SELF (NPI# 1912372822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912372822 |
| Entity Type | Organization |
| Organization Name | SELF |
| Practice Address |
5010 E Shea Blvd Ste D202 Scottsdale AZ 85254-4570 |
| Practice Telephone | 6025694328 |
| Practice Fax Number | 6025694378 |
| Mailing Telephone | 6025694328 |
| Mailing Fax Number | 6025694378 |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |
| Authorized Official Name | MR. MICHAEL RAIMONDI (THERAPIST) |
| Authorized Official Telephone | 6025694328 |
| Authorized Official Credential | LPC 14499/LISAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LPC 14499 | AZ | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508319666 | Self | Community/Behavioral Health | 117 Valley St, Glenwood, IA 51534-1024 | 2016-07-25 |
| 1568814390 | Self | Clinic/Center | 19 Merrick Ave Apt 1, Springfield, MA 01109-4324 | 2016-07-05 |
| 1740655471 | Self | Clinic/Center | 7627 Key West Dr, Parma, OH 44134-6624 | 2015-12-07 |
| 1215333901 | Self | Physical Therapist | 410 Jason Dr, Richmond, KY 40475-2291 | 2014-11-07 |
| 1659789915 | Self | Home Health | 33803 Electric Blvd, E4, Avonlake, OH 44012 | 2014-07-30 |
| 1811334758 | Self | Skilled Nursing Facility | 4 Spruce Rd, Amityville, NY 11701-1019 | 2013-06-02 |
| 1699019786 | Self | Health Maintenance Organization | 10136 Amigo Ave, Northridge, CA 91324-1301 | 2012-11-15 |
| 1861781759 | Self | Licensed Practical Nurse | 29 Heberton Rd, Rochester, NY 14622-2405 | 2011-03-31 |
| 1649599135 | Self | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1965 Lafayette Ave, Apt. 1g, Bronx, NY 10473-2502 | 2010-05-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SELF | 214 Ceret Ct Sw, Vienna, VA 22180-6210 |
| Colorado Business Entities | Self !mprovment, LLC | 3416 White Oak Ln, Highlands Ranch, CO 80129 |
| Virginia Business Entities | SELF & LOVING CONSTRUCTION INC. | 140 Claughton Wright Lane, Lottsburg, Virginia 22511 |
| System for Award Management (SAM) Entities | SELF & SELF GENERAL CONTRACTORS | 494 Grv St N, Dahlonega, GA 30533-0432 |
| System for Award Management (SAM) Entities | SELF --- SUPPORT FOR EARLY LEARNING & FAMILIES | 12214 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684-6019 |
| New York State Corporations | SELF ABLE, INC. | 302 N Fulton Avenue, Lindenhurst, Ny 11757 |
| Washington State Corporations | SELF ACCESS STORAGE, LLC | 102 Myers St, Rainier, WA 98576 |
| Virginia Business Entities | Self Actualization Counseling Services LLC | 1220 Geranium Crescent, Virginia Beach, Virginia 23453 |
| Indiana Business Entities | SELF ADHERING PRODUCTS INC | 457 Circle Freeway Dr, Cincinnati, OH 45246 |
| Washington State Corporations | SELF ADHESIVE RECORDS INC. | 3835 34th Ave W #2 Po Box 99711, Seattle, WA 98199 |
| Street Address |
5010 E SHEA BLVD STE D202 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85254-4570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649549031 | Act Addictions Counseling Treatment Inc | Counselor | 5010 E Shea Blvd Ste D202, Scottsdale, AZ 85254-4570 | 2011-12-14 |
| 1700418332 | Carol Elizabeth Gunderson | Counselor | 5010 E Shea Blvd Ste D202, Scottsdale, AZ 85254-4570 | 2020-02-11 |
| 1487295267 | A Better Way of Life | Clinic/Center | 5010 E Shea Blvd Ste D202, Scottsdale, AZ 85254-4570 | 2019-10-03 |
| 1790241610 | Nicole Tansy | Behavior Technician | 5010 E Shea Blvd Ste D202, Scottsdale, AZ 85254-4570 | 2019-02-15 |
| 1891266979 | Jessica A Jacupke | Behavior Technician | 5010 E Shea Blvd Ste D202, Scottsdale, AZ 85254-4570 | 2018-12-16 |
