| Mindful Aging Psychiatry Services Llc | |
|
6554 E Carondelet Dr Tucson AZ 85710-2117 | |
| (520) 664-5301 | |
| (520) 225-0699 |
| Full Name | Mindful Aging Psychiatry Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6554 E Carondelet Dr, Tucson, Arizona |
| Authorized Official Name and Position | Karin Ohlson (NURSE PRACTITIONER) |
| Authorized Official Contact | 5202044480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Aging Psychiatry Services Llc 6554 E Carondelet Dr Tucson AZ 85710-2117 Ph: (520) 664-5301 | Mindful Aging Psychiatry Services Llc 6554 E Carondelet Dr Tucson AZ 85710-2117 Ph: (520) 664-5301 |
| NPI Number | 1215527759 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 12/20/2021 |
| Certification Date | 12/20/2021 |
| Medicare PECOS PAC ID | 5496128779 |
|---|---|
| Medicare Enrollment ID | O20230307002912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215527759 | NPI | - | NPPES |
| 415121 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Karin E Ohlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104867589 PECOS PAC ID: 3678634474 Enrollment ID: I20090428000313 |
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