| Restorative Psych Wellness Center | |
|
1017 S Gilbert Rd Ste 213 Mesa AZ 85204-4444 | |
| (732) 322-1807 | |
| (480) 383-6445 |
| Full Name | Restorative Psych Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1017 S Gilbert Rd Ste 213, Mesa, Arizona |
| Authorized Official Name and Position | Joseph Njoroge Kimani (PRESIDENT) |
| Authorized Official Contact | 7323221807 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Psych Wellness Center 14844 S 30th St Phoenix AZ 85048-8714 Ph: (732) 322-1807 | Restorative Psych Wellness Center 1017 S Gilbert Rd Ste 213 Mesa AZ 85204-4444 Ph: (732) 322-1807 |
| NPI Number | 1851972806 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Medicare PECOS PAC ID | 8123427481 |
|---|---|
| Medicare Enrollment ID | O20210519001074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851972806 | NPI | - | NPPES |
| Provider Name | Joseph Kimani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861899932 PECOS PAC ID: 2062730179 Enrollment ID: I20210428000467 |
| Provider Name | Sophie Gwelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104419282 PECOS PAC ID: 7416366331 Enrollment ID: I20210505003167 |
| Provider Name | Mary M Ndungu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487326914 PECOS PAC ID: 1254729908 Enrollment ID: I20211028002350 |
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