Jewish Family & Children's Service | |
4747 N 7th St Ste 100 Phoenix AZ 85014-3654 | |
(602) 279-7655 | |
(602) 253-8891 |
Full Name | Jewish Family & Children's Service |
---|---|
Speciality | Community/Behavioral Health |
Location | 4747 N 7th St Ste 100, Phoenix, Arizona |
Authorized Official Name and Position | Lorrie Henderson (PRESIDENT AND CEO) |
Authorized Official Contact | 6022797655 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jewish Family & Children's Service 4747 N 7th St Ste 100 Phoenix AZ 85014-3654 Ph: (602) 279-7655 | Jewish Family & Children's Service 4747 N 7th St Ste 100 Phoenix AZ 85014-3654 Ph: (602) 279-7655 |
NPI Number | 1023174455 |
---|---|
Provider Enumeration Date | 12/29/2006 |
Last Update Date | 07/18/2024 |
Certification Date | 07/18/2024 |
Medicare PECOS PAC ID | 9234028671 |
---|---|
Medicare Enrollment ID | O20040312001009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023174455 | NPI | - | NPPES |
178348 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Joyce F Rosette |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336167931 PECOS PAC ID: 8224925490 Enrollment ID: I20040302000944 |
Provider Name | Rupa Chundu |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1700841194 PECOS PAC ID: 4981678976 Enrollment ID: I20040825000224 |
Provider Name | Bill G Sbiliris |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1710017355 PECOS PAC ID: 9931147964 Enrollment ID: I20050420001047 |
Provider Name | Richelle Ramirez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396817862 PECOS PAC ID: 2062451750 Enrollment ID: I20050502001197 |
Provider Name | Mehrdad Saririan |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1083669998 PECOS PAC ID: 0547298325 Enrollment ID: I20050802000938 |
Provider Name | Rebecca L Green |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982714416 PECOS PAC ID: 6204861727 Enrollment ID: I20051003000787 |
Provider Name | Letty Tan-fermo |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1710097225 PECOS PAC ID: 6800811787 Enrollment ID: I20051010000853 |
Provider Name | Janet Krapp Cooper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356451769 PECOS PAC ID: 9436175460 Enrollment ID: I20051019000869 |
Provider Name | Baharak Tabarsi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336136209 PECOS PAC ID: 2163493339 Enrollment ID: I20051212000838 |
Provider Name | Cynthia K Tobin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649250986 PECOS PAC ID: 8729089438 Enrollment ID: I20070124000109 |
Provider Name | Mark T Callesen |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1457461956 PECOS PAC ID: 2860493186 Enrollment ID: I20070220000361 |
Provider Name | Jack B Silver |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063580132 PECOS PAC ID: 2163521881 Enrollment ID: I20070621000234 |
Provider Name | Jean W Kerr |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003912205 PECOS PAC ID: 6103911474 Enrollment ID: I20071002000080 |
Provider Name | Sanghamitra Chowdhury |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1295770063 PECOS PAC ID: 2264449313 Enrollment ID: I20071102000551 |
Provider Name | Lori A Danker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922126465 PECOS PAC ID: 1951471986 Enrollment ID: I20080603000582 |
Provider Name | Thuy-huong R Vutien |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043471170 PECOS PAC ID: 7214000892 Enrollment ID: I20080715000347 |
Provider Name | Stephen E Pray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114199759 PECOS PAC ID: 4789757121 Enrollment ID: I20080718000215 |
Provider Name | Melissa A Badahman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235311861 PECOS PAC ID: 7517040843 Enrollment ID: I20080905000359 |
Provider Name | Donisha D Pardue |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902052954 PECOS PAC ID: 6305912940 Enrollment ID: I20080905000463 |
Provider Name | Tammie K Perez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851580930 PECOS PAC ID: 1254407331 Enrollment ID: I20080915000370 |
Provider Name | Misty E Cox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902812530 PECOS PAC ID: 5799785028 Enrollment ID: I20081017000674 |
Provider Name | Jody Lc Dean |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518105006 PECOS PAC ID: 7113082470 Enrollment ID: I20090219000637 |
Provider Name | Joyce C Morton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831322023 PECOS PAC ID: 2769538339 Enrollment ID: I20090923000387 |
