| Mindpath Health Arizona, Llc | |
|
70 N Mcclintock Dr Ste 4 Chandler AZ 85226-3711 | |
| (480) 464-4431 | |
| (480) 464-2338 |
| Full Name | Mindpath Health Arizona, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 70 N Mcclintock Dr Ste 4, Chandler, Arizona |
| Authorized Official Name and Position | Jasmine A Spaulding (SUPERVISOR PAYOR RELATIONS) |
| Authorized Official Contact | 9165767893 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindpath Health Arizona, Llc 3835 N Freeway Blvd Ste 100 Sacramento CA 95834-1954 Ph: (916) 576-7900 | Mindpath Health Arizona, Llc 70 N Mcclintock Dr Ste 4 Chandler AZ 85226-3711 Ph: (480) 464-4431 |
| NPI Number | 1821703885 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 01/13/2023 |
| Certification Date | 01/13/2023 |
| Medicare PECOS PAC ID | 7416321872 |
|---|---|
| Medicare Enrollment ID | O20230327000408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821703885 | NPI | - | NPPES |
| Provider Name | Lauro Amezcua-patino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659364396 PECOS PAC ID: 1153385273 Enrollment ID: I20041117000840 |
| Provider Name | Emerson B Bueno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528146735 PECOS PAC ID: 9638100597 Enrollment ID: I20050830000893 |
| Provider Name | Priyanka Sarihan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205241130 PECOS PAC ID: 7012219405 Enrollment ID: I20230329001282 |
| Provider Name | Jasita Sachar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629450879 PECOS PAC ID: 9931418993 Enrollment ID: I20230330001511 |
| Provider Name | Ruth Margaret Flucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124384896 PECOS PAC ID: 9830532738 Enrollment ID: I20240207003683 |
| Provider Name | Shalene Rogg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659037620 PECOS PAC ID: 7012350861 Enrollment ID: I20240208001435 |
| Provider Name | Angela Dorfman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124784822 PECOS PAC ID: 0648614537 Enrollment ID: I20240219003615 |
| Provider Name | Stephanie Altura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306583711 PECOS PAC ID: 4789028549 Enrollment ID: I20240220002721 |
| Provider Name | Bhumi Nagle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568761583 PECOS PAC ID: 3779922620 Enrollment ID: I20240411004077 |
| Provider Name | Steven Michael Stein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336745033 PECOS PAC ID: 1153760962 Enrollment ID: I20240412002106 |
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