Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jamie Roshun Dawson

Individual provider Child Mental Illness Respite Care · NPI 1023637345

Jamie Roshun Dawson is a Child Mental Illness Respite Care in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

13229 S 48th St Apt 3051
Phoenix, AZ 85044
Phone: (501) 952-1976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 10125986 (AZ)
Child Mental Illness Respite Care Taxonomy 385HR2055X · Licence 10125986 (AZ)

Record details

NPI number1023637345
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 16, 2020
Last updated in NPPESSeptember 11, 2020
Certification dateSeptember 11, 2020
Mailing addressIntermountain Centers For Human Development Inc., Po Box 86537, Tuscon, AZ 85754-6537

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