DR. RAYMOND WILLIAM NOVAK (NPI# 1932334877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932334877 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND WILLIAM NOVAK |
| Credential | M.D. |
| Practice Address |
10500 E Tanque Verde Rd Tucson AZ 85749-8931 |
| Mailing Address |
915 N Swan Rd Tucson AZ 85711-1213 |
| Practice Telephone | 5207495980 |
| Practice Fax Number | 5207494852 |
| Mailing Telephone | 5204192499 |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2009-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 14286 | AZ | Residential Treatment Facilities |
| Street Address |
10500 E TANQUE VERDE RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85749-8931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861505901 | Epidaurus (dba) | Substance Abuse Rehabilitation Facility | 10500 E Tanque Verde Rd, Tucson, AZ 85749-8931 | 2006-08-15 |
| 1073154738 | Tonya Clyburn Jones | Counselor | 10500 E Tanque Verde Rd, Tucson, AZ 85749-8931 | 2019-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194197400 | Kristin Palmer | Specialist | 9006 E Eagle Place, Tucson, AZ 85749 | 2015-10-26 |
| 1417349028 | Intermountain Centers for Human Develoment Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8851 East Tanque Verde, Tucson, AZ 85749 | 2015-02-19 |
| 1659776557 | Mahmoud Moghaddami | Nurse Practitioner | 1075 E Ft Lowell, Tucson, AZ 85749 | 2014-11-04 |
| 1255632295 | John Leroy Kallmeyer, M.d. | Obstetrics & Gynecology | 11122 E. Rusty Spur Pl., Tucson, AZ 85749 | 2010-11-08 |
| 1861708547 | Nancy H Mcgibbon | Physical Therapist | 8920 E. Woodland Rd, Tucson, AZ 85749 | 2010-08-19 |
| 1366773103 | Lee J Weisbard | Pharmacist | 9115 E Tanque Verde Road, Tucson, AZ 85749 | 2010-01-19 |
| 1568612869 | Southwest Surgical Services | Specialist/Technologist, Other | 12125 E. Quesada Place, Tucson, AZ 85749 | 2008-09-23 |
| 1841456589 | David Dietz | Counselor | 1795 W. Drexel, Tucson, AZ 85749 | 2008-08-01 |
| 1124203682 | Marilou Errazo-searles | Registered Nurse | 11109 E Tanque Verde Rd, Tucson, AZ 85749 | 2008-01-03 |
| 1427142074 | Rgl Development, LLC | Assisted Living Facility | 9050 E Tanque Verde Road, Tucson, AZ 85749 | 2006-10-03 |
| Find all providers in zip 85749 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407040553 | Mirasol Inc | Psychiatric Residential Treatment Facility | 1515 E Kleindale Rd, Tucson, AZ 85719-1915 | 2007-08-31 |
| 1669535720 | Mirasol, Inc. | Psychiatric Residential Treatment Facility | 10490 E Escalante Rd, Tucson, AZ 85730-5502 | 2006-12-19 |
| 1720177348 | La Frontera Center, Inc. | Psychiatric Residential Treatment Facility | 10845 N. Thornydale Road, Tucson, AZ 85742 | 2006-10-12 |
| 1023119955 | La Frontera Center, Inc. | Psychiatric Residential Treatment Facility | 1441 S. No Le Hace, Tucson, AZ 85745 | 2006-09-25 |
| 1255432183 | La Frontera Center, Inc. | Psychiatric Residential Treatment Facility | 10841 N Thornydale Road, Tucson, AZ 85742 | 2006-09-25 |
| 1346706306 | Impact Medical Group | Psychiatric Residential Treatment Facility | 870 W Miracle Mile, Tucson, AZ 85705-3708 | 2019-02-14 |
| 1154866853 | Bethel House | Psychiatric Residential Treatment Facility | 9820 E Paseo San Bernardo, Tucson, AZ 85747-5022 | 2017-01-04 |
| 1518299767 | Sierra Tucson, Inc. | Psychiatric Residential Treatment Facility | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 | 2010-02-12 |
| 1184814550 | Haven Sendero De Sonora, Inc. | Psychiatric Residential Treatment Facility | 2502 N Dodge Blvd, Suite 160, Tucson, AZ 85716-2671 | 2007-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040123 | Choice Business Strategies LLC | Psychiatric Residential Treatment Facility | 29400 N 123rd Gln, Peoria, AZ 85383-4096 | 2020-10-14 |
| 1417565292 | Horizon Group Homes LLC | Psychiatric Residential Treatment Facility | 378 E Tropical Dr, Casa Grande, AZ 85122-5086 | 2020-07-17 |
| 1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
| 1073138673 | Hightower Behavioral Health Services | Psychiatric Residential Treatment Facility | 13206 W Crestvale Dr, Peoria, AZ 85383-5496 | 2020-06-10 |
| 1437773942 | Excellent Care LLC | Psychiatric Residential Treatment Facility | 14029 N 39th Ave, Phoenix, AZ 85053-5438 | 2020-06-01 |
| 1730701517 | Jezzob Behavioral Health LLC | Psychiatric Residential Treatment Facility | 4918 W Apollo Rd, Laveen, AZ 85339-6289 | 2020-05-14 |
| 1235750977 | Sagamar Behavioral Care Home, LLC | Psychiatric Residential Treatment Facility | 4444 N 13th Pl Apt 3, Phoenix, AZ 85014-4584 | 2020-05-05 |
| 1508492703 | Rehoboth LLC | Psychiatric Residential Treatment Facility | 41947 W Rosa Dr, Maricopa, AZ 85138-2550 | 2020-03-19 |
| 1851926661 | Cadens Health and Wellness LLC | Psychiatric Residential Treatment Facility | 5244 W Apollo Rd, Laveen, AZ 85339-6912 | 2020-03-12 |
| 1114552122 | Angel Heart Behavioral Health IIi LLC | Psychiatric Residential Treatment Facility | 9223 W Meadow Brook, 9223 W Meadow Brook Ave, Phoenix, AZ 85037-8503 | 2020-03-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. RAYMOND WILLIAM NOVAK.
| 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.