| Ri International | |
|
11361 N 99th Avenue Suites 400 & 402 Peoria AZ 85345 | |
| (602) 636-4605 | |
| (623) 972-6173 |
| Full Name | Ri International |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 11361 N 99th Avenue, Peoria, Arizona |
| Authorized Official Name and Position | Corina Ogaz (ASSOCIATE DIRECTOR, CREDENTIALING) |
| Authorized Official Contact | 6026363085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ri International 2701 N 16th Street Suite 316 Phoenix AZ 85006 Ph: (602) 650-1212 | Ri International 11361 N 99th Avenue Suites 400 & 402 Peoria AZ 85345 Ph: (602) 636-4605 |
| NPI Number | 1609243518 |
|---|---|
| Provider Enumeration Date | 08/26/2015 |
| Last Update Date | 06/21/2022 |
| Certification Date | 06/21/2022 |
| Medicare PECOS PAC ID | 1456500628 |
|---|---|
| Medicare Enrollment ID | O20170606002503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609243518 | NPI | - | NPPES |
| 110785 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Arizona) | Secondary |
| 251S00000X | Community/behavioral Health | OTC7470 (Arizona) | Primary |
| Provider Name | Lisa A D'alessandro-betancourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730251034 PECOS PAC ID: 3375606049 Enrollment ID: I20090107000517 |
| Provider Name | Emina Foci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568750214 PECOS PAC ID: 1254508872 Enrollment ID: I20120123000843 |
| Provider Name | Renee H Kania |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184940652 PECOS PAC ID: 6204088123 Enrollment ID: I20121128000558 |
| Provider Name | Michael A Riddle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487859898 PECOS PAC ID: 3779646104 Enrollment ID: I20121228000386 |
| Provider Name | Anita T Sassaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952644965 PECOS PAC ID: 1355589474 Enrollment ID: I20130601000027 |
| Provider Name | Amber Lynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063842813 PECOS PAC ID: 3274762729 Enrollment ID: I20140204001341 |
| Provider Name | Andrea Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265812135 PECOS PAC ID: 9537471693 Enrollment ID: I20150701001698 |
| Provider Name | Kimberly Keene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285004234 PECOS PAC ID: 2668781154 Enrollment ID: I20151023000975 |
| Provider Name | Emily A Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760745186 PECOS PAC ID: 2062722671 Enrollment ID: I20151111001924 |
| Provider Name | Sharon Sy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679975379 PECOS PAC ID: 2264721000 Enrollment ID: I20160517001934 |
| Provider Name | Aimee Uwimana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710435581 PECOS PAC ID: 0042598385 Enrollment ID: I20161020002260 |
| Provider Name | Adam Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558800904 PECOS PAC ID: 1254616782 Enrollment ID: I20170324001820 |
| Provider Name | Amy Renee Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457905812 PECOS PAC ID: 2264764182 Enrollment ID: I20191025002561 |
| Provider Name | Allison Solarz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639727415 PECOS PAC ID: 9739513227 Enrollment ID: I20191216001178 |
| Provider Name | Charles Rodney Sharpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134274194 PECOS PAC ID: 1951720515 Enrollment ID: I20200930003067 |
| Provider Name | Susannamma Lijan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003424102 PECOS PAC ID: 0244650745 Enrollment ID: I20201022001927 |
| Provider Name | Sherri Ann Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831796549 PECOS PAC ID: 7810309341 Enrollment ID: I20201207002346 |
| Provider Name | Crystal Montague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669887774 PECOS PAC ID: 1355560871 Enrollment ID: I20210426000260 |
| Provider Name | Kondal Rao Madaram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003952144 PECOS PAC ID: 4284826892 Enrollment ID: I20220309002809 |
Elite Treatment Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13660 N 94th Dr Ste E1, Peoria, AZ 85381 Phone: 512-679-3381 | |
Community Medical Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10689 N 99th Ave, Peoria, AZ 85345 Phone: 623-233-1333 Fax: 623-234-8333 | |
Desert View Counseling &consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11361 N 99th Ave, Suite 106, Peoria, AZ 85345 Phone: 623-487-7763 Fax: 623-486-8276 | |
Greystone House 2, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27490 N Higuera Dr, Peoria, AZ 85383 Phone: 602-525-5468 Fax: 602-467-3153 | |
Community Medical Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10689 North 99th Avemue, Peoria, AZ 85345 Phone: 623-233-1333 Fax: 623-234-8333 | |
Arizona Childrens Therapy Center Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7545 W Redbird Rd, Peoria, AZ 85383 Phone: 480-510-1599 Fax: 623-258-4136 | |
Community Of Hope Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10700 N 85th Ave # 184, Peoria, AZ 85345 Phone: 602-473-1286 |