Mind 247 Practice Llc - Medicare Mental Health Clinic in Phoenix, AZ

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Mind 247 Practice Llc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Phoenix, Arizona. The current practice location for Mind 247 Practice Llc is 2728 N 24th St, Phoenix, Arizona. For appointments, you can reach them via phone at (844) 646-3247. The mailing address for Mind 247 Practice Llc is 1465 N Scottsdale Rd Ste 400, Scottsdale, Arizona and phone number is (844) 646-3247.

Mind 247 Practice Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1902472467. 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 (844) 646-3247.

Contact Information

Mind 247 Practice Llc
2728 N 24th St
Phoenix
AZ 85008-1050
(844) 646-3247
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameMind 247 Practice Llc
SpecialityClinic/Center
Location2728 N 24th St, Phoenix, Arizona
Authorized Official Name and PositionAisha Lynn Depriest (DIRECTOR OF CREDENTIALING)
Authorized Official Contact4803694008
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mind 247 Practice Llc
1465 N Scottsdale Rd Ste 400
Scottsdale
AZ 85257-3634

Ph: (844) 646-3247		Mind 247 Practice Llc
2728 N 24th St
Phoenix
AZ 85008-1050

Ph: (844) 646-3247

NPI Details:

NPI Number1902472467
Provider Enumeration Date06/03/2021
Last Update Date10/04/2022
Certification Date10/04/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6406253541
Medicare Enrollment IDO20210916001566

