INTEGRO HEALTH SYSTEMS, INC. (NPI# 1972079747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972079747 |
| Entity Type | Organization |
| Organization Name | INTEGRO HEALTH SYSTEMS, INC. |
| Other Organization Name | INTEGRO BEHAVIORAL FACILITY |
| Practice Address |
1501 E Orangewood Ave Bldg C Phoenix AZ 85020-5130 |
| Mailing Address |
1501 E Orangewood Ave Phoenix AZ 85020-5130 |
| Practice Telephone | 6025358200 |
| Practice Fax Number | 6024572517 |
| Mailing Telephone | 6025358200 |
| Mailing Fax Number | 6024572517 |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-12-28 |
| Authorized Official Name | DR. MARCO VALERIO CANULLA (FOUNDER AND CHAIRMAN) |
| Authorized Official Telephone | 6025716521 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 283Q00000X | Psychiatric Hospital | Hospitals | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Integro Behavioral Facility | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790219095 | Integro Health Systems, Inc. | Psychiatric Hospital | 1501 E Orangewood Ave Bldg A, Phoenix, AZ 85020-5130 | 2017-04-13 |
| 1568988152 | Integro Health Systems, Inc. | Community/Behavioral Health | 1501 E Orangewood Ave, Phoenix, AZ 85020-5130 | 2017-08-16 |
| 1154846517 | Integro Health Systems, Inc. | Community/Behavioral Health | 2728 N 24th St, Phoenix, AZ 85008-1050 | 2017-08-07 |
| Street Address |
1501 E ORANGEWOOD AVE BLDG C |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85020-5130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
| 1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
| 1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
| 1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
| 1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
| 1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
| 1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
| 1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
| Find all providers in zip 85020 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475144 | Best Self LLC | Clinic/Center | 10000 N 31st Ave Ste C100-128, Phoenix, AZ 85051-1356 | 2020-10-24 |
| 1164036935 | Carmen L. Lucia Psyd LLC | Clinic/Center | 15215 S 48th St Ste 154, Phoenix, AZ 85044-9139 | 2020-08-31 |
| 1366054694 | Integrative Counseling L.L.C. | Clinic/Center | 2211 E Highland Ave Ste 130, Phoenix, AZ 85016-4867 | 2020-08-18 |
| 1225664881 | Julie Morton Lcsw-c, LLC | Clinic/Center | 13604 Bardon Rd, Phoenix, MD 21131-1518 | 2020-03-16 |
| 1922569805 | Uptown Psychiatry LLC | Clinic/Center | 1130 E Missouri Ave Ste 580, Phoenix, AZ 85014-2729 | 2019-03-25 |
| 1982163549 | Amore Aware LLC | Clinic/Center | 6900 E Princess Dr Unit 1214, Phoenix, AZ 85054-4110 | 2019-03-13 |
| 1356805816 | Arizonas New Hope | Clinic/Center | 10000 N 31st Ave Ste D304g, Phoenix, AZ 85051-9582 | 2019-01-29 |
| 1306331509 | Native American Connections | Clinic/Center | 4520 N Central Ave Ste 380, Phoenix, AZ 85012-7815 | 2018-06-29 |
| 1194135152 | Connectionsaz, LLC | Clinic/Center | 1201 S 7th Ave Ste 150, Phoenix, AZ 85007-4075 | 2014-04-30 |
| 1770888646 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 1601 W Desert Cove Ave, Phoenix, AZ 85029-5023 | 2011-01-24 |
| 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.