MAGELLAN HEALTH SERVICES OF ARIZONA, INC. (NPI# 1982728267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982728267 |
| Entity Type | Organization |
| Organization Name | MAGELLAN HEALTH SERVICES OF ARIZONA, INC. |
| Other Organization Name | MARICOPA CLINIC 1300 N CENTRAL |
| Practice Address |
1300 N Central Ave Phoenix AZ 85004-1722 |
| Mailing Address |
4129 East Van Buren Street Suite 150 Phoenix AZ 85008 |
| Practice Telephone | 6022510650 |
| Mailing Telephone | 8005645465 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-10-15 |
| Authorized Official Name | DR. CHRIS ADAIR CARSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6027978333 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | BH2971 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 532095 | 05 |
| Other Name | Type Code |
|---|---|
| Maricopa Clinic 1300 N Central | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598880205 | Magellan Health Services of Arizona, Inc. | Case Management | 702 W Dunlap Ave, Phoenix, AZ 85021-3529 | 2007-03-20 |
| 1518082569 | Magellan Health Services of Arizona, Inc. | Case Management | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2007-03-20 |
| 1750405064 | Magellan Health Services of Arizona, Inc. | Case Management | 5022 N 54th Ave, #4, Glendale, AZ 85301-7531 | 2007-03-19 |
| 1689798043 | Magellan Health Services of Arizona, Inc. | Case Management | 7020 N 56th Ave, Glendale, AZ 85301-2516 | 2007-03-19 |
| 1417071721 | Magellan Health Services of Arizona, Inc. | Case Management | 1616 E Roeser Rd, Phoenix, AZ 85040-3336 | 2007-03-19 |
| 1184748493 | Magellan Health Services of Arizona, Inc. | Case Management | 3640 W Osborn Rd, #1, Phoenix, AZ 85019-4006 | 2007-03-19 |
| 1629192992 | Magellan Health Services of Arizona, Inc. | Case Management | 4160 N 108th Ave, Phoenix, AZ 85037-5468 | 2007-03-19 |
| 1033233341 | Magellan Health Services of Arizona, Inc. | Case Management | 6330 E Thomas Rd, #200, Scottsdale, AZ 85251-7057 | 2007-03-19 |
| 1801910278 | Magellan Health Services of Arizona, Inc. | Case Management | 1225 E Broadway Rd, #240, Tempe, AZ 85282-1525 | 2007-03-19 |
| 1811011232 | Magellan Health Services of Arizona, Inc. | Case Management | 5030 W Mcdowell Rd, #16, Phoenix, AZ 85035-3945 | 2007-03-19 |
| Street Address |
1300 N CENTRAL AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-1722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982913034 | Janette Marisa Albarracin | Nurse Practitioner | 1300 N Central Ave, Phoenix, AZ 85004-1722 | 2010-10-06 |
| 1235373960 | People of Color Network | Clinic/Center | 1300 N Central Ave, Phoenix, AZ 85004-1722 | 2009-04-24 |
| 1174551220 | Carl S. Wellish | Psychiatry & Neurology | 1300 N Central Ave, Phoenix, AZ 85004-1722 | 2006-06-29 |
| 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 | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151546 | Community 43 LLC | Case Management | 4343 N 16th St, Phoenix, AZ 85016-5338 | 2020-10-12 |
| 1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
| 1265057962 | Semper Fidelis Behavioral Health Care, LLC | Case Management | 111 N Dupont Cir Unit 337, Phoenix, AZ 85034-1847 | 2020-06-09 |
| 1386267706 | The Adam Dixon Perseverance Foundation | Case Management | 5060 N 19th Ave # 300-14, Phoenix, AZ 85015-3210 | 2020-05-20 |
| 1861031486 | Maggie's Place | Case Management | 4001 N 30th St, Phoenix, AZ 85016-6810 | 2019-12-30 |
| 1568014397 | Beia's Place | Case Management | 7225 S 2nd Gln, Phoenix, AZ 85041-7142 | 2019-07-11 |
| 1275095432 | All About You Behavioral Health Center Inc | Case Management | 2920 N 24th Ave Ste 240, Phoenix, AZ 85015-5960 | 2019-04-04 |
| 1417413949 | Abel's House Inc. | Case Management | 1127 W Peoria Ave, Phoenix, AZ 85029-5984 | 2019-02-20 |
| 1801369632 | 1514 Bethany Home Management, LLC | Case Management | 1514 W Bethany Home Rd, Phoenix, AZ 85015-2504 | 2019-01-03 |
| 1083192215 | Dcc, Inc. Dba Kidney Dialysis Avoidance Program | Case Management | 22601 N 19th Ave Ste 230, Phoenix, AZ 85027-1362 | 2018-07-31 |
| 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.