Medical Identifiers

Medical identifiers for Mind 247 Practice Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902472467NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (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. Mind 247 Practice Llc acts as a billing entity for following providers:
Provider NameVernon Barksdale
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1871547380
PECOS PAC ID: 5698768935
Enrollment ID: I20040405000539
Provider NameJohn J Lee
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1568534741
PECOS PAC ID: 9335153881
Enrollment ID: I20060203000413
Provider NameAnnette D Bunn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831265354
PECOS PAC ID: 4183694433
Enrollment ID: I20110310000615
Provider NameTarry Wolfe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982655338
PECOS PAC ID: 1052459559
Enrollment ID: I20110606000748
Provider NameKristen Lyn Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447545645
PECOS PAC ID: 8527237569
Enrollment ID: I20110809000606
Provider NameJoycelyn Connet
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225377898
PECOS PAC ID: 3870732712
Enrollment ID: I20130625000533
Provider NameKelly Breen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851720189
PECOS PAC ID: 7113157736
Enrollment ID: I20140227001080
Provider NameRoy Lee Evans
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578583209
PECOS PAC ID: 8426108481
Enrollment ID: I20140428000003
Provider NameAdiza J Sulley
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1427369420
PECOS PAC ID: 6305096215
Enrollment ID: I20140721002280
Provider NameChyllia D Dixon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174916472
PECOS PAC ID: 7719298033
Enrollment ID: I20150612000863
Provider NameBose Anifowose
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932589322
PECOS PAC ID: 7719294081
Enrollment ID: I20150918000867
Provider NameKimberly Keene
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285004234
PECOS PAC ID: 2668781154
Enrollment ID: I20151023000975
Provider NameLatanya M Willis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225235005
PECOS PAC ID: 8123331071
Enrollment ID: I20160909000431
Provider NameNadia Ledesma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477006989
PECOS PAC ID: 9335421999
Enrollment ID: I20170117001139
Provider NameMirandine Fitchette
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841678943
PECOS PAC ID: 3870806821
Enrollment ID: I20170308001654
Provider NameHamda H Awaal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710373923
PECOS PAC ID: 2567769037
Enrollment ID: I20170323000888
Provider NameAmy Priftakis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508212960
PECOS PAC ID: 4385915008
Enrollment ID: I20170728002897
Provider NameTanya L Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184116824
PECOS PAC ID: 3779830906
Enrollment ID: I20180719001363
Provider NameLaura B Masters
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154793685
PECOS PAC ID: 5092025874
Enrollment ID: I20180801003465
Provider NameMargarita Madrid
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619476207
PECOS PAC ID: 6901150028
Enrollment ID: I20181108000733
Provider NameMark Gregory Sonenschein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457816597
PECOS PAC ID: 5991046542
Enrollment ID: I20190408001778
Provider NamePhillis C Mutembete
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215230081
PECOS PAC ID: 3476895269
Enrollment ID: I20190426000476
Provider NamePatience R Akhimien
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346617594
PECOS PAC ID: 8729397773
Enrollment ID: I20190604000948
Provider NameAmy Renee Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457905812
PECOS PAC ID: 2264764182
Enrollment ID: I20191025002561
Provider NameKevin Demarcus Lowrey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407499635
PECOS PAC ID: 1658706536
Enrollment ID: I20200123000474
Provider NameAnthony Kimani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295370401
PECOS PAC ID: 2365877842
Enrollment ID: I20200123001343
Provider NameShannon Janine Crawford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275164337
PECOS PAC ID: 3173951456
Enrollment ID: I20200319002854
Provider NameFrancis Kangere Kahiga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477185759
PECOS PAC ID: 2567891773
Enrollment ID: I20200408003598
Provider NameJacob Johns
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235779737
PECOS PAC ID: 1456772193
Enrollment ID: I20200604000461
Provider NameKetura C James
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548508237
PECOS PAC ID: 4284860529
Enrollment ID: I20200706000167
Provider NameVincent P Ekstrom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124644794
PECOS PAC ID: 2062838238
Enrollment ID: I20200818003624
Provider NameToni R Crawford-jonas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467069567
PECOS PAC ID: 2062832132
Enrollment ID: I20201012002777
Provider NameTerri D Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831702513
PECOS PAC ID: 9436569316
Enrollment ID: I20201104000837
Provider NameShereen Breuer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619577186
PECOS PAC ID: 0042620825
Enrollment ID: I20201105002666
Provider NameFlora Issanda Stowater
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700274321
PECOS PAC ID: 2961813571
Enrollment ID: I20201202001632
Provider NameYolanda Baugh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215536479
PECOS PAC ID: 5890108542
Enrollment ID: I20210119002261
Provider NameAmanda Kate Long
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295376945
PECOS PAC ID: 0941626527
Enrollment ID: I20210224001327
Provider NamePaulette D Winsor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568054195
PECOS PAC ID: 7012324817
Enrollment ID: I20210323001094
Provider NameKenneth Nembu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841810371
PECOS PAC ID: 9335556430
Enrollment ID: I20210407000442
Provider NameJennifer Steele
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487249710
PECOS PAC ID: 7416365531
Enrollment ID: I20210409000225
Provider NameKelly L Heffron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043895030
