Empact-suicide Prevention Center | |
618 S. Madison Drive Tempe AZ 85281-7248 | |
(480) 784-1514 | |
(480) 967-3528 |
Full Name | Empact-suicide Prevention Center |
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Speciality | Community/Behavioral Health |
Location | 618 S. Madison Drive, Tempe, Arizona |
Authorized Official Name and Position | Laura Larson-huffaker (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4807841514 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Empact-suicide Prevention Center 618 S. Madison Drive Tempe AZ 85281-7248 Ph: (480) 784-1514 | Empact-suicide Prevention Center 618 S. Madison Drive Tempe AZ 85281-7248 Ph: (480) 784-1514 |
NPI Number | 1003982133 |
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Provider Enumeration Date | 11/28/2006 |
Last Update Date | 06/14/2017 |
Medicare PECOS PAC ID | 2365416575 |
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Medicare Enrollment ID | O20040824000311 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003982133 | NPI | - | NPPES |
100587 | Medicaid | AZ | |
622987 | Medicaid | AZ |
Provider Name | Stephen Lopez |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1760432009 PECOS PAC ID: 8325943566 Enrollment ID: I20031202000076 |
Provider Name | Lauren T Bonner |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1740265990 PECOS PAC ID: 6103811815 Enrollment ID: I20040421000013 |
Provider Name | Vinod B Patel |
---|---|
Provider Type | Practitioner - Sleep Medicine |
Provider Identifiers | NPI Number: 1821054503 PECOS PAC ID: 9234103235 Enrollment ID: I20040825000249 |
Provider Name | William R Silverman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1215993902 PECOS PAC ID: 7012981012 Enrollment ID: I20040825000292 |
Provider Name | Gail M Pigeon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548224421 PECOS PAC ID: 4789653494 Enrollment ID: I20040929000824 |
Provider Name | Debra L Ford |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1376618033 PECOS PAC ID: 1658367040 Enrollment ID: I20050322000778 |
Provider Name | Rosemarie Garduno |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851356257 PECOS PAC ID: 5092753640 Enrollment ID: I20050422000973 |
Provider Name | Richelle Ramirez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396817862 PECOS PAC ID: 2062451750 Enrollment ID: I20050502001197 |
Provider Name | Eddy U De Los Santos |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1154409324 PECOS PAC ID: 0840227492 Enrollment ID: I20050726000021 |
Provider Name | Andrew W Parker |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1912948431 PECOS PAC ID: 9931207560 Enrollment ID: I20070606000091 |
Provider Name | Corey Scott Yilmaz |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1972703569 PECOS PAC ID: 8628161049 Enrollment ID: I20070830000499 |
Provider Name | Deborah L Watson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548458045 PECOS PAC ID: 8527157718 Enrollment ID: I20071211000671 |
Provider Name | Tatyana Farietta-murray |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1710994249 PECOS PAC ID: 4880635150 Enrollment ID: I20090414000165 |
Provider Name | Amadu Konteh |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1396910881 PECOS PAC ID: 3173671450 Enrollment ID: I20090423000779 |
Provider Name | Barbara A Horton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457677205 PECOS PAC ID: 0749313393 Enrollment ID: I20100803000326 |
Provider Name | Leona M Gillespie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134397334 PECOS PAC ID: 9830244680 Enrollment ID: I20110419000065 |
Provider Name | Lance F Rouse |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1437317237 PECOS PAC ID: 4880863869 Enrollment ID: I20110808000862 |
Provider Name | Kristen M Marshall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588934376 PECOS PAC ID: 6507020518 Enrollment ID: I20120601000546 |
Provider Name | Adriana Vulic |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598001539 PECOS PAC ID: 8921251174 Enrollment ID: I20130121000149 |
Provider Name | Dedra A Wadsworth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205275997 PECOS PAC ID: 8729221734 Enrollment ID: I20130823000268 |
Provider Name | Rachel A Finegan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215317169 PECOS PAC ID: 9234446154 Enrollment ID: I20150909002766 |
Provider Name | Shuntelle J Hawk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033508635 PECOS PAC ID: 7315258258 Enrollment ID: I20150921002788 |
Provider Name | Josefina Phillips |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467800144 PECOS PAC ID: 2264725860 Enrollment ID: I20160719002604 |
Provider Name | Joanna Burns |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023402435 PECOS PAC ID: 7416231295 Enrollment ID: I20170222000942 |
Provider Name | Jami Arlene Cline |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801245303 PECOS PAC ID: 9537431580 Enrollment ID: I20170825000765 |
Provider Name | Jennifer Lindsey Green |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013458629 PECOS PAC ID: 7214201292 Enrollment ID: I20170915000008 |
Provider Name | Tina Violetta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508215435 PECOS PAC ID: 5597039495 Enrollment ID: I20170915001266 |
Provider Name | Maria Audrey Erspamer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104320431 PECOS PAC ID: 1951664218 Enrollment ID: I20180419000676 |
Provider Name | Steven L Prenzlauer |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1275580466 PECOS PAC ID: 4688733975 Enrollment ID: I20180619001333 |
Provider Name | Morgan Uribe |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033618103 PECOS PAC ID: 1052662970 Enrollment ID: I20180914002749 |
Provider Name | Wendy Seals Holland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154873032 PECOS PAC ID: 8325320658 Enrollment ID: I20190409003063 |
Provider Name | Karl B Wick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104307644 PECOS PAC ID: 5890026116 Enrollment ID: I20191016003667 |
Provider Name | Tirsit Gebresenbet |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790204600 PECOS PAC ID: 2769816453 Enrollment ID: I20200106002483 |
Provider Name | Kamesha Mitchell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659742211 PECOS PAC ID: 0648577981 Enrollment ID: I20200310001612 |
Provider Name | James W Flint |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346895992 PECOS PAC ID: 5496183253 Enrollment ID: I20200310002511 |
Provider Name | Thomas J Pemberton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528600012 PECOS PAC ID: 9335578822 Enrollment ID: I20200403002904 |
Provider Name | Colleen Marie Lemmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407489701 PECOS PAC ID: 6406274034 Enrollment ID: I20200915000782 |
Provider Name | Susan R Middleton |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1093743247 PECOS PAC ID: 0840466793 Enrollment ID: I20210201001985 |
Provider Name | Michelle Breyfogle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841968328 PECOS PAC ID: 4486045093 Enrollment ID: I20211215001084 |
Provider Name | Michelle R Ford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245940014 PECOS PAC ID: 5496126252 Enrollment ID: I20230114000142 |
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