Provider Name | Christina Barnes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265654206 PECOS PAC ID: 0042343071 Enrollment ID: I20100728000518 |
Provider Name | Tequa A Salehi-rad |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922143106 PECOS PAC ID: 6204975022 Enrollment ID: I20101203000297 |
Provider Name | Nancy A Syms |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649580945 PECOS PAC ID: 4688861537 Enrollment ID: I20101206000160 |
Provider Name | Stacy L Underwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043325541 PECOS PAC ID: 5597948851 Enrollment ID: I20110323000722 |
Provider Name | Eric A Hegybeli |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1487879342 PECOS PAC ID: 2668658527 Enrollment ID: I20110511000269 |
Provider Name | Nikolina V Elez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881987261 PECOS PAC ID: 9234316480 Enrollment ID: I20110615000739 |
Provider Name | Aida Music |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1285867424 PECOS PAC ID: 3072781905 Enrollment ID: I20110720000823 |
Provider Name | Joaquin Bermudez |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1104086784 PECOS PAC ID: 3072781913 Enrollment ID: I20110720000831 |
Provider Name | Christina M Smarik Snyder |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154584670 PECOS PAC ID: 9537337944 Enrollment ID: I20110728000608 |
Provider Name | Carissa Higgins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265456156 PECOS PAC ID: 0749450484 Enrollment ID: I20110907000926 |
Provider Name | Wendy A Byers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598049975 PECOS PAC ID: 8921274846 Enrollment ID: I20111227000370 |
Provider Name | Evette S Campos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306122965 PECOS PAC ID: 1850567199 Enrollment ID: I20120109000148 |
Provider Name | Monica Benavidez |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1710182225 PECOS PAC ID: 3678723913 Enrollment ID: I20121023000712 |
Provider Name | Dawn E Laprade |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649526153 PECOS PAC ID: 3274786850 Enrollment ID: I20130109000719 |
Provider Name | Adriana Vulic |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598001539 PECOS PAC ID: 8921251174 Enrollment ID: I20130121000149 |
Provider Name | Laura M Ross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538417142 PECOS PAC ID: 9830334374 Enrollment ID: I20130403000555 |
Provider Name | Deepa Saha |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457690752 PECOS PAC ID: 2264679141 Enrollment ID: I20130513000658 |
Provider Name | Glenn P Townsend |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275845935 PECOS PAC ID: 4082856257 Enrollment ID: I20130819000250 |
Provider Name | Cathy L Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770929135 PECOS PAC ID: 6305089459 Enrollment ID: I20130821000641 |
Provider Name | Caren M Pfieffer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124469085 PECOS PAC ID: 2567605967 Enrollment ID: I20130904000799 |
Provider Name | Kimberly K Arnold |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023312311 PECOS PAC ID: 8022242494 Enrollment ID: I20131018000571 |
Provider Name | Jamie J Bohannon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710229406 PECOS PAC ID: 7810122025 Enrollment ID: I20131024000359 |
Provider Name | Amber Lynn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063842813 PECOS PAC ID: 3274762729 Enrollment ID: I20140204001341 |
Provider Name | Susan Flower |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750372199 PECOS PAC ID: 5193955193 Enrollment ID: I20140312001396 |
Provider Name | Patricia Glover |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356511422 PECOS PAC ID: 3274764642 Enrollment ID: I20140327001814 |
Provider Name | Daniel Halter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962828681 PECOS PAC ID: 4880818079 Enrollment ID: I20140609001691 |
Provider Name | Hannah Bangura |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801219449 PECOS PAC ID: 1456575000 Enrollment ID: I20140620002155 |
Provider Name | Danielle Orr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215366497 PECOS PAC ID: 7517198526 Enrollment ID: I20140711001062 |
Provider Name | Lisa R Green |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760774772 PECOS PAC ID: 6608093398 Enrollment ID: I20140804000197 |
