OBSIDIAN HEALTH AND WELLNESS LLC (NPI# 1740766237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740766237 |
| Entity Type | Organization |
| Organization Name | OBSIDIAN HEALTH AND WELLNESS LLC |
| Practice Address |
13321 W Indian School Rd Litchfield Park AZ 85340-4339 |
| Mailing Address |
13321 W Indian School Rd Ste A107 Litchfield Park AZ 85340-4339 |
| Practice Telephone | 0000000000 |
| Mailing Telephone | 6025507844 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-09-28 |
| Authorized Official Name | JENNIFER FLACK (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Telephone | 7203311168 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417593575 | Obsidian Health and Wellness LLC | Clinic/Center | 13321 W Indian School Rd Ste A107, Litchfield Park, AZ 85340-4339 | 2019-11-25 |
| Street Address |
13321 W INDIAN SCHOOL RD |
| City | LITCHFIELD PARK |
| State | AZ |
| Zip Code | 85340-4339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760920789 | Jennifer L Flack | Social Worker | 13321 W Indian School Rd, Ste A107, Litchfield Park, AZ 85340-4339 | 2017-02-09 |
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|---|---|---|---|---|
| 1104393826 | Nelson J. Mar Dds PC | Dentist | 5220 N. Dysart Rd #144, Litchfield Park, AZ 85340 | 2018-10-31 |
| 1841771920 | Harmony Health and Wellness Foundation | Clinic/Center | 5220 N Dysart Rd Building C, Litchfield Park, AZ 85340 | 2018-08-27 |
| 1346726676 | Vista Counseling and Consulting | Community/Behavioral Health | 501 East Plaza Circle, Suite 3, Litchfield Park, AZ 85340 | 2018-07-19 |
| 1982194148 | Melinda Michelle Melvin | Registered Nurse | 255 E Wigwam Blvd., Litchfield Park, AZ 85340 | 2018-05-14 |
| 1952803652 | Comfort Care Providers, LLC. | Physiological Laboratory | 555 E Plaza Cir Dr Ste C, Litchfield Park, AZ 85340 | 2018-03-08 |
| 1992204614 | Angelo J Maisano | Occupational Therapy Assistant | 4870 N Litchfield Road Suite #101, Litchfield Park, AZ 85340 | 2018-02-08 |
| 1114438645 | Lori Ann Compiani | Licensed Practical Nurse | 272 E. Sagebrush St., Litchfield Park, AZ 85340 | 2017-10-24 |
| 1265972947 | Christina Martinez | Specialist/Technologist | 4870 North Litchfield Rd #101, Litchfield Park, AZ 85340 | 2017-03-01 |
| 1457802019 | Urgent Care Centers of Arizona, LLC | Clinic/Center | 13840 W. Camelback Rd, Suite 10, Litchfield Park, AZ 85340 | 2016-10-19 |
| 1336698034 | Judy Tooley | Licensed Practical Nurse | 255 E Wigwam Blvd, Litchfield Park, AZ 85340 | 2016-09-23 |
| Find all providers in zip 85340 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972094845 | Specialized Psychology Services, Pllc | Clinic/Center | 501 E Plaza Cir Ste B, Litchfield Park, AZ 85340-4917 | 2018-05-25 |
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| 1073171153 | Heart Song Wellness LLC | Clinic/Center | 8617 W Union Hills Dr Ste 100, Peoria, AZ 85382-7001 | 2019-06-03 |
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| 1043778756 | Aye Wellness, Pllc | Clinic/Center | 2406 S 24th St Ste E100, Phoenix, AZ 85034-6801 | 2019-03-12 |
| Find all providers with the same taxonomy | ||||
| City | LITCHFIELD PARK |
| Zip Code | 85340 |
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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.