DENOVA COLLABORATIVE HEALTH
NPI 1982777462
Clinic/Center - Multi-Specialty in Phoenix, AZ

NPI Status: Active since November 15, 2006

Contact Information

3330 N 2ND ST STE 601
PHOENIX, AZ
ZIP 85012
Phone: (602) 230-7373
Fax: (602) 230-5105

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • Accepts Insurance

About DENOVA COLLABORATIVE HEALTH

This page provides the complete NPI Profile along with additional information for Denova Collaborative Health, a provider established in Phoenix, Arizona operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1982777462 assigned on November 2006. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Denova Collaborative Health. The authorized official of this NPI record is Mr. Graham Johnson Ma (Ceo)

NPI
1982777462
Provider Legal Name
DENOVA COLLABORATIVE HEALTH, LLC
Other Organization Name
DENOVA COLLABORATIVE HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3330 N 2ND ST STE 601 PHOENIX, AZ 85012
Location Phone
(602) 230-7373
Location Fax
(602) 230-5105
Mailing Address
3101 N CENTRAL AVE STE 500 PHOENIX, AZ 85012
Mailing Phone
(602) 230-7373
Mailing Fax
(602) 230-5105
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2006
Last Update Date
09-07-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Blue ACA StandardHealth Silver with Health Choice - HMO
  • Connect Bronze 6800 Indiv Med Deductible - HMO
  • Connect Bronze 8900 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold 2500 Indiv Med Deductible - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 4000 Indiv Med Deductible - HMO
  • Connect Silver 5000 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. GRAHAM JOHNSON MA

Authorized Official Title
CEO
Authorized Official Phone
(602) 230-7373

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
076465MEDICAID (05)AZ 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1982777462
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2916214714412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 6 + 2 + 1 + 4 + 7 + 1 + 4 + 4 + 1 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1982777462 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154010551 SYDNEY L WALLACE LAC
Individual
Counselor3330 N 2ND ST STE 601
PHOENIX, AZ 85012
(602) 230-7373
1023794104 JESSICA GONZALES-JOHNSON LAC
Individual
Counselor3330 N 2ND ST STE 601
PHOENIX, AZ 85012
(602) 230-7373
1518647338 QUEEN KAIS LAC
Individual
Counselor (Mental Health)3330 N 2ND ST STE 601
PHOENIX, AZ 85012
(602) 230-7373
1598448664 EMMA J. OLSEN LMSW
Individual
Social Worker3330 N 2ND ST STE 601
PHOENIX, AZ 85012
(602) 230-7373
1609300854DENOVA COLLABORATIVE HEALTH, LLC
Organization
Clinic/Center (Multi-Specialty)3330 N 2ND ST STE 601
PHOENIX, AZ 85012
(602) 230-7373
1467188656 AUBREY DILLISTONE LMSW
Individual
Social Worker3330 N 2ND ST STE 601
PHOENIX, AZ 85012
(602) 230-7373
1043895030MRS. KELLY LYNN HEFFRON PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)3330 N 2ND ST STE 601
PHOENIX, AZ 85012
(602) 230-7373
1487315073 SUSAN CAROLE BRENNER LPC
Individual
Social Worker (Clinical)3330 N 2ND ST STE 601
PHOENIX, AZ 85012
(602) 230-7373
1679217566 JAMES TAYLOR LAC
Individual
Counselor3330 N 2ND ST STE 601
PHOENIX, AZ 85012
(602) 230-7373
1891450169 JULIE RENEE GILL PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)3330 N 2ND ST STE 601
PHOENIX, AZ 85012
(602) 230-7373
1245955152 LEAH PATTON PA-C
Individual
Physician Assistant3330 N 2ND ST STE 601
PHOENIX, AZ 85012
(602) 230-7373
1285143081 NIA MONIQUE JARRETT PAC
Individual
Physician Assistant3330 N 2ND ST STE 601
PHOENIX, AZ 85012
(602) 230-7373
1356829626 JESSICA LYNN HOLLIDAY PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)3330 N 2ND ST STE 601
PHOENIX, AZ 85012
(602) 230-7373
1497412977 ANGELA THOMAS PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)3330 N 2ND ST STE 601
PHOENIX, AZ 85012
(602) 230-7373
1740734987 WHITNEY HESS LMSW
Individual
Social Worker3330 N 2ND ST STE 601
PHOENIX, AZ 85012
(602) 230-7373
1831716083 AMANDA E. BERNAL LPC
Individual
Counselor (Professional)3330 N 2ND ST STE 601
PHOENIX, AZ 85012
(602) 230-7373
1912410309 RENATA WHITLOCK PA-C
Individual
Physician Assistant3330 N 2ND ST STE 601
PHOENIX, AZ 85012
(602) 230-7373
1043936586 HEATH LEVY LMSW
Individual
Social Worker3330 N 2ND ST STE 601
PHOENIX, AZ 85012
(602) 230-7373
1215676432 CAMERON RICH LAC
Individual
Counselor3330 N 2ND ST STE 601
PHOENIX, AZ 85012
(602) 230-7373
1356040885 KARLY KINZIE LAC
Individual
Counselor3330 N 2ND ST STE 601
PHOENIX, AZ 85012
(602) 230-7373

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982777462, enumerated in the NPI registry as an "organization" on November 15, 2006

The provider is located at 3330 N 2nd St Ste 601 Phoenix, Az 85012 and the phone number is (602) 230-7373

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.