| Oasis Behavioral Health | |
|
1425 S Higley Rd Ste 104 Gilbert AZ 85296-4798 | |
| (480) 917-9301 | |
| (480) 917-0503 |
| Full Name | Oasis Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1425 S Higley Rd Ste 104, Gilbert, Arizona |
| Authorized Official Name and Position | Brian P. Farley (VP & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Behavioral Health 6100 Tower Cir Ste 1000 Franklin TN 37067-1509 Ph: (615) 861-6000 | Oasis Behavioral Health 1425 S Higley Rd Ste 104 Gilbert AZ 85296-4798 Ph: (480) 917-9301 |
| NPI Number | 1578951448 |
|---|---|
| Provider Enumeration Date | 12/31/2014 |
| Last Update Date | 08/26/2023 |
| Certification Date | 08/26/2023 |
| Medicare PECOS PAC ID | 3072742279 |
|---|---|
| Medicare Enrollment ID | O20200511000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578951448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Lauro Amezcua-patino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659364396 PECOS PAC ID: 1153385273 Enrollment ID: I20041117000840 |
| Provider Name | Allyson Cynthia Sambach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750910337 PECOS PAC ID: 0648690032 Enrollment ID: I20201023002993 |
| Provider Name | Panchajanya Paul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356664007 PECOS PAC ID: 2163646613 Enrollment ID: I20220916001973 |
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