Organization
GENHEALTH
Active
Organization
GENHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ROSS PHARMD (CEO)
(480) 559-5260
Entity
Organization
Contact information
Practice address
14441 W MCDOWELL RD STE B102, GOODYEAR, AZ 85395-2519
(480) 516-8037
(480) 400-4383
Mailing address
14441 W MCDOWELL RD STE B102, GOODYEAR, AZ 85395-2519
(480) 516-8037
(480) 400-4383
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
133N00000X
Nutritionist
—
—
183500000X
Pharmacist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
729400
—
AZ
Enumeration date
11/13/2018
Last updated
02/11/2025
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