| 1073090700 | Scott Alan Wilson | Psychologist | 5010 E Shea Blvd Ste D202, Scottsdale, AZ 85254-4570 | 2018-07-25 |
| 1295229938 | Holly Sue Betzer | Counselor | 5010 E Shea Blvd Ste D202, Scottsdale, AZ 85254-4570 | 2018-06-16 |
| 1265926109 | Michael Oscar Sanchez | Community/Behavioral Health | 5010 E Shea Blvd Ste D202, Scottsdale, AZ 85254-4570 | 2018-06-14 |
| 1669989398 | Matthew Stuart Wohl | Behavior Technician | 5010 E Shea Blvd Ste D202, Scottsdale, AZ 85254-4570 | 2018-01-03 |
| 1679089189 | Shawna Tremoulis | Behavior Technician | 5010 E Shea Blvd Ste D202, Scottsdale, AZ 85254-4570 | 2017-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318416 | Dental Center of Scottsdale Pllc | Dentist | 6945 E. Sahuaro, Dr. Ste A-3, Scottsdale, AZ 85254 | 2020-05-19 |
| 1730651365 | Banner Urgent Care Services, LLC | Clinic/Center | 6501 East Greenway Parkway Building 3 Ste 104, Scottsdale, AZ 85254 | 2018-12-20 |
| 1801364872 | Lionrock Behavioral Health, Inc. | Community/Behavioral Health | 7047 E. Greenwood Parkway, Suite 250, Scottsdale, AZ 85254 | 2018-11-08 |
| 1497241079 | Saguaro Treatment Center | Pain Medicine | 5533 E. Bell Rd #111, Scottsdale, AZ 85254 | 2018-07-06 |
| 1811489941 | One Hundred Dental Pllc | Clinic/Center | 11000 N Scottsdale Rd Ste 290, Scottsdale, AZ 85254 | 2018-06-05 |
| 1104339316 | Victoria Lynne Amstutz | Family Medicine | 5546 E. Yucca Street, Scottsdale, AZ 85254 | 2017-11-09 |
| 1205345477 | Dentists of Scottsdale, LLP | Dentist | 16201 N Scottsdale Road, Ste 100, Scottsdale, AZ 85254 | 2017-09-20 |
| 1346779626 | Jillian Manng | Nurse Practitioner | 11000 N. Scottsdale Rd., #145, Scottsdale, AZ 85254 | 2017-06-08 |
| 1184163339 | Emily Tepouha Bashah | Psychologist | 13430 North Scottsdale Road, Suite #301a, Scottsdale, AZ 85254 | 2017-02-21 |
| 1427596741 | Tiffany Schonert | Contractor | 7127 E Sahuaro Dr Suite 105, Scpttsdale, AZ 85254 | 2017-02-07 |
| Find all providers in zip 85254 | ||||
| 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 |
|---|---|---|---|---|
| 1801403944 | Transcending Love Treatment Center LLC | Community/Behavioral Health | 9393 N 90th St Ste 102-250, Scottsdale, AZ 85258-5040 | 2020-09-23 |
| 1396207817 | Roman Empire Aba Agency Inc | Community/Behavioral Health | 9917 E Bell Rd Ste 120, Scottsdale, AZ 85260-2397 | 2019-04-03 |
| 1801364872 | Lionrock Behavioral Health, Inc. | Community/Behavioral Health | 7047 E. Greenwood Parkway, Suite 250, Scottsdale, AZ 85254 | 2018-11-08 |
| 1093202251 | Invitation2recovery LLC | Community/Behavioral Health | 7281 E Earll Dr Ste A3, Scottsdale, AZ 85251-7213 | 2018-04-13 |
| 1588022586 | Community Medical Services Arizona-pvt, LLC | Community/Behavioral Health | 9449 N 90th St Ste 210, Scottsdale, AZ 85258-5037 | 2016-02-04 |
| 1396102661 | Miriam M. Gottlieb, Ph.d., P.C. | Community/Behavioral Health | 12795 N 102nd St, Scottsdale, AZ 85260-4643 | 2016-01-18 |
| 1679939607 | B Smart | Community/Behavioral Health | 29603 N 164th St, Scottsdale, AZ 85262-6962 | 2016-01-06 |
| 1104207638 | Sage Counseling, Inc. | Community/Behavioral Health | 4375 N. Civic Center Plaza, Suite 201, Scottsdale, AZ 85251 | 2015-06-10 |
| 1962749499 | Visions of Hope Ariziona, Inc | Community/Behavioral Health | 6411 E Thomas Rd, Scottsdale, AZ 85251-6005 | 2013-01-03 |
| 1922396639 | Scottsdale Recovery Center, LLC | Community/Behavioral Health | 10446 N 74th St Ste 150, Scottsdale, AZ 85258-1045 | 2011-07-14 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85254 |
Please comment or provide details below to improve the information on SELF.
| 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.