Provider Name | Toni Sharon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447664743 PECOS PAC ID: 5496972879 Enrollment ID: I20140807002190 |
Provider Name | Danielle L Oas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689080731 PECOS PAC ID: 1658598792 Enrollment ID: I20140813000910 |
Provider Name | Victoria L M M Sanchez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689611162 PECOS PAC ID: 1951340678 Enrollment ID: I20141008000141 |
Provider Name | Caroline Olotu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992107015 PECOS PAC ID: 5193047785 Enrollment ID: I20141210001501 |
Provider Name | Akosua A Mensah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689062572 PECOS PAC ID: 8022334184 Enrollment ID: I20150309000103 |
Provider Name | Sally A Alexander |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417352196 PECOS PAC ID: 8224354709 Enrollment ID: I20150325001408 |
Provider Name | Chyllia D Dixon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174916472 PECOS PAC ID: 7719298033 Enrollment ID: I20150612000863 |
Provider Name | Serah Muigai |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457748311 PECOS PAC ID: 6204149305 Enrollment ID: I20150718000009 |
Provider Name | Herendira Valdez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497135388 PECOS PAC ID: 0648586305 Enrollment ID: I20150826002257 |
Provider Name | Martin Binyange |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558757021 PECOS PAC ID: 6305166133 Enrollment ID: I20151002000291 |
Provider Name | Daniel E Miga |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1063455178 PECOS PAC ID: 3173799962 Enrollment ID: I20151021000802 |
Provider Name | Kimberly Keene |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285004234 PECOS PAC ID: 2668781154 Enrollment ID: I20151023000975 |
Provider Name | Phillip W Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629471412 PECOS PAC ID: 1557671864 Enrollment ID: I20151116002660 |
Provider Name | Tammy L Olague |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831569326 PECOS PAC ID: 2668773458 Enrollment ID: I20151221001813 |
Provider Name | Violet M Baruti |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508289919 PECOS PAC ID: 4880816669 Enrollment ID: I20160308001924 |
Provider Name | Sharon Sy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679975379 PECOS PAC ID: 2264721000 Enrollment ID: I20160517001934 |
Provider Name | Richard J Beals |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669884847 PECOS PAC ID: 7911297064 Enrollment ID: I20160630001686 |
Provider Name | Marisa B Marvin |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831633049 PECOS PAC ID: 8921389693 Enrollment ID: I20170111003537 |
Provider Name | Erik D Cox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669725149 PECOS PAC ID: 0840418588 Enrollment ID: I20170120000439 |
Provider Name | Debra Hobaica |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922314699 PECOS PAC ID: 0749566263 Enrollment ID: I20170418002489 |
Provider Name | Nicole A Early-maxson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467862599 PECOS PAC ID: 1850660457 Enrollment ID: I20170712002898 |
Provider Name | Zita Schiller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427355593 PECOS PAC ID: 0143599753 Enrollment ID: I20170712003260 |
Provider Name | Jake Freeman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609316827 PECOS PAC ID: 4789954603 Enrollment ID: I20170725002322 |
Provider Name | Juan G Gomez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801322755 PECOS PAC ID: 2365714342 Enrollment ID: I20170825002168 |
Provider Name | Amanda Radcliffe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407376700 PECOS PAC ID: 6002188190 Enrollment ID: I20170912001152 |
Provider Name | Lindsay Allison Love |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457766172 PECOS PAC ID: 9537435953 Enrollment ID: I20171030001088 |
Provider Name | Tammy Lynn Ericson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659819985 PECOS PAC ID: 4082986187 Enrollment ID: I20171113003269 |
Provider Name | Bianca Yvonne Lopez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457860561 PECOS PAC ID: 8325304801 Enrollment ID: I20171116001106 |
Provider Name | Maria Kennedy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972040921 PECOS PAC ID: 0547521056 Enrollment ID: I20180226000998 |
Provider Name | Nellie Idara Samuel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821344557 PECOS PAC ID: 1759642044 Enrollment ID: I20180301000886 |
