ACADEMIC & BEHAVIORAL CENTER LLC (NPI# 1861781650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861781650 |
| Entity Type | Organization |
| Organization Name | ACADEMIC & BEHAVIORAL CENTER LLC |
| Practice Address |
1122 N Olsen Ave Tucson AZ 85719-4717 |
| Mailing Address |
5425 E Broadway Blvd #315 Tucson AZ 85711-3704 |
| Practice Telephone | 5203239835 |
| Practice Fax Number | 5203272342 |
| Mailing Telephone | 5203239835 |
| Mailing Fax Number | 5203272342 |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |
| Authorized Official Name | DAVID M BYNES (DIRECTOR) |
| Authorized Official Telephone | 5203239835 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-2746 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE IDENTIFIER | Z100597 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417029018 | Academic & Behavioral Center LLC | Social Worker | 1601 N Tucson Blvd, #36, Tucson, AZ 85716-3425 | 2006-11-15 |
| Street Address |
1122 N OLSEN AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719-4717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| Find all providers in zip 85719 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070710 | Erica Rhea Wagner | Social Worker | 4873 E Cooper St, Tucson, AZ 85711-3617 | 2020-10-12 |
| 1053928648 | Elizabeth Sarah Kieding | Social Worker | 4732 E Calle Elegante, Tucson, AZ 85718-3733 | 2020-09-28 |
| 1386259778 | Yolanda Jeli | Social Worker | 1701 W Saint Marys Rd Ste 117, Tucson, AZ 85745-2621 | 2020-09-11 |
| 1689282097 | Marcus Aurelius De Volder | Social Worker | 8110 E Speedway Blvd Apt 8391, Tucson, AZ 85710-1782 | 2020-07-21 |
| 1336766641 | Jamie Lakin | Social Worker | 470 W Roger Rd Ste 110, Tucson, AZ 85705-2679 | 2020-07-02 |
| 1356961973 | Jillian A Stein-seroussi | Social Worker | 5400 E Williams Blvd Apt 12207, Tucson, AZ 85711-7486 | 2020-04-23 |
| 1124648175 | Deborah Lorraine Mack | Social Worker | 9950 N Camino De Oeste, Tucson, AZ 85742-9119 | 2020-04-20 |
| 1376163543 | Strategic Healing LLC | Social Worker | 245 S Bryant Ave, Tucson, AZ 85711-4122 | 2020-04-17 |
| 1811526841 | Jessica Belter | Social Worker | 3009 E Elm St # 1, Tucson, AZ 85716-3124 | 2020-04-02 |
| 1700425436 | Shannon N Barefield | Social Worker | 48 N Tucson Blvd Ste 100, Tucson, AZ 85716-4756 | 2019-12-28 |
| 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.