PEOPLE OF COLOR NETWORK (NPI# 1881838514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881838514 |
Entity Type | Organization |
Organization Name | PEOPLE OF COLOR NETWORK |
Practice Address |
1540 W Van Buren St Phoenix AZ 85007-2414 |
Mailing Address |
77 E Thomas Rd Ste 230 Phoenix AZ 85012-3100 |
Practice Telephone | 6022527330 |
Practice Fax Number | 6022524797 |
Mailing Telephone | 6022533084 |
Mailing Fax Number | 6022533732 |
Enumeration Date | 2009-04-24 |
Last Update Date | 2011-09-16 |
Authorized Official Name | MANUEL TOMAS LEON (CEO) |
Authorized Official Telephone | 6022533084 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 438637 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043240435 | People of Color Network | Case Management | 609 N 2nd Ave, Phoenix, AZ 85003-1653 | 2006-07-03 |
1194706986 | People of Color Network | Clinic/Center | 77 E.thomas Road, Suite 230, Phoenix, AZ 85012-3100 | 2005-11-08 |
1396075156 | People of Color Network | Case Management | 4520 N Central Ave, Suite 555 and 565, Phoenix, AZ 85012-1828 | 2009-12-30 |
1235373960 | People of Color Network | Clinic/Center | 1300 N Central Ave, Phoenix, AZ 85004-1722 | 2009-04-24 |
1518101237 | People of Color Network | Clinic/Center | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2009-04-24 |
1336383066 | People of Color Network | Clinic/Center | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2009-04-24 |
Street Address |
1540 W VAN BUREN ST |
City | PHOENIX |
State | AZ |
Zip Code | 85007-2414 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447214747 | Janice Linda Cochran | Psychiatry & Neurology | 1540 W Van Buren St, Phoenix, AZ 85007-2414 | 2006-04-13 |
1841666369 | Empact - Suicide Prevention Center | Community/Behavioral Health | 1540 W Van Buren St, Phoenix, AZ 85007-2414 | 2015-08-19 |
1902202567 | Kathy Sue Dutridge | Counselor | 1540 W Van Buren St, Phoenix, AZ 85007-2414 | 2014-11-10 |
1174942924 | Maricopa County Special Health Care District | General Acute Care Hospital | 1540 W Van Buren St, Suite B, Phoenix, AZ 85007-2414 | 2014-04-09 |
1831213107 | Magellan Health Services of Arizona, Inc. | Case Management | 1540 W Van Buren St, Phoenix, AZ 85007-2414 | 2007-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861017824 | Tembre Eliza Delong | Student in an Organized Health Care Education/Training Program | 230 South 12th Ave, Phoenix, AZ 85007 | 2020-06-15 |
1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
1922559624 | Community Bridges, Inc. | Community/Behavioral Health | 1125 W Jackson St, Phoenix, AZ 85007 | 2016-10-18 |
1912358045 | Isabel Victoria Rodriguez | Speech-Language Pathologist | 2302 North 15th Avenue, Phoenix, AZ 85007 | 2016-06-30 |
1730441825 | Sara Joyce Edmund | Nurse Practitioner | 1424 S 7th Avenue, Phoenix, AZ 85007 | 2012-06-13 |
1295781771 | Ilin Chuang | Pediatrics | 150 N. 18th Ave., Suite 150, Arizona Depart. of Health Services, Phoenix, AZ 85007 | 2006-05-26 |
1518924802 | Michael James Higbee | Physician Assistant | 1201 S. 7th Avenue, Suite 150, Phoenix, AZ 85007 | 2006-04-28 |
1942278676 | David Paul Brown | Emergency Medicine | 1201 S 7 Avenue, Phoenix, AZ 85007 | 2006-03-09 |
1265409759 | Carol D Watkins | Emergency Medicine | 1201 S 7th Avenue, Phoenix, AZ 85007 | 2006-03-02 |
1982695615 | Mary Pat Nesbit | Emergency Medicine | 1201 S 7th Ave, Phoenix, AZ 85007 | 2005-11-02 |
Find all providers in zip 85007 |
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 |
---|---|---|---|---|
1497372908 | A Path of Resilience - Aprbhs - Rose House - LLC | Clinic/Center | 2258 W Wayland Rd, Phoenix, AZ 85041-3753 | 2020-06-30 |
1083237630 | The Heart Program | Clinic/Center | 4041 E Flower St, Phoenix, AZ 85018-6433 | 2020-05-18 |
1316569056 | Desert Heart Counseling Corp | Clinic/Center | 1536 E Maryland Ave Ste B300, Phoenix, AZ 85014-1475 | 2020-05-16 |
1588212195 | Tamarria Denga | Clinic/Center | 10000 N 31st Ave Ste D411, Phoenix, AZ 85051-1358 | 2019-08-27 |
1043778756 | Aye Wellness, Pllc | Clinic/Center | 2406 S 24th St Ste E100, Phoenix, AZ 85034-6801 | 2019-03-12 |
1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
1396209474 | Enchanted Behavioral Healthcare, LLC | Clinic/Center | 11225 N 28th Dr Ste D115h, Phoenix, AZ 85029-5609 | 2019-01-23 |
1427548668 | Integrative Wellness Solutions, Pllc | Clinic/Center | 700 W Campbell Ave Ste 1, Phoenix, AZ 85013-2690 | 2018-05-14 |
1679088363 | Center for Therapy and Mindfulness | Clinic/Center | 2807 N 51st St, Phoenix, AZ 85008-1613 | 2017-12-05 |
1811434558 | Successful Journeys Integrated Care | Clinic/Center | 8828 N Central Ave, 206, Phoenix, AZ 85020-2849 | 2017-01-19 |
Find all providers in PHOENIX |
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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.