| Empower Psychological Services, Pllc | |
|
7301 N 16th St Ste 102 Phoenix AZ 85020-5266 | |
| (602) 730-5307 | |
| Not Available |
| Full Name | Empower Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 7301 N 16th St Ste 102, Phoenix, Arizona |
| Authorized Official Name and Position | Yisroel Loeb (OWNER) |
| Authorized Official Contact | 6027305307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empower Psychological Services, Pllc 7301 N 16th St Ste 102 Phoenix AZ 85020-5266 Ph: () - | Empower Psychological Services, Pllc 7301 N 16th St Ste 102 Phoenix AZ 85020-5266 Ph: (602) 730-5307 |
| NPI Number | 1659952778 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 04/20/2021 |
| Certification Date | 04/20/2021 |
| Medicare PECOS PAC ID | 0749681823 |
|---|---|
| Medicare Enrollment ID | O20210626000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659952778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Yisroel Loeb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861891459 PECOS PAC ID: 1658772736 Enrollment ID: I20210626000018 |
| Provider Name | Jack Garden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194860304 PECOS PAC ID: 9638165152 Enrollment ID: I20220722001359 |
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