Lifewell Behavioral Wellness - Medicare Mental Health Clinic in Phoenix, AZ

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Lifewell Behavioral Wellness is a medicare enrolled mental health clinic (Community/behavioral Health) in Phoenix, Arizona. The current practice location for Lifewell Behavioral Wellness is 202 E Earll Dr, Suite 200, Phoenix, Arizona. For appointments, you can reach them via phone at (602) 808-2800. The mailing address for Lifewell Behavioral Wellness is 202 E Earll Dr, Suite 200, Phoenix, Arizona and phone number is (602) 808-2800.

Lifewell Behavioral Wellness is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1417050337. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (602) 808-2800.

Contact Information

Lifewell Behavioral Wellness
202 E Earll Dr
Suite 200
Phoenix
AZ 85012-2634
(602) 808-2800
(602) 808-2799

Map and Direction


Mental Health Clinic Profile

Full NameLifewell Behavioral Wellness
SpecialityCommunity/Behavioral Health
Location202 E Earll Dr, Phoenix, Arizona
Authorized Official Name and PositionThomas K Mckelvey (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact6025995410
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lifewell Behavioral Wellness
202 E Earll Dr
Suite 200
Phoenix
AZ 85012-2634

Ph: (602) 808-2800		Lifewell Behavioral Wellness
202 E Earll Dr
Suite 200
Phoenix
AZ 85012-2634

Ph: (602) 808-2800

NPI Details:

NPI Number1417050337
Provider Enumeration Date09/06/2006
Last Update Date03/17/2017

Medicare PECOS Information:

