| Faspsych, Llc | |
|
8687 E Via De Ventura Ste 310 Scottsdale AZ 85258-3351 | |
| (480) 970-9097 | |
| (480) 970-5318 |
| Full Name | Faspsych, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8687 E Via De Ventura Ste 310, Scottsdale, Arizona |
| Authorized Official Name and Position | Cynthia Handy (DIRECTOR OF REVENUE CYCLE MGMT) |
| Authorized Official Contact | 4802699248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faspsych, Llc 8687 E Via De Ventura Ste 310 Scottsdale AZ 85258-3351 Ph: (480) 970-9097 | Faspsych, Llc 8687 E Via De Ventura Ste 310 Scottsdale AZ 85258-3351 Ph: (480) 970-9097 |
| NPI Number | 1831682111 |
|---|---|
| Provider Enumeration Date | 06/11/2018 |
| Last Update Date | 04/09/2021 |
| Certification Date | 04/07/2021 |
| Medicare PECOS PAC ID | 2860818929 |
|---|---|
| Medicare Enrollment ID | O20200819003241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831682111 | NPI | - | NPPES |
| 7100691170 | Medicaid | KY | |
| 1831682111 | Medicaid | NC | |
| 300041510 | Medicaid | IN | |
| Q051954 | Medicaid | TN | |
| 008018 | Medicaid | AZ |
| Provider Name | Paige K Crozier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467732990 PECOS PAC ID: 6204076177 Enrollment ID: I20140624000513 |
| Provider Name | Christie A Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982153649 PECOS PAC ID: 7214205905 Enrollment ID: I20170621002572 |
| Provider Name | Dana Eason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710190715 PECOS PAC ID: 7315267580 Enrollment ID: I20170921003121 |
| Provider Name | Shawn L Faust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841762762 PECOS PAC ID: 4284966078 Enrollment ID: I20191028002889 |
| Provider Name | Shelley M Geary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497908438 PECOS PAC ID: 0941271811 Enrollment ID: I20200721003815 |
| Provider Name | Beverly June Davis Bye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306843644 PECOS PAC ID: 9830132257 Enrollment ID: I20210215001228 |
| Provider Name | Olajumoke Akinyele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659807386 PECOS PAC ID: 4183983497 Enrollment ID: I20210326000756 |
| Provider Name | Anne E Pugliese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740651686 PECOS PAC ID: 6002196946 Enrollment ID: I20210409000230 |
| Provider Name | Jessica Green-burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952661696 PECOS PAC ID: 9830512631 Enrollment ID: I20211228001724 |
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