| New Hope Behavioral Health Center Inc | |
|
215 S Power Rd Ste 216 Mesa AZ 85206-5238 | |
| (480) 981-1022 | |
| (480) 981-1405 |
| Full Name | New Hope Behavioral Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 215 S Power Rd Ste 216, Mesa, Arizona |
| Authorized Official Name and Position | Mindi A Woodruff (OWNER) |
| Authorized Official Contact | 4809811022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Hope Behavioral Health Center Inc 215 S Power Rd Ste 114 Mesa AZ 85206-5236 Ph: (480) 981-1022 | New Hope Behavioral Health Center Inc 215 S Power Rd Ste 216 Mesa AZ 85206-5238 Ph: (480) 981-1022 |
| NPI Number | 1992387112 |
|---|---|
| Provider Enumeration Date | 04/27/2021 |
| Last Update Date | 04/27/2021 |
| Certification Date | 04/27/2021 |
| Medicare PECOS PAC ID | 3678906104 |
|---|---|
| Medicare Enrollment ID | O20210715000827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992387112 | NPI | - | NPPES |
| 1578685822 | Other | AZ | NPI |
| 893554 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
| Provider Name | Matthew D Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821431560 PECOS PAC ID: 1456571892 Enrollment ID: I20171031000336 |
| Provider Name | Karen Holtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023873296 PECOS PAC ID: 5092240416 Enrollment ID: I20241121004826 |
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