ARIZONA CENTER FOR INNOVATIVE STRESS & TRAUMA TREATMENT (ACISTT)


Address: 1014 N Country Club Rd, Tucson, AZ 85716-4239
Phone: 5204449138

ARIZONA CENTER FOR INNOVATIVE STRESS & TRAUMA TREATMENT (ACISTT) (NPI# 1982061156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982061156
Entity Type Organization
Organization Name ARIZONA CENTER FOR INNOVATIVE STRESS & TRAUMA TREATMENT (ACISTT)
Practice Address 1014 N Country Club Rd
Tucson
AZ 85716-4239
Practice Telephone 5204449138
Mailing Telephone 5204449138
Enumeration Date 2016-01-19
Last Update Date 2020-04-27
Authorized Official Name DR. NORMA MAGDALENO (CLINICAL DIRECTOR/THERAPIST)
Authorized Official Telephone 5204449138
Authorized Official Credential DBH, LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health LCSW-11577 AZ Agencies

Other Provider Identifier

State Issuer Identifier Type Code
AZ 456065 05

Office Location

Street Address 1014 N COUNTRY CLUB RD
City TUCSON
State AZ
Zip Code 85716-4239

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730794843 Roberto Carlos Contreras Social Worker 1014 N Country Club Rd, Tucson, AZ 85716-4239 2020-09-15
1275148694 Brad William Thayer Counselor 1014 N Country Club Rd, Tucson, AZ 85716-4239 2020-09-11
1013520584 Christy M Klinetobe Counselor 1014 N Country Club Rd, Tucson, AZ 85716-4239 2020-08-25
1013527613 Debra Marshall Marriage & Family Therapist 1014 N Country Club Rd, Tucson, AZ 85716-4239 2020-08-07
1013525237 Elahe O Bellinger Social Worker 1014 N Country Club Rd, Tucson, AZ 85716-4239 2020-07-14
1720600208 Gregory James Duane Smith Social Worker 1014 N Country Club Rd, Tucson, AZ 85716-4239 2020-05-07
1861013187 Andrea Helene Ward Counselor 1014 N Country Club Rd, Tucson, AZ 85716-4239 2020-04-27
1831728757 Mecheliz Santiago Amaro Social Worker 1014 N Country Club Rd, Tucson, AZ 85716-4239 2020-04-02
1114589462 Althea Rosewood Social Worker 1014 N Country Club Rd, Tucson, AZ 85716-4239 2019-07-07
1376002956 Amanda Kim Denbo Counselor 1014 N Country Club Rd, Tucson, AZ 85716-4239 2019-03-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063065043 Kristi Watson Mdpc Clinic/Center Hodges Eye Care and Surgical Location, 1502 N. Tucson Blvd, Tucson, AZ 85716 2019-07-19
1639731326 Leigh-anne Andre Social Worker 1135 N. Jones Blvd, Tucson, AZ 85716 2019-07-02
1053802462 Thomas Scott Mcvean Technician, Pathology 718 N Richey Blvd, Tucson, AZ 85716 2018-05-21
1063923787 Intermountain Health Center, Inc. Clinic/Center 3815 E. Monte Vista, Apt. 1101, Tuscon, AZ 85716 2017-10-20
1992224729 Rocio Fonseca Counselor 1014 N Country Club, Tucson, AZ 85716 2017-09-13
1548784473 Adrian Linda Fait Speech-Language Pathologist Child & Family Resources, Inc., 2800 E. Broadway Blvd, Tucson, AZ 85716 2017-08-02
1447701867 Katheryn Fredman Counselor 3830 E. Bellevue St., Tucson, AZ 85716 2016-10-20
1396114211 Craig Stark Internal Medicine 2978 E Greenlee St, Tucson, AZ 85716 2015-09-21
1598142283 Layla Carol Bradley Nurse Practitioner 3832 E. Speedway, Minute Clinic, Tucson, AZ 85716 2015-05-01
1134547813 Maeve Shaughnessy Counselor 2921 E Fort Lowell Rd Ste 207, Tucson, AZ 85716 2014-03-31
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265047435 Sarah Mcmillan Counseling Pllc Community/Behavioral Health 6460 E Grant Rd # 30661, Tucson, AZ 85715-8800 2020-09-14
1851902274 Connections Counseling Inc Community/Behavioral Health 450 E Navajo Rd, Tucson, AZ 85705-3939 2020-08-10
1619503224 Willingness Counseling Pllc Community/Behavioral Health 5775 S Saddle Ridge Ln, Tucson, AZ 85746-3635 2020-03-14
1174162143 Buena Vista Recovery, LLC Community/Behavioral Health 5151 E Pima St Ste 110, Tucson, AZ 85712-3627 2019-12-23
1053877639 Getaway Advanced Services LLC Community/Behavioral Health 3780 E Felix Blvd, Tucson, AZ 85706-1926 2019-02-19
1255815577 Jane St. Perre Community/Behavioral Health 1955 W Grant Rd Ste 125p, Tucson, AZ 85745-1471 2018-09-21
1225519416 The University of Arizona Community/Behavioral Health 4210 N Campbell Ave, Tucson, AZ 85719-1109 2018-08-24
1497244214 Sage Counseling, Inc. Community/Behavioral Health 2221 E Broadway Blvd Ste 200, Tucson, AZ 85719-6032 2018-05-07
1316440241 Rob Zonfrelli Counseling LLC Community/Behavioral Health 10501 E Seven Generations Way Ste 121, Tucson, AZ 85747-5828 2018-03-16
1730681685 Casa De Los Ninos, Inc. Community/Behavioral Health 1120 N 5th Avenue, Tucson, AZ 85705 2018-03-07
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Competitor

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City TUCSON
Zip Code 85716

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Dataset Information

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.

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