| Alevea Mental Health Llc | |
|
2034 E Southern Ave Tempe AZ 85282-7522 | |
| (480) 923-6200 | |
| (602) 419-3101 |
| Full Name | Alevea Mental Health Llc |
|---|---|
| Speciality | Physician Assistant |
| Location | 2034 E Southern Ave, Tempe, Arizona |
| Authorized Official Name and Position | Christopher Michael Bradshaw (CEO, PROVIDER) |
| Authorized Official Contact | 6027330584 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alevea Mental Health Llc 2034 E Southern Ave Ste D Tempe AZ 85282-7511 Ph: (480) 247-7476 | Alevea Mental Health Llc 2034 E Southern Ave Tempe AZ 85282-7522 Ph: (480) 923-6200 |
| NPI Number | 1619482478 |
|---|---|
| Provider Enumeration Date | 12/02/2017 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/04/2024 |
| Medicare PECOS PAC ID | 6608135652 |
|---|---|
| Medicare Enrollment ID | O20180119000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619482478 | NPI | - | NPPES |
| 135637 | Medicaid | AZ |
| Provider Name | Michael L Vines |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881641272 PECOS PAC ID: 9830138544 Enrollment ID: I20050502000516 |
| Provider Name | Lisa Nicole Chica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922408327 PECOS PAC ID: 9830519008 Enrollment ID: I20201009001423 |
| Provider Name | Sara Gibson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932694734 PECOS PAC ID: 1153768460 Enrollment ID: I20240322000579 |
| Provider Name | Rebecca Colvin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225772312 PECOS PAC ID: 7416482377 Enrollment ID: I20241202001496 |
| Provider Name | Dana D Tate |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326785908 PECOS PAC ID: 8123554458 Enrollment ID: I20241210004615 |
Skycrest Neurology, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 E Southern Ave, #d1, Tempe, AZ 85282 Phone: 480-219-7272 | |
Empact-suicide Prevention Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 618 S. Madison Drive, Tempe, AZ 85281 Phone: 480-784-1514 Fax: 480-967-3528 | |
Avira Behavioral Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 E Broadway Rd Ste 200, Tempe, AZ 85282 Phone: 346-500-4514 | |