| Mental Health Center Of America, Llc | |
|
7600 N 15th St Ste 100 Phoenix AZ 85020-4330 | |
| (602) 704-2345 | |
| (602) 704-2399 |
| Full Name | Mental Health Center Of America, Llc |
|---|---|
| Speciality | Counselor |
| Location | 7600 N 15th St Ste 100, Phoenix, Arizona |
| Authorized Official Name and Position | Jason Law (MANAGING PARTNER) |
| Authorized Official Contact | 6235702940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Center Of America, Llc 1 N 1st St Fl 7 Phoenix AZ 85004-2357 Ph: (602) 704-2345 | Mental Health Center Of America, Llc 7600 N 15th St Ste 100 Phoenix AZ 85020-4330 Ph: (602) 704-2345 |
| NPI Number | 1235700303 |
|---|---|
| Provider Enumeration Date | 07/08/2021 |
| Last Update Date | 03/08/2022 |
| Certification Date | 03/08/2022 |
| Medicare PECOS PAC ID | 7012308257 |
|---|---|
| Medicare Enrollment ID | O20211227000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235700303 | NPI | - | NPPES |
| Provider Name | Mona Amini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770710782 PECOS PAC ID: 9436393568 Enrollment ID: I20130911000623 |
| Provider Name | Soffia E Palsdottir |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073050456 PECOS PAC ID: 6406132125 Enrollment ID: I20170412001745 |
| Provider Name | John Mansoor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831825348 PECOS PAC ID: 3870977689 Enrollment ID: I20220829000758 |
| Provider Name | Kristen Northup |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700587748 PECOS PAC ID: 2769840701 Enrollment ID: I20230622002801 |
| Provider Name | Kristen Northup |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700587748 PECOS PAC ID: 2769840701 Enrollment ID: I20230626000187 |
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