| Notre Dame Behavioral Health, Pllc | |
|
14811 W Bell Rd Ste 100 Surprise AZ 85374-7602 | |
| (623) 328-7323 | |
| (623) 337-4917 |
| Full Name | Notre Dame Behavioral Health, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 14811 W Bell Rd Ste 100, Surprise, Arizona |
| Authorized Official Name and Position | Hany S. Ashamalla (PSYCHIATRIST) |
| Authorized Official Contact | 6233287323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Notre Dame Behavioral Health, Pllc 14811 W Bell Rd Ste 100 Surprise AZ 85374-7602 Ph: (623) 328-7323 | Notre Dame Behavioral Health, Pllc 14811 W Bell Rd Ste 100 Surprise AZ 85374-7602 Ph: (623) 328-7323 |
| NPI Number | 1356749543 |
|---|---|
| Provider Enumeration Date | 12/21/2014 |
| Last Update Date | 03/23/2022 |
| Certification Date | 03/23/2022 |
| Medicare PECOS PAC ID | 0042530065 |
|---|---|
| Medicare Enrollment ID | O20150514002135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356749543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 45901 (Arizona) | Primary |
| Provider Name | Kelly England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164667739 PECOS PAC ID: 0345304218 Enrollment ID: I20100222000214 |
| Provider Name | Hany S Ashamalla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255645891 PECOS PAC ID: 5991955221 Enrollment ID: I20121023000633 |
| Provider Name | Shawn Patrick Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710903281 PECOS PAC ID: 8224305552 Enrollment ID: I20170517000835 |
| Provider Name | Irina Ashamalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205365772 PECOS PAC ID: 5698032449 Enrollment ID: I20171201002914 |
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