Center For Behavioral Medicine, Plc | |
6015 W Peoria Ave Glendale AZ 85302-1213 | |
(602) 758-5959 | |
(623) 344-4450 |
Full Name | Center For Behavioral Medicine, Plc |
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Speciality | Psychiatry & Neurology |
Location | 6015 W Peoria Ave, Glendale, Arizona |
Authorized Official Name and Position | Martin Newman (PRESIDENT) |
Authorized Official Contact | 6233444400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Center For Behavioral Medicine, Plc 17903 W Solano Dr Litchfield Park AZ 85340-2548 Ph: (602) 758-5959 | Center For Behavioral Medicine, Plc 6015 W Peoria Ave Glendale AZ 85302-1213 Ph: (602) 758-5959 |
NPI Number | 1447401948 |
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Provider Enumeration Date | 10/02/2008 |
Last Update Date | 05/03/2010 |
Medicare PECOS PAC ID | 9931231271 |
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Medicare Enrollment ID | O20100721000901 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447401948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 36546 (Arizona) | Primary |
Provider Name | Martin H Newman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1538201777 PECOS PAC ID: 4789788597 Enrollment ID: I20070404000376 |
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