| Scottsdale Mental Health And Wellness Institute | |
|
8350 E Raintree Dr Ste 130 Scottsdale AZ 85260-2692 | |
| (480) 508-0882 | |
| (480) 508-0891 |
| Full Name | Scottsdale Mental Health And Wellness Institute |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8350 E Raintree Dr Ste 130, Scottsdale, Arizona |
| Authorized Official Name and Position | Ehab Abdallah (MANAGING PARTNER) |
| Authorized Official Contact | 6029999765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scottsdale Mental Health And Wellness Institute 8350 E Raintree Dr Ste 130 Scottsdale AZ 85260-2692 Ph: (480) 508-0882 | Scottsdale Mental Health And Wellness Institute 8350 E Raintree Dr Ste 130 Scottsdale AZ 85260-2692 Ph: (480) 508-0882 |
| NPI Number | 1366968125 |
|---|---|
| Provider Enumeration Date | 08/14/2017 |
| Last Update Date | 03/07/2023 |
| Certification Date | 03/07/2023 |
| Medicare PECOS PAC ID | 5496000978 |
|---|---|
| Medicare Enrollment ID | O20180625002486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366968125 | NPI | - | NPPES |
| Provider Name | Andrea L Raby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679645782 PECOS PAC ID: 4981591708 Enrollment ID: I