TREATMENT ASSESSMENT SCREENING CENTER, INC (NPI# 1801377270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801377270 |
| Entity Type | Organization |
| Organization Name | TREATMENT ASSESSMENT SCREENING CENTER, INC |
| Practice Address |
2314 N 4th St Flagstaff AZ 86004-3709 |
| Mailing Address |
4016 N Black Canyon Hwy Phoenix AZ 85017-4730 |
| Practice Telephone | 9285265417 |
| Practice Fax Number | 9285265615 |
| Mailing Telephone | 6022547328 |
| Mailing Fax Number | 6022550851 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |
| Authorized Official Name | LATRICE SHANNON HICKMAN (CHIEF PROGRAM OFFICER) |
| Authorized Official Telephone | 6022547328 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | OTC9085 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES OUTPATIENT TREATMENT CENTE | OTC9085 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487198388 | Treatment Assessment Screening Center, Inc | Community/Behavioral Health | 244 W Drachman St, Tucson, AZ 85705-7228 | 2016-12-12 |
| 1083086631 | Treatment Assessment Screening Center, Inc | Clinic/Center | 145 E 1300 S Ste 101, Salt Lake City, UT 84115-6118 | 2015-10-22 |
| 1619366457 | Treatment Assessment Screening Center, Inc | Community/Behavioral Health | 2364 Kingman Ave, Kingman, AZ 86401-4840 | 2015-01-16 |
| 1386033124 | Treatment Assessment Screening Center, Inc | Community/Behavioral Health | 2080 Acoma Blvd W, Suite A, Lake Havasu City, AZ 86403-2971 | 2015-01-16 |
| 1447649272 | Treatment Assessment Screening Center, Inc | Community/Behavioral Health | 6409 W Glendale Ave, Glendale, AZ 85301-2310 | 2015-01-16 |
| 1174874424 | Treatment Assessment Screening Center, Inc | Community/Behavioral Health | 4016 N Black Canyon Hwy, Phoenix, AZ 85017-4730 | 2012-09-26 |
| 1801391800 | Treatment Assessment Screening Center, Inc | Community/Behavioral Health | 2302 N 7th St, Phoenix, AZ 85006-1602 | 2018-03-29 |
| 1528505807 | Treatment Assessment Screening Center, Inc | Clinical Medical Laboratory | 4016 N Black Canyon Hwy, Phoenix, AZ 85017-4730 | 2017-01-25 |
| Street Address |
2314 N 4TH ST |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86004-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
| 1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
| 1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
| 1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
| 1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
| 1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
| 1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
| 1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
| 1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
| 1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
| Find all providers in zip 86004 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995882 | Family Involvement Center, Inc | Community/Behavioral Health | 5200 E Cortland Blvd Ste A16, Flagstaff, AZ 86004-9394 | 2019-01-04 |
| 1841789666 | Sage Counseling, Inc. | Community/Behavioral Health | 2603 E 7th Ave, Flagstaff, AZ 86004-3726 | 2018-05-07 |
| 1992255897 | Sandra J. Brim, Ph.d., P.C. | Community/Behavioral Health | 15 E Cherry Ave Ste 206, Flagstaff, AZ 86001-4643 | 2016-10-04 |
| 1073935326 | Hope Lives - Vive La Esperanza | Community/Behavioral Health | 2201 N Vickey St, Flagstaff, AZ 86004-6106 | 2014-01-06 |
| 1760789457 | Equine Educational Experiences | Community/Behavioral Health | 7795 Pine Canyon Dr, Flagstaff, AZ 86004-1266 | 2011-02-16 |
| 1548490907 | Quality Connections Inc | Community/Behavioral Health | 3920 E Huntington Dr Ste A, Flagstaff, AZ 86004-9433 | 2009-07-20 |
| 1932349644 | Northern Arizona Substance Abuse Services | Community/Behavioral Health | 2101 N 4th St Ste 215, Flagstaff, AZ 86004-4200 | 2009-02-20 |
| 1497834493 | Catholic Charities Community Services | Community/Behavioral Health | 460 N Switzer Canyon Dr, Suite 400, Flagstaff, AZ 86001-4899 | 2006-11-02 |
| 1336224336 | Adventure Discovery Inc | Community/Behavioral Health | 403 W Birch Ave, Flagstaff, AZ 86001-4467 | 2006-10-26 |
| 1891067211 | Dina Myers Lppc | Community/Behavioral Health | 930 N Switzer Canyon Dr, Suite 101, Flagstaff, AZ 86001-4824 | 2012-02-01 |
| Find all providers in FLAGSTAFF | ||||
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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.