TERROS, INC. (NPI# 1972135390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972135390 |
| Entity Type | Organization |
| Organization Name | TERROS, INC. |
| Other Organization Name | TERROS HEALTH |
| Practice Address |
1111 S Stapley Dr Mesa AZ 85204-5059 |
| Mailing Address |
3003 N Central Ave Ste 400 Phoenix AZ 85012-2929 |
| Practice Telephone | 6026856000 |
| Practice Fax Number | 4808345703 |
| Mailing Telephone | 6026856000 |
| Mailing Fax Number | 6026856001 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | PEGGY CHASE (PRESIDENT/CEO) |
| Authorized Official Telephone | 6026856000 |
| Is Organization Subpart | Y |
| Parent Organization Name | TERROS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Terros Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528443066 | Terros, Inc. | Clinic/Center | 8804 N 23rd Ave Bldg A, Suite A01 & A02, Phoenix, AZ 85021-4185 | 2015-07-27 |
| 1295129823 | Terros, Inc. | Clinic/Center | 3385 N Campbell Ave, Tucson, AZ 85719-2306 | 2015-03-20 |
| 1487072351 | Terros, Inc. | Substance Abuse Rehabilitation Facility | 5801 N 51st Ave, Glendale, AZ 85301-6057 | 2014-03-28 |
| 1841498060 | Terros, Inc. | Community/Behavioral Health | 3003 N Central Ave Ste 400, Phoenix, AZ 85012-2929 | 2007-07-10 |
| 1295784817 | Terros, Inc. | Clinic/Center | 4909 E Mcdowell Rd, Phoenix, AZ 85008-7735 | 2006-05-09 |
| 1437626843 | Terros, Inc. | Clinic/Center | 4616 N 51st Ave Ste 108, Phoenix, AZ 85031-1720 | 2018-10-24 |
| 1235590712 | Terros, Inc. | Community/Behavioral Health | 3864 N 27th Ave, Phoenix, AZ 85017-4703 | 2016-03-11 |
| 1932593944 | Terros, Inc. | Clinic/Center | 1232 E Broadway Rd Ste 120, Tempe, AZ 85282-1510 | 2015-03-27 |
| 1467841023 | Terros, Inc. | Clinic/Center | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2015-01-20 |
| 1699173245 | Terros, Inc. | Clinic/Center | 6151-6153 W Olive Ave, Glendale, AZ 85302-4598 | 2014-12-15 |
| Street Address |
1111 S STAPLEY DR |
| City | MESA |
| State | AZ |
| Zip Code | 85204-5059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568433787 | Jennifer Elhabiby | Optometrist | 1111 S Stapley Dr, Mesa, AZ 85204-5015 | 2006-01-27 |
| 1063013506 | Geoffrey B Carr | Counselor | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2020-11-02 |
| 1639777220 | Mary E Pals | Counselor | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2020-10-15 |
| 1467050195 | Linsey M Mettenbrink | Counselor | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2020-10-14 |
| 1578198479 | Adrienne Rabick | Counselor | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2020-03-11 |
| 1366072399 | Jennifer L Spaude | Social Worker | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2020-01-17 |
| 1124664362 | Diana M Kirby | Social Worker | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2019-11-22 |
| 1376189894 | Amanda M Chavez | Social Worker | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2019-11-19 |
| 1720555030 | Terros Inc | Clinic/Center | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2018-10-25 |
| 1063987394 | Alice Joy Barton | Counselor | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2018-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1699035501 | Adelante Healthcare, Inc. | Clinic/Center | 1705 W Main St, Mesa, AZ 85201 | 2012-05-24 |
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| 1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
| 1194207878 | Valle Del Sol, Inc. | Clinic/Center | 1510 S 19th Dr, Phoenix, AZ 85009-6540 | 2018-08-30 |
| 1861970139 | Horizon Health and Wellness, Inc. | Clinic/Center | 374 W Alden Rd, Kearny, AZ 85137-1208 | 2018-07-30 |
| 1578059168 | Native Health | Clinic/Center | 6850 W Indian School Rd Ste Nh1, Phoenix, AZ 85033-3249 | 2018-07-06 |
| 1821582529 | Chiricahua Community Health Centers, Inc | Clinic/Center | 335 South Ocotillo Avenue, Benson, AZ 85602 | 2018-06-18 |
| 1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
| 1346755295 | Circle The City | Clinic/Center | 210 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-12-13 |
| 1548794142 | Ajo Community Health Center | Clinic/Center | 13060 S Sunland Gin Rd, Arizona City, AZ 85123 | 2017-04-20 |
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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.