| Aspire Psychological Services, Llc | |
|
2266 S Dobson Rd Ste 200 Mesa AZ 85202-6412 | |
| (602) 935-5447 | |
| Not Available |
| Full Name | Aspire Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2266 S Dobson Rd Ste 200, Mesa, Arizona |
| Authorized Official Name and Position | Adam Frose (PSYCHOLOGIST) |
| Authorized Official Contact | 6027301385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Psychological Services, Llc 2266 S Dobson Rd Ste 200 Mesa AZ 85202-6412 Ph: (602) 935-5447 | Aspire Psychological Services, Llc 2266 S Dobson Rd Ste 200 Mesa AZ 85202-6412 Ph: (602) 935-5447 |
| NPI Number | 1104490408 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 04/14/2023 |
| Certification Date | 03/24/2023 |
| Medicare PECOS PAC ID | 7012372212 |
|---|---|
| Medicare Enrollment ID | O20230421002037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104490408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Eric Scott Suedmeyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669029104 PECOS PAC ID: 6103281308 Enrollment ID: I20230424002492 |
| Provider Name | Adam Fishel Frose |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932682184 PECOS PAC ID: 5294190492 Enrollment ID: I20230424002627 |
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