Havasu City
AZ 86403-3798
Practice Telephone 9285056911
Practice Fax Number 9285056991
Mailing Telephone 9285056911
Mailing Fax Number 9285056991
Enumeration Date 2006-11-30
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
AZ Behavioral Health & Social Service Providers

Office Location

Street Address 2200 HAVASUPAI BLVD
City LAKE HAVASU CITY
State AZ
Zip Code 86403-3798

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790879864 Lake Havasu Unified School District #1 Local Education Agency (LEA) 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2006-10-03
1164047783 Enduren Ortiz Napuli Speech-Language Pathologist 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2020-06-09
1588198345 Carissa Farrington Specialist/Technologist 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2017-04-18
1013454107 Erin Riggert Specialist/Technologist 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2017-01-26
1649603556 Jessica Anne Stello Specialist/Technologist 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2013-08-14
1558617266 Shaina Geisler Occupational Therapist 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2012-07-31
1184906539 Virginia M. Tate Speech-Language Pathologist 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2011-09-12
1043591191 Terri Gulembo-plato Speech-Language Pathologist 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2011-09-02
1013218114 Laurie M Bevans Registered Nurse 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2010-11-05
1013224773 Tracy Joy Cutrone Speech-Language Pathologist 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2010-09-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104479039 Liska's Apothecary Shop, Inc. Assisted Living Facility 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 2019-07-19
1275033227 Ayad Costy Pharmacist 75 North Lake Havasu City, Lake Havasu City, AZ 86403 2018-02-16
1942727250 Ideal Health Care, L.L.C. Prosthetic/Orthotic Supplier 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 2017-08-28
1063965036 Cerner Health Connections, Inc Clinic/Center 89 Civic Center Blvd, Lake Havasu City, AZ 86403 2016-07-26
1447643358 Lundin Dental PC Durable Medical Equipment & Medical Supplies 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 2015-03-17
1912301425 Arizona Havasu Bdm Pak LLC Dentist 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 2014-10-13
1386047850 Emily E Vona Nurse Practitioner 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 2014-09-29
1750700589 Thomas Wennergren Pharmacist 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 2014-04-09
1285997460 Jamie L Lemire Pharmacist 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 2012-06-21
1053694448 Goodwill of Northern Arizona Exclusive Provider Organization 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 2011-09-22
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659927242 Kristin Lee Carbone-kebble Psychologist 480 Mate Ln, Lake Havasu City, AZ 86406-6201 2019-08-10
1487853560 J Maxie Elliott Psychologist 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2007-07-17
1255404141 Belinda Gail Anders Psychologist 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3798 2006-11-16
1639242076 Kara Susan Skowera Psychologist 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3798 2006-11-15

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NPI Name Taxonomy Address Enumeration
1053912691 Jane Ann Petschow Psychologist 445 W Chandler Blvd Apt 464, Chandler, AZ 85225-1965 2020-11-02
1225635154 Shannon Napelee Psychologist 9405 N 53rd Dr, Glendale, AZ 85302-3305 2020-10-04
1922616929 Latisha Kareem Ojuriye Psychologist 400 N Coronado St Apt 1012, Chandler, AZ 85224-4184 2020-07-16
1689299133 Chloe Arns Psychologist 16484 N 68th Ave, Peoria, AZ 85382-3981 2020-06-10
1710522487 Aubri Hall Psychologist 21115 E Alyssa Rd, Queen Creek, AZ 85142-6556 2019-11-16
1841843067 Rebecca Harmon Psychologist 6151 E Wildcat Dr, Cave Creek, AZ 85331-3043 2019-07-17
1922589126 Lisa M Browne Psychologist 3584 E Fox Trotter Rd, Tucson, AZ 85739-8334 2018-08-24
1336637321 Rebecca Simonson Psychologist 6200 E San Bernardino, Tucson, AZ 85715-3037 2018-04-25
1053826545 Angela Coyle Psychologist 4841 W Lone Dove Dr, Marana, AZ 85658-4735 2017-12-06
1508378209 Shanna Schopmeyer Psychologist 9646 E Baltimore St, Mesa, AZ 85207-8030 2017-11-02
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Competitor

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City LAKE HAVASU CITY
Zip Code 86403

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Dataset Information

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.

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