| Cana Psychiatric Health | |
|
16165 N 83rd Ave Ste 200 Peoria AZ 85382-5816 | |
| (919) 415-1212 | |
| (919) 415-1216 |
| Full Name | Cana Psychiatric Health |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 16165 N 83rd Ave Ste 200, Peoria, Arizona |
| Authorized Official Name and Position | Lolade Ogunleye (MANAGER) |
| Authorized Official Contact | 9194151212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cana Psychiatric Health 16165 N 83rd Ave Ste 200 Peoria AZ 85382-5816 Ph: (919) 307-2114 | Cana Psychiatric Health 16165 N 83rd Ave Ste 200 Peoria AZ 85382-5816 Ph: (919) 415-1212 |
| NPI Number | 1447851696 |
|---|---|
| Provider Enumeration Date | 11/04/2020 |
| Last Update Date | 01/26/2021 |
| Certification Date | 01/26/2021 |
| Medicare PECOS PAC ID | 9739591181 |
|---|---|
| Medicare Enrollment ID | O20201209001820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447851696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Lolade A Ogunleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265044218 PECOS PAC ID: 6608288063 Enrollment ID: I20201209002175 |
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