PECOS PAC ID: 7416365077
Enrollment ID: I20210420001124
Provider NameMeshack Samia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760014047
PECOS PAC ID: 4183055239
Enrollment ID: I20210429002800
Provider NameLizete Diaz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598341877
PECOS PAC ID: 6406255504
Enrollment ID: I20210521001773
Provider NameIhuoma U Nwoke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629666789
PECOS PAC ID: 6406255322
Enrollment ID: I20210623003005
Provider NameJerica Elaine M Lim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043884026
PECOS PAC ID: 7618379447
Enrollment ID: I20210715001933
Provider NameNikka Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962939454
PECOS PAC ID: 4082040928
Enrollment ID: I20210819003588
Provider NameRachel Bardos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265003081
PECOS PAC ID: 4385049360
Enrollment ID: I20210830001975
Provider NameJames Fiske
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013525534
PECOS PAC ID: 5294131520
Enrollment ID: I20210910002214
Provider NameDelphine Valentin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982205944
PECOS PAC ID: 7618375841
Enrollment ID: I20211001001733
Provider NameMary M Ndungu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487326914
PECOS PAC ID: 1254729908
Enrollment ID: I20211028002350
Provider NameDorothy C Igwe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073038824
PECOS PAC ID: 9739577107
Enrollment ID: I20211104001097
Provider NameShawn J Dugan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841825155
PECOS PAC ID: 7618391483
Enrollment ID: I20211111000623
Provider NameLimy Fernandus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972005189
PECOS PAC ID: 8820424070
Enrollment ID: I20211216002411
Provider NameLakshmi Nair
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720588742
PECOS PAC ID: 2769731819
Enrollment ID: I20220202002667
Provider NameCaroline Waceke Miya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992266712
PECOS PAC ID: 7012301278
Enrollment ID: I20220303002147
Provider NameStephanie J Dockins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114559366
PECOS PAC ID: 5597150318
Enrollment ID: I20220315000277
Provider NameJose Francisco Rodriguez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669086641
PECOS PAC ID: 4183043383
Enrollment ID: I20220606002043
Provider NameMojisola Balogun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144567264
PECOS PAC ID: 7012255904
Enrollment ID: I20220606002368
Provider NameMarquita Lagarde
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902247570
PECOS PAC ID: 0749662567
Enrollment ID: I20220726002926
Provider NameCharles Bear Bradley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982347852
PECOS PAC ID: 6507248176
Enrollment ID: I20220728001677
Provider NameMaria Graciela Cornejo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215549274
PECOS PAC ID: 5193107324
Enrollment ID: I20220803003474
Provider NameStella W Waweru
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649836750
PECOS PAC ID: 3274915467
Enrollment ID: I20220804001870
Provider NameRhonda Ann Brun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417680323
PECOS PAC ID: 6406231612
Enrollment ID: I20220923000393
Provider NameTamara Perryman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255688339
PECOS PAC ID: 5496773244
Enrollment ID: I20220926003300
Provider NameIan Pedregosa Dy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780288852
PECOS PAC ID: 6901212653
Enrollment ID: I20221004000767
Provider NameVanessa Arvizu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225773468
PECOS PAC ID: 2567848898
Enrollment ID: I20221010002317
Provider NameLafayette Bishop
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588387989
PECOS PAC ID: 4587033063
Enrollment ID: I20221205001814
Provider NameJulie Ann Bainbridge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073237210
PECOS PAC ID: 3274902234
Enrollment ID: I20221213003311
Provider NameMichael S Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588339923
PECOS PAC ID: 7012391816
Enrollment ID: I20221219001197
Provider NameJennifer Lynn Ruth Beaupre
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437823143
PECOS PAC ID: 1759787112
Enrollment ID: I20230125001328
Provider NameJames Ndungu Maigua
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912614611
PECOS PAC ID: 8921479080
Enrollment ID: I20230127001013
Provider NamePreston Jay Frank
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720704851
PECOS PAC ID: 1759753619
Enrollment ID: I20230202002480
Provider NameAbbas Ghazi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124735006
PECOS PAC ID: 9133591837
Enrollment ID: I20230206002661
Provider NameSamuel Hutchinson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1033630934
PECOS PAC ID: 6103163365
Enrollment ID: I20230207002328
Provider NameAndia Boci
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578222451
PECOS PAC ID: 6305214289
Enrollment ID: I20230424000396
Provider NameAnna Lavette Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801594890
PECOS PAC ID: 5395100556
Enrollment ID: I20230424001611
Provider NameDebra K Gibson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811694482
PECOS PAC ID: 4486019478
Enrollment ID: I20230426001900
Provider NameJill Marie Abernathy-wilke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114624871
PECOS PAC ID: 4880059880
Enrollment ID: I20230426002163
Provider NameTyler Weber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457056582
PECOS PAC ID: 3072978964
Enrollment ID: I20230427003008
Provider NameJamie Wade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225730997
PECOS PAC ID: 9234596305
Enrollment ID: I20230605002198
Provider NameMarcus Konyi Kometa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003522954
PECOS PAC ID: 4688036692
Enrollment ID: I20230808002078
Provider NameAshleigh Michelle Mcdonnell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023789963
PECOS PAC ID: 8224492434
Enrollment ID: I20230906003147

Reviews and Comments

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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.