Provider Name | Pamela L Fazekas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063964658 PECOS PAC ID: 4880955020 Enrollment ID: I20180302000849 |
Provider Name | Laura E Dietrich-lake |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639684046 PECOS PAC ID: 8325300551 Enrollment ID: I20180327002419 |
Provider Name | Jennifer Reiterman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811496763 PECOS PAC ID: 1759644636 Enrollment ID: I20180405001184 |
Provider Name | Deayrie B Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114425386 PECOS PAC ID: 4486918059 Enrollment ID: I20180507002033 |
Provider Name | Sandra Leigh Devoe |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437561289 PECOS PAC ID: 1153678339 Enrollment ID: I20180718003783 |
Provider Name | Melissa Fenrich |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851867170 PECOS PAC ID: 3375881683 Enrollment ID: I20190212002272 |
Provider Name | Rachel Marissa Friedman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962953703 PECOS PAC ID: 0547537854 Enrollment ID: I20190401002437 |
Provider Name | Sarah L Buggle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154886547 PECOS PAC ID: 9830432301 Enrollment ID: I20190524000704 |
Provider Name | Gerlyn Campbell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639455819 PECOS PAC ID: 8426398207 Enrollment ID: I20191107001772 |
Provider Name | Tijana Zelenovic |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598318081 PECOS PAC ID: 0244663888 Enrollment ID: I20191231001284 |
Provider Name | Katy Hoke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740838069 PECOS PAC ID: 7618301227 Enrollment ID: I20200107000376 |
Provider Name | Gracie Adkisson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063799856 PECOS PAC ID: 6002107257 Enrollment ID: I20200130000246 |
Provider Name | Sharron Hier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366089542 PECOS PAC ID: 3274964267 Enrollment ID: I20200506002660 |
Provider Name | Reena Pathak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447877972 PECOS PAC ID: 5193148039 Enrollment ID: I20200709003775 |
Provider Name | Joshua Santo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316549199 PECOS PAC ID: 4981018769 Enrollment ID: I20210208001281 |
Provider Name | Shavaun J Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225624729 PECOS PAC ID: 7113320177 Enrollment ID: I20210728001658 |
Provider Name | Joanna Martori |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063188969 PECOS PAC ID: 5890193874 Enrollment ID: I20211005002192 |
Provider Name | Kjerstin Johnson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275200206 PECOS PAC ID: 5395133466 Enrollment ID: I20211021001867 |
Provider Name | Melanie Hope Oglesby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871268359 PECOS PAC ID: 9830587591 Enrollment ID: I20211028002637 |
Provider Name | Isai Loucks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710512462 PECOS PAC ID: 3678965068 Enrollment ID: I20220114001464 |
Provider Name | Vanessa Arvizu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225773468 PECOS PAC ID: 2567848898 Enrollment ID: I20221010002317 |
Provider Name | Mary E Gill |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639880289 PECOS PAC ID: 3870965536 Enrollment ID: I20230207002257 |
Provider Name | Lindsey M Dunning |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780396911 PECOS PAC ID: 8820463367 Enrollment ID: I20230413002794 |
Provider Name | Erin C Ryan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770095325 PECOS PAC ID: 8820455249 Enrollment ID: I20230530003267 |
Provider Name | Wendy Brishke |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235755901 PECOS PAC ID: 2961869896 Enrollment ID: I20230607002093 |
Provider Name | Katie Mcspadden |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609561984 PECOS PAC ID: 6507223468 Enrollment ID: I20230607003753 |
Provider Name | Olajumoke Jongbo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881262509 PECOS PAC ID: 2567826936 Enrollment ID: I20230919000719 |
Provider Name | Rochelle Ryan |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1295931400 PECOS PAC ID: 1254781008 Enrollment ID: I20231220002178 |
Provider Name | Debra D Timberlake |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1215579594 PECOS PAC ID: 5799135554 Enrollment ID: I20231220002268 |
