| Mindfully Integrated Health Pllc | |
|
8585 E Hartford Dr Ste 103 Scottsdale AZ 85255-5472 | |
| (480) 562-6600 | |
| (480) 562-6606 |
| Full Name | Mindfully Integrated Health Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8585 E Hartford Dr Ste 103, Scottsdale, Arizona |
| Authorized Official Name and Position | Sarah Wicklund (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4805626600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindfully Integrated Health Pllc Po Box 11616 Glendale AZ 85318-1616 Ph: (480) 562-6600 | Mindfully Integrated Health Pllc 8585 E Hartford Dr Ste 103 Scottsdale AZ 85255-5472 Ph: (480) 562-6600 |
| NPI Number | 1083102826 |
|---|---|
| Provider Enumeration Date | 04/26/2018 |
| Last Update Date | 04/21/2021 |
| Certification Date | 04/21/2021 |
| Medicare PECOS PAC ID | 7113275397 |
|---|---|
| Medicare Enrollment ID | O20180803001521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083102826 | NPI | - | NPPES |
| Provider Name | Sarah E Wicklund |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629241179 PECOS PAC ID: 1850424425 Enrollment ID: I20120810000260 |
| Provider Name | Natalie Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386005270 PECOS PAC ID: 5890083091 Enrollment ID: I20161004000164 |
| Provider Name | Michael Keenen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053076240 PECOS PAC ID: 1658738638 Enrollment ID: I20230606003490 |
| Provider Name | Joanna L Lensch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770225328 PECOS PAC ID: 3779942107 Enrollment ID: I20230703002623 |
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