| Geriatric And Family Mental Health Services, Llc | |
|
11110 N Tatum Blvd 103 Phoenix AZ 85028-1607 | |
| (602) 432-0800 | |
| (602) 443-0401 |
| Full Name | Geriatric And Family Mental Health Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 11110 N Tatum Blvd, Phoenix, Arizona |
| Authorized Official Name and Position | Gary Neal Goodman (OWNER) |
| Authorized Official Contact | 6024320800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric And Family Mental Health Services, Llc 11110 N Tatum Blvd Suite 103 Phoenix AZ 85028-1607 Ph: (602) 432-0800 | Geriatric And Family Mental Health Services, Llc 11110 N Tatum Blvd 103 Phoenix AZ 85028-1607 Ph: (602) 432-0800 |
| NPI Number | 1679566624 |
|---|---|
| Provider Enumeration Date | 08/24/2005 |
| Last Update Date | 01/08/2015 |
| Medicare PECOS PAC ID | 9436144417 |
|---|---|
| Medicare Enrollment ID | O20040419000839 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679566624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3196 (Arizona) | Primary |
| Provider Name | Gary N Goodman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316930381 PECOS PAC ID: 2860487840 Enrollment ID: I20051010000342 |
Amra Stafford, Psyd, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 67 E Weldon Ave, Suite 320, Phoenix, AZ 85012 Phone: 602-456-7565 Fax: 602-266-0234 | |
Pro Iom Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 Phone: 602-482-2282 | |
Liberty Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8111 N 19th Ave Apt 2038, Phoenix, AZ 85021 Phone: 602-367-7916 | |
Insight-therapy Az Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 E Shea Blvd Ste 235, Phoenix, AZ 85028 Phone: 602-315-4068 Fax: 602-675-2705 | |
White Tiger Integrated Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 E Weldon Ave Ste 220, Phoenix, AZ 85012 Phone: 603-637-7361 | |
Eden Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2538 E University Dr Ste 180, Phoenix, AZ 85034 Phone: 480-390-3375 | |
Native Country Healthcare Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4805 W Thomas Rd, Phoenix, AZ 85031 Phone: 602-706-8741 |