Provider Name | Hanna Mhc Vandendriessche |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1801105374 PECOS PAC ID: 1759731433 Enrollment ID: I20231220003733 |
Provider Name | Maureen Parren |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1972709178 PECOS PAC ID: 5991155681 Enrollment ID: I20231220003932 |
Provider Name | Richard Crow |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1578917118 PECOS PAC ID: 0648620724 Enrollment ID: I20240102002912 |
Provider Name | Mari Oxentenko |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1518439108 PECOS PAC ID: 3274983366 Enrollment ID: I20240102003327 |
Provider Name | Christopher Robinson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1992036131 PECOS PAC ID: 3173974003 Enrollment ID: I20240104003788 |
Provider Name | Jacquelyn Seto |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1083385769 PECOS PAC ID: 7416308341 Enrollment ID: I20240104003882 |
Provider Name | Analisa Estrada |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1710477252 PECOS PAC ID: 8820440712 Enrollment ID: I20240116003308 |
Provider Name | Davia Huber |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1174274344 PECOS PAC ID: 7416300173 Enrollment ID: I20240129004217 |
Provider Name | Susan Haywood |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1285406470 PECOS PAC ID: 6901259688 Enrollment ID: I20240130000246 |
Provider Name | Zachary Ramirez |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1124809520 PECOS PAC ID: 6800249582 Enrollment ID: I20240130000271 |
Provider Name | Adam Boltz |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1508578014 PECOS PAC ID: 1153774831 Enrollment ID: I20240130000319 |
Provider Name | Casandra Albert |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1114329851 PECOS PAC ID: 6406209113 Enrollment ID: I20240130000996 |
Provider Name | Kelly Green |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1144514811 PECOS PAC ID: 9638522345 Enrollment ID: I20240130001106 |
Provider Name | David Burkett |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1790558351 PECOS PAC ID: 1951754670 Enrollment ID: I20240130001318 |
Provider Name | Lori Lightman |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1063457745 PECOS PAC ID: 5496108110 Enrollment ID: I20240130001382 |
Provider Name | Anne Noser |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1104157510 PECOS PAC ID: 0547613267 Enrollment ID: I20240130001501 |
Provider Name | Clelsea Gossett |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1326630963 PECOS PAC ID: 9436502168 Enrollment ID: I20240130001604 |
Provider Name | Nicole Westmoreland |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1851663579 PECOS PAC ID: 2769835396 Enrollment ID: I20240130002200 |
Provider Name | Diane Bernard |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1740475904 PECOS PAC ID: 7719330281 Enrollment ID: I20240131003506 |
Provider Name | Mariko Asada |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1417640657 PECOS PAC ID: 9739532169 Enrollment ID: I20240201000590 |
Provider Name | Caitlin Rollins |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1023639952 PECOS PAC ID: 1456704881 Enrollment ID: I20240201000642 |
Provider Name | Da'mond O Gadson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1447690268 PECOS PAC ID: 4587061445 Enrollment ID: I20240201000658 |
Provider Name | Latoya Grigler |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1225400559 PECOS PAC ID: 7719330141 Enrollment ID: I20240201000680 |
Provider Name | Leah Thomas |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1447495098 PECOS PAC ID: 5890148225 Enrollment ID: I20240201000735 |
Provider Name | Jessica L Bozek |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1205209525 PECOS PAC ID: 5496108839 Enrollment ID: I20240201001217 |
Provider Name | Karen Klompus |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1609446343 PECOS PAC ID: 7618310285 Enrollment ID: I20240210000687 |
Provider Name | Cherilin Diefenbacher Phariss |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205436474 PECOS PAC ID: 1658715362 Enrollment ID: I20240221003428 |
Provider Name | Diane Mc Palacios |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1518107192 PECOS PAC ID: 6608213590 Enrollment ID: I20240327002962 |
Provider Name | Sara Hamilton |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851155816 PECOS PAC ID: 7719326552 Enrollment ID: I20240412003356 |
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 |