SAMARA CERVEN (NPI# 1972092617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972092617 |
| Entity Type | Individual |
| Full Name | SAMARA CERVEN |
| Credential | PSY.D |
| Practice Address |
2120 N Central Ave Phoenix AZ 85004-1455 |
| Mailing Address |
8810 N 17th Ln Phoenix AZ 85021-4318 |
| Practice Telephone | 6022714500 |
| Mailing Telephone | 9178341931 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
2120 N CENTRAL AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-1455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356360705 | Cathy Boyle | Registered Nurse | 2120 N Central Ave, Phoenix, AZ 85004 | 2006-07-18 |
| 1073992798 | Erica Carberry | Counselor | 2120 N Central Ave, Phoenix, AZ 85004-1455 | 2015-05-27 |
| 1164810222 | Lora Cogliani | Counselor | 2120 N Central Ave, Phoenix, AZ 85004-1455 | 2014-12-24 |
| 1083033641 | Christopher Keck | Counselor | 2120 N Central Ave, Phoenix, AZ 85004-1455 | 2014-04-10 |
| 1962753343 | Haley M Dietzman | Registered Nurse | 2120 N Central Ave, Phoenix, AZ 85004 | 2012-09-26 |
| 1134374754 | Kim A Yeakel | Nurse Practitioner | 2120 N Central Ave, Phoenix, AZ 85004-1455 | 2008-11-24 |
| 1316163868 | Cynthia A Nelson | Nurse Practitioner | 2120 N Central Ave, Phoenix, AZ 85004-1455 | 2007-04-17 |
| 1124107065 | Childhelp Inc. | Community/Behavioral Health | 2120 N Central Ave, Suite 130, Phoenix, AZ 85004 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1407319486 | Joan Ledvina Parr | Psychologist | 13 Glenbrook Dr, Phoenix, MD 21131-2007 | 2019-04-08 |
| 1720591365 | Think Psychological and Consulting Services Pllc | Psychologist | 2632 S 83rd Ave Ste 100-481, Phoenix, AZ 85043-7206 | 2017-11-06 |
| 1558880682 | Christine Breuer | Psychologist | 21630 N 19th Ave Ste B17, Phoenix, AZ 85027-2715 | 2017-09-09 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1225584030 | Sojourner Health | Psychologist | 2224 E Fillmore St, Phoenix, AZ 85006-3815 | 2016-08-31 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1982097614 | T. M. Barratt | Psychologist | 3550 N. Central Ave. Suite 1407, Phoenix, AZ 85012 | 2015-03-04 |
| 1003204827 | Melissa Ann Lake | Psychologist | 4552 W Cottontail Rd, Phoenix, AZ 85086-1449 | 2014-12-31 |
| 1699196915 | Deborah Gladding | Psychologist | 36625 N 18th St, Phoenix, AZ 85086-5715 | 2014-01-05 |
| 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.