The Verdure Center, LLC · 8825 N 23rd Ave Ste 100, Phoenix, AZ 85021-4148 · Mental Health Clinic/Center (Including Community Mental Health Center) (2024)

Overview

The Verdure Center, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) (organization) practicing in Phoenix, Arizona. The National Provider Identifier (NPI) is #1992416622, which was assigned on December 13, 2022, and the registration record was last updated on June 6, 2023. The practitioner's main practice location is at 8825 N 23rd Ave Ste 100, Phoenix, AZ 85021-4148; the contact telephone number is 5045988840, and the fax number is 8133368867. The primary taxonomy of The Verdure Center, LLC is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), with specialization in Mental Health (Including Community Mental Health Center). The authorized official for The Verdure Center, LLC is Tyrone Kemper Sr. (Executive Director).

Provider Information

NPI 1992416622
Entity Type Organization
Organization Name THE VERDURE CENTER, LLC
Provider Name THE VERDURE CENTER, LLC
Practice Address 8825 N 23rd Ave Ste 100
Phoenix
AZ 85021-4148
Practice Telephone 5045988840
Practice Fax Number 8133368867
Mailing Address 8825 N 23rd Ave Ste 100
Phoenix
AZ 85021-4148
Mailing Telephone 5045988840
Mailing Fax Number 8133368867
Certification Date 2023-06-06
Enumeration Date 2022-12-13
Last Update Date 2023-06-06
Is Organization Subpart N

Authorized Official Information

Official Name TYRONE KEMPER SR.
Official Title EXECUTIVE DIRECTOR
Credential BHT
Telephone 5045988840

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)

Taxonomy Information

Primary Taxonomy

Code 261QM0801X
Taxonomy Mental Health Clinic/Center (Including Community Mental Health Center)
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)
Grouping Ambulatory Health Care Facilities

Definition: Definition to come...

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Location Information

Street Address 8825 N 23RD AVE STE 100
City PHOENIX
State AZ
Zip Code 85021-4148
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Bridget Henry 8825 N 23rd Ave Ste 100, Phoenix, AZ 85021-4148Clinical Psychologist2019-07-02
Harmonic Medical Group of Arizona, P.C. 8825 N 23rd Ave Ste 100, Phoenix, AZ 85021-4148Clinical Social Worker2024-01-24
Octave Behavioral Michigan PC 8825 N 23rd Ave Ste 100, Phoenix, AZ 85021-4148Psychologist2024-04-15
Workit Health Mi PLLC 8825 N 23rd Ave Ste 100, Phoenix, AZ 85021-4148General Practice Physician2022-05-03
Meditelecare of Arizona PLLC 8825 N 23rd Ave Ste 100, Phoenix, AZ 85021-4148Clinical Psychologist2022-08-16
Stagezero Physician Holdings Inc 8825 N 23rd Ave Ste 100, Phoenix, AZ 85021-4148Case Management Agency2021-07-19
Fep Ncch 8825 N 23rd Ave Ste 100, Phoenix, AZ 85021-4148Emergency Medicine Physician2020-10-22

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Lori Beth Stading · Lori Beth Kostrewa 7540 N. 19th Ave Suite 200, Synertx Rehab, Phoenix, AZ 85021Speech-Language Pathologist2014-05-28
Madison Westby 717 W Dunlap Ave # 100, Phoenix, AZ 85021Physical Therapist2019-10-14
Cyrus Professional Corporation · We Are Smiles/ Tony Hashemian, Dds 2401 W. Glendale Ave, Ste 102, Phoenix, AZ 85021Dentist2018-01-12
Marla Jean Clay 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021Licensed Practical Nurse2017-09-07
Shaena Joseph 1701 W Glendale Ave, Suite 6, Phoenix, AZ 85021Behavior Technician2022-08-04
Iwc West LLC 2338 W Royal Palm Road, Suite J, Phoenix, AZ 85021Internal Medicine Physician2017-02-28
Jimmy Tomusange 2021 West Haywood #30, Phoenix, AZ 85021Behavior Technician2022-12-19
Kaitlin King · Kaitlin Cuthbert 8824 N 9th Ave, Phoenix, AZ 85021Family Nurse Practitioner2017-06-08
Alycia Ann Poloni 7129 N 23d Ave, Phoenix, AZ 85021Occupational Therapist2018-01-17
Cosmas Ojara 2021 West Hayward Ave Apt 23, Phoenix, AZ 85021Community/Behavioral Health Agency2022-12-19
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.

The Verdure Center, LLC · 8825 N 23rd Ave Ste 100, Phoenix, AZ 85021-4148 · Mental Health Clinic/Center (Including Community Mental Health Center) (2024)
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