| Metropolitan Neuro Behavioral Institute Pllc | |
|
4055 W Chandler Blvd Suite #5 Chandler AZ 85226-3700 | |
| (480) 464-4431 | |
| (480) 464-2338 |
| Full Name | Metropolitan Neuro Behavioral Institute Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4055 W Chandler Blvd, Chandler, Arizona |
| Authorized Official Name and Position | Fnu Priyanka (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5594902067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan Neuro Behavioral Institute Pllc 70 N Mcclintock Dr Ste 4 Chandler AZ 85226-3711 Ph: (480) 464-4431 | Metropolitan Neuro Behavioral Institute Pllc 4055 W Chandler Blvd Suite #5 Chandler AZ 85226-3700 Ph: (480) 464-4431 |
| NPI Number | 1073608832 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 01/27/2025 |
| Certification Date | 01/27/2025 |
| Medicare PECOS PAC ID | 6305932435 |
|---|---|
| Medicare Enrollment ID | O20071019000393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073608832 | NPI | - | NPPES |
| 1659364396 | Other | AZ | DR'S NPI # |
| Provider Name | Lauro Amezcua-patino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659364396 PECOS PAC ID: 1153385273 Enrollment ID: I20041117000840 |
| Provider Name | Karen L Van Wie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992715379 PECOS PAC ID: 6002982873 Enrollment ID: I20080902000072 |
| Provider Name | Chitra Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356724728 PECOS PAC ID: 2163792276 Enrollment ID: I20170724000843 |
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