MS. MOZELLE BARR MARTIN (NPI# 1912230178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912230178 |
Entity Type | Individual |
Full Name | MS. MOZELLE BARR MARTIN |
Credential | PHD |
Practice Address |
3734 W. Vista Ave. Phoenix AZ 85051 |
Mailing Address |
504 S. 5th Ave. #1427 Safford AZ 85546 |
Practice Telephone | 6238508198 |
Practice Fax Number | 8883062742 |
Mailing Telephone | 9289855050 |
Mailing Fax Number | 6027336538 |
Enumeration Date | 2009-09-04 |
Last Update Date | 2020-09-25 |
NPI Deactivation Date | 01/24/2018 |
NPI Reactivation Date | 2020-09-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
Y | 101YP1600X |
Counselor Specialization: Pastoral |
AZ | Behavioral Health & Social Service Providers | |
N | 101YP1600X |
Counselor Specialization: Pastoral |
P0214763 | AZ | Behavioral Health & Social Service Providers |
N | 175L00000X | Homeopath | 00012 | ZZ | Other Service Providers |
N | 103K00000X | Behavioral Analyst | AZ | Behavioral Health & Social Service Providers | |
N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
Street Address |
3734 W. VISTA AVE. |
City | PHOENIX |
State | AZ |
Zip Code | 85051 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184250383 | Jhajaira Elizabeth Cadenas | Optometrist | 3937 W Northview Ave, Phoenix, AZ 85051 | 2020-03-19 |
1083270854 | Vision With Wings | Voluntary or Charitable | 9617 N. Metro Pkwy West, Ste. 1214, Phoeniz, AZ 85051 | 2019-05-16 |
1417510405 | Applied Behavioral Interventions Pllc | Dietitian, Registered | 10000 N. 31st Avenue Ste. A107, Phoenix, AZ 85051 | 2019-04-16 |
1558832683 | Liberty Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9649 N 36th Ave, Phoenix, AZ 85051 | 2018-12-16 |
1518459080 | Addie Robin Diroberts | Counselor | 10240 W. 31st Ave, Phoenix, AZ 85051 | 2018-05-31 |
1093239816 | Jason Allan Parker | Licensed Practical Nurse | 3310 West Cheryl Drive, Phoenix, AZ 85051 | 2017-08-02 |
1588019145 | Vanessa Eloise Hernandez | Counselor | 10000 N. 31st Ave., Applied Behavioral Interventions, Pllc, Phoenix, AZ 85051 | 2016-05-02 |
1316184542 | Tom Sowash Od & Associates PC | Optometrist | 9617 North Parkway West, #1160, Phoenix, AZ 85051 | 2009-01-09 |
1609026913 | Luma Z Sayegh | Dentist | 7012 N 35th Ave, Suite 1, Phoenix, AZ 85051 | 2008-09-23 |
1770769978 | Prime Care Hospice, LLC | Hospice Care, Community Based | 4225 W Glendale Ave Ste A200, Phoenix, AZ 85051 | 2008-01-17 |
Find all providers in zip 85051 |
Taxonomy Code | 101YP1600X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Pastoral |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
1114530540 | Kimetta Arniece Coleman | Counselor | 2375 E Camelback Rd # 628, Phoenix, AZ 85016-3424 | 2020-08-25 |
1922620913 | Veronica Ramirez | Counselor | 7805 S 27th Way, Phoenix, AZ 85042-7079 | 2020-05-12 |
1366947681 | Lisa Marie Smith | Counselor | 14435 N 7th St Ste 106, Phoenix, AZ 85022-4371 | 2018-03-28 |
1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
1730317017 | Carol Zoanne Mcginnis | Counselor | 13916 Jarrettsville Pike, Phoenix, MD 21131-2040 | 2009-06-25 |
1497998751 | David Delano Pillar | Counselor | 18010 N Tatum Blvd, Phoenix, AZ 85032-1507 | 2009-04-15 |
1578180816 | Alicia Johnston | Counselor | 7220 N 16th St Ste G, Phoenix, AZ 85020-5253 | 2020-07-02 |
1619449949 | Al Yokubonis | Counselor | 3509 E Shea Blvd Ste 117, Phoenix, AZ 85028-3339 | 2018-12-27 |
1972956670 | A-making Changes | Counselor | 2942 N 24th St, Suite 114-766, Phoenix, AZ 85016-7844 | 2016-07-18 |
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.