MR. MICHAEL PANICO (NPI# 1730516865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730516865 |
Entity Type | Individual |
Full Name | MR. MICHAEL PANICO |
Credential | LPC |
Practice Address |
1161 N El Dorado Pl Ste 103 Tucson AZ 85715-4607 |
Practice Telephone | 5207487108 |
Practice Fax Number | 5205701396 |
Mailing Telephone | 5207487108 |
Mailing Fax Number | 5205701396 |
Enumeration Date | 2013-10-03 |
Last Update Date | 2013-10-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | LPC-1083 | AZ | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 535567-01 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063615839 | Michael John Panico | Social Worker | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2007-06-07 |
Street Address |
1161 N EL DORADO PL STE 103 |
City | TUCSON |
State | AZ |
Zip Code | 85715-4607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851991327 | Rebecca Lynn Mckeeth | Nurse Practitioner | 1161 N El Dorado Pl Ste 103, Tucson, AZ 85715-4607 | 2020-10-26 |
1417419664 | Stacy Lynette Gee | Counselor | 1161 N El Dorado Pl Ste 103, Tucson, AZ 85715-4607 | 2019-04-04 |
1841770427 | Janet M Tinkey | Nurse Practitioner | 1161 N El Dorado Pl Ste 103, Tucson, AZ 85715-4607 | 2018-08-14 |
1871093542 | Christine D Lee | Behavior Technician | 1161 N El Dorado Pl Ste 103, Tucson, AZ 85715-4607 | 2018-02-19 |
1164898847 | Kelly Schwanbeck Weber | Counselor | 1161 N El Dorado Pl Ste 103, Tucson, AZ 85715-4607 | 2015-08-17 |
1043603426 | Cynthia Greer | Social Worker | 1161 N El Dorado Pl Ste 103, Tucson, AZ 85715-4607 | 2015-03-10 |
1780076612 | James Brent Patton | Counselor | 1161 N El Dorado Pl Ste 103, Tucson, AZ 85715-4607 | 2015-03-02 |
1902235906 | Sherri Broughton | Counselor | 1161 N El Dorado Pl Ste 103, Tucson, AZ 85715-4607 | 2013-11-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902451677 | Sharie Williams | Physical Therapist | 6267 E Tanque Verde Road, Suite 150, Tucson, AZ 85715 | 2019-08-08 |
1558860288 | Christina Reece | Assistant Behavior Analyst | 1161 N El Dorado, 103, Tucson, AZ 85715 | 2018-02-08 |
1548789761 | John Kenneth Adams | Occupational Therapy Assistant | 2900 E. Milber St, Tucson, AZ 85715 | 2017-09-19 |
1992229991 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6572 E. Grant Rd, Ste. 130, Tucson, AZ 85715 | 2017-08-01 |
1104373364 | Arizona Rehab Campus, LLC | Substance Abuse Rehabilitation Facility | 6944 E Tanque Verde Rd, Tucson, AZ 85715 | 2016-09-06 |
1194110866 | Negin Saghafi | Dentist | 7455 E. Tanque Verde Road, Tucson, AZ 85715 | 2015-03-31 |
1730514282 | Rhea Lewis Tribe | Speech-Language Pathologist | 6901 E Soyaluna Pl, Tucson, AZ 85715 | 2013-09-03 |
1043569536 | Shaharyar Ashraf | Dentist | 7111 East Tanque Verde Road, Tucson, AZ 85715 | 2012-08-30 |
1093013534 | Jimmy Aziz | Behavioral Analyst | 6369 E Tanque Road, Suite 100, Tucson, AZ 85715 | 2011-03-08 |
1053625848 | Gerinet Palliative Care, LLC | Hospice Care, Community Based | 6375 E Tanque Verde Rd., Suite 170, Tucson, AZ 85715 | 2010-08-04 |
Find all providers in zip 85715 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053931436 | Snaha R Patel | Counselor | 2745 W Shannon Ridge Rd, Tucson, AZ 85742-8961 | 2020-04-25 |
1659907236 | Christy Charles | Counselor | 1101 W Prince Rd Ste 111, Tucson, AZ 85705-3135 | 2020-03-16 |
1174159750 | Cheryl A Holland | Counselor | 1109 W Prince Rd Ste 111, Tucson, AZ 85705-3127 | 2020-03-16 |
1376183962 | David Alexander Lavin | Counselor | 9035 E Woodland Rd, Tucson, AZ 85749-8143 | 2020-01-10 |
1518503630 | Stephanie Anne Adler | Counselor | 6700 N Oracle Rd Ste 412, Tucson, AZ 85704-7734 | 2019-11-24 |
1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
1083262984 | Native Mind LLC | Counselor | 6294 S Eagle Talon Pkwy, Tucson, AZ 85757 | 2019-09-03 |
1770131245 | George Washington Kelly | Counselor | 40 N Swan Rd Ste 114, Tucson, AZ 85711-3019 | 2019-08-28 |
1588218630 | David Swihart | Counselor | 10665 N Shannon Rd, Tucson, AZ 85742-9337 | 2019-07-27 |
1942779095 | Cathexis Tucson, LLC | Counselor | 4750 N Oracle Rd Ste 106, Tucson, AZ 85705-1676 | 2018-11-19 |
Find all providers in TUCSON |
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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.