| Clarvida | |
|
1161/1181 N El Dorado Pl Tucson AZ 85715 | |
| (520) 748-7108 | |
| (520) 745-0638 |
| Full Name | Clarvida |
|---|---|
| Speciality | Clinic/Center |
| Location | 1161/1181 N El Dorado Pl, Tucson, Arizona |
| Authorized Official Name and Position | Nancy Poe (CONTRACTS ADMINSITRATOR) |
| Authorized Official Contact | 5205701460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarvida 1161 N El Dorado Pl Ste 203 Tucson AZ 85715-4607 Ph: (520) 748-7108 | Clarvida 1161/1181 N El Dorado Pl Tucson AZ 85715 Ph: (520) 748-7108 |
| NPI Number | 1275845646 |
|---|---|
| Provider Enumeration Date | 07/13/2010 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Medicare PECOS PAC ID | 3173718152 |
|---|---|
| Medicare Enrollment ID | O20101116000985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275845646 | NPI | - | NPPES |
| 000284 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | OTC6480 (Arizona) | Primary |
| Provider Name | Lori A Danker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922126465 PECOS PAC ID: 1951471986 Enrollment ID: I20080603000582 |
| Provider Name | Patrick Sola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700977840 PECOS PAC ID: 2769647106 Enrollment ID: I20120710000126 |
| Provider Name | Margaret Gregg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104201896 PECOS PAC ID: 0941575328 Enrollment ID: I20171011001415 |
| Provider Name | Phillip Allen Stensrud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811523210 PECOS PAC ID: 8022431485 Enrollment ID: I20200702001057 |
| Provider Name | Ratko John Sarazin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740439595 PECOS PAC ID: 3577630870 Enrollment ID: I20201001002979 |
| Provider Name | Kyna Ambrose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992474621 PECOS PAC ID: 9739587098 Enrollment ID: I20211018001808 |
| Provider Name | Luis Arturo Guajardo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164132734 PECOS PAC ID: 0345611182 Enrollment ID: I20230113001974 |
| Provider Name | Carlos Barrios |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174643647 PECOS PAC ID: 8921188855 Enrollment ID: I20230817003952 |
| Provider Name | Maceline Check Check |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821795626 PECOS PAC ID: 6800242983 Enrollment ID: I20231025002870 |
| Provider Name | Serena Samaniego |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316314958 PECOS PAC ID: 7911355565 Enrollment ID: I20231121001555 |
| Provider Name | Sara E Dominguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346625605 PECOS PAC ID: 5991153553 Enrollment ID: I20231121002183 |
| Provider Name | Julie Kotelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053923912 PECOS PAC ID: 6406112804 Enrollment ID: I20231208002884 |
| Provider Name | Lynda Santillan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467047290 PECOS PAC ID: 4486004421 Enrollment ID: I20240103001057 |
| Provider Name | Sherri Broughton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902235906 PECOS PAC ID: 4385095306 Enrollment ID: I20240103004309 |
| Provider Name | Michael Panico |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730516865 PECOS PAC ID: 5193176113 Enrollment ID: I20240103004356 |
| Provider Name | Stacy Lynette Gee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417419664 PECOS PAC ID: 0446601793 Enrollment ID: I20240110004881 |
| Provider Name | Monica Carrillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861937906 PECOS PAC ID: 9638521669 Enrollment ID: I20240116001306 |
| Provider Name | Jovan Martiza Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144796152 PECOS PAC ID: 0446691489 Enrollment ID: I20240508003141 |
Nancy E Campbell, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2230 E. Speedway Blvd., Suite 100, Tucson, AZ 85719 Phone: 520-878-7857 Fax: 520-572-2049 | |
Counterpoint Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1661 N Swan Rd Ste 200-2, Tucson, AZ 85712 Phone: 520-990-3122 | |
Psyche Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5240 E Knight Dr Ste 120, Tucson, AZ 85712 Phone: 520-795-0309 Fax: 520-795-2030 | |
Counseling Directions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 N Alvernon Way Ste 105, Tucson, AZ 85711 Phone: 520-561-8773 | |
Perception Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1213 E Warehouse Avenue, Tucson, AZ 85719 Phone: 520-623-7077 | |
B. Robert Crago Phd Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5363 E Pima St Ste 100, Tucson, AZ 85712 Phone: 520-323-0062 Fax: 520-323-1336 | |
Catalina Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16358 N Forecastle Ave, Tucson, AZ 85739 Phone: 602-367-9807 |