| Maricopa Integrated Health System | |
|
4011 N 51st Ave Phoenix AZ 85031-2601 | |
| (623) 344-6900 | |
| (623) 344-6901 |
| Full Name | Maricopa Integrated Health System |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4011 N 51st Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Kathleen Kirkland (PFS DIRECTOR) |
| Authorized Official Contact | 6023448178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maricopa Integrated Health System Po Box 29670 Phoenix AZ 85038-9670 Ph: (602) 344-8178 | Maricopa Integrated Health System 4011 N 51st Ave Phoenix AZ 85031-2601 Ph: (623) 344-6900 |
| NPI Number | 1548764657 |
|---|---|
| Provider Enumeration Date | 03/22/2018 |
| Last Update Date | 03/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548764657 | NPI | - | NPPES |
| 020107 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | H3673 (Arizona) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | H3673 (Arizona) | Secondary |
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 |