Medicare PECOS PAC ID4981641818
Medicare Enrollment IDO20050412001535

Medical Identifiers

Medical identifiers for Lifewell Behavioral Wellness such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417050337NPI-NPPES
Z102186OtherAZMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lifewell Behavioral Wellness acts as a billing entity for following providers:
Provider NameLarry J Cowley
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1912934209
PECOS PAC ID: 7012804123
Enrollment ID: I20040303000419
Provider NameFrantz N Muse
Provider TypePractitioner - Neuropsychiatry
Provider IdentifiersNPI Number: 1558339168
PECOS PAC ID: 0547221194
Enrollment ID: I20041026000875
Provider NameRamiro Guillen
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1104993500
PECOS PAC ID: 2062475346
Enrollment ID: I20041108000784
Provider NameBruce R Holzman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1407834997
PECOS PAC ID: 8325073398
Enrollment ID: I20050928000711
Provider NameAudrey C Elliott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023037710
PECOS PAC ID: 7810995453
Enrollment ID: I20061115000296
Provider NameStefan S Nawab
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1053458216
PECOS PAC ID: 0345388526
Enrollment ID: I20091109000252
Provider NameThomas K Rawa
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1780855080
PECOS PAC ID: 7810891710
Enrollment ID: I20100205000296
Provider NameAnnette D Bunn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831265354
PECOS PAC ID: 4183694433
Enrollment ID: I20110310000615
Provider NameClaire E Reece
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194005124
PECOS PAC ID: 8022281575
Enrollment ID: I20111029000037
Provider NameIrene Curry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801205471
PECOS PAC ID: 5799001012
Enrollment ID: I20150304001963
Provider NameAdam Geno
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386037729
PECOS PAC ID: 5092035188
Enrollment ID: I20150513000191
Provider NameJodi M Palmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578942165
PECOS PAC ID: 0941514277
Enrollment ID: I20150730013707
Provider NameDaniela Reid
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1053467571
PECOS PAC ID: 5092746529
Enrollment ID: I20150909002582
Provider NameSharron A Jones-daggett
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1457333239
PECOS PAC ID: 6305089509
Enrollment ID: I20150911002419
Provider NameVeronica Terez Hurd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326417684
PECOS PAC ID: 2769791086
Enrollment ID: I20151027001419
Provider NameSusan Murphy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205239324
PECOS PAC ID: 3678877875
Enrollment ID: I20160215002654
Provider NameAngela M Oakley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104288620
PECOS PAC ID: 2567747223
Enrollment ID: I20170320001041
Provider NameSein Gwon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568992519
PECOS PAC ID: 4284903113
Enrollment ID: I20170707001947
Provider NameMelinda Rader
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710379227
PECOS PAC ID: 8820318819
Enrollment ID: I20171011000509
Provider NameAnnette A Atkinson-meiklejohn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477818540
PECOS PAC ID: 2860751088
Enrollment ID: I20180116002393
Provider NameMaryanne C Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982685954
PECOS PAC ID: 9931091899
Enrollment ID: I20180411001123
Provider NameBobbi-jo Campbell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316447626
PECOS PAC ID: 8628323664
Enrollment ID: I20180615001805
Provider NameMartha Carrillo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689121931
PECOS PAC ID: 2466707971
Enrollment ID: I20180622002618
Provider NameTanya L Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184116824
PECOS PAC ID: 3779830906
Enrollment ID: I20180719001363
Provider NameIngrid Ursula Kemp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558843938
PECOS PAC ID: 3577808468
Enrollment ID: I20181220003058
Provider NameJesse Lee Costales
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1619266897
PECOS PAC ID: 9335469261
Enrollment ID: I20200117000009
Provider NameHonor N Sankey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1518345206
PECOS PAC ID: 1557796463
Enrollment ID: I20200131002175
Provider NameChristine Creen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790331361
PECOS PAC ID: 8921437682
Enrollment ID: I20200331002374
Provider NameCinthya Gimena Knapper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235754771
PECOS PAC ID: 7113331786
Enrollment ID: I20210122002317
Provider NameCharles C De La Riva
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336726447
PECOS PAC ID: 0244636777
Enrollment ID: I20210909001029
Provider NameMary Ndumbe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932739539
PECOS PAC ID: 9436588647
Enrollment ID: I20210915003784
Provider NameLisa A Lownsbury
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1043616063
PECOS PAC ID: 6305181397
Enrollment ID: I20210923001416
Provider NameEli Wolf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871178822
PECOS PAC ID: 0941698609
Enrollment ID: I20211028002969
Provider NameMarcus Cain Daniels
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962072363
PECOS PAC ID: 1254721012
Enrollment ID: I20211209001860
Provider NameJoseph Frechen
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1073500609
PECOS PAC ID: 7517929391
Enrollment ID: I20220202000851
Provider NameJordin R Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265192983
PECOS PAC ID: 4981098845
Enrollment ID: I20220218002239
Provider NamePatricia Francis Yourchock Orr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124054408
PECOS PAC ID: 3779507348
Enrollment ID: I20220309002134
Provider NameJustine Irene Konderik
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639812019
PECOS PAC ID: 6608263652
Enrollment ID: I20220421002798
Provider NameAmanda Kay Stewart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124690896
PECOS PAC ID: 5092101071
Enrollment ID: I20220510001570
Provider NameFelicia Perez Canez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801149331
PECOS PAC ID: 3779963368
Enrollment ID: I20220628003524
Provider NameTalha Ali Siddiqui
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1578790531
PECOS PAC ID: 7416339312
Enrollment ID: I20220808003528
Provider NamePatrick Dennis Pattik
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508590852
PECOS PAC ID: 8921483850
Enrollment ID: I20220913003916
Provider NameLindsey Rebecca Johnson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1396476214
PECOS PAC ID: 5193100642
Enrollment ID: I20220919003240
Provider NameTyler Ryan Stoltz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1700236049
PECOS PAC ID: 3476836826
Enrollment ID: I20221017001145
Provider NameGbemisola Yemisi Chukwu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750037909
PECOS PAC ID: 1355719949
Enrollment ID: I20221202000756
Provider NameAnca Marcela Margine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629743257
PECOS PAC ID: 3173992427
Enrollment ID: I20221209000057
Provider NameAnna Fuder Boehm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619476389
PECOS PAC ID: 9032472477
Enrollment ID: I20230106000578
Provider NamePreston Jay Frank
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720704851
PECOS PAC ID: 1759753619
Enrollment ID: I20230202002480
Provider NameLaura Gonzales Richard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265050850
PECOS PAC ID: 3072986967
Enrollment ID: I20230223000909
Provider NameJoseph Bernard Gull
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962119081
PECOS PAC ID: 5395110845
Enrollment ID: I20230414000437
Provider NameTheresa Marie Mills
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235700881
PECOS PAC ID: 3779974415
Enrollment ID: I20230628004327
Provider NameAmanda Catuna
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073213781
PECOS PAC ID: 9830559277
Enrollment ID: I20230718000971
Provider NameMary Ann Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457044653
PECOS PAC ID: 1951765031
Enrollment ID: I20230907002032
Provider NameNathan Michael Vollbrecht
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932893591
PECOS PAC ID: 4981068830
Enrollment ID: I20230912001297
Provider NameVincent Roberto
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285844316
PECOS PAC ID: 6305067547
Enrollment ID: I20230920000832
Provider NameGeorge D Ide
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1447780010
PECOS PAC ID: 7911301320
Enrollment ID: I20231007000798
Provider NameDhanna Jessica Saco Gutierrez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205618584
PECOS PAC ID: 0941650873
Enrollment ID: I20231219001290
Provider NameJared Matthew Rowland
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1538627419
PECOS PAC ID: 6305296518
Enrollment ID: I20240102000201
Provider NameDaniel J Wheeler
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1215338124
PECOS PAC ID: 7517318470
Enrollment ID: I20240104004673
Provider NameLinda Rebecca Weiss
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1801288576
PECOS PAC ID: 9335590843
Enrollment ID: I20240109004186
Provider NameLynnette Inez Pina
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1588060719
PECOS PAC ID: 0840642740
Enrollment ID: I20240116003865
Provider NameJames Reeder Girvin
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1851302079
PECOS PAC ID: 1850565573
Enrollment ID: I20240329002013
Provider NameKatie A Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619737210
PECOS PAC ID: 9133560576
Enrollment ID: I20240515004331

Reviews and Comments

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White Tiger Integrated Services, Llc
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Phone: 602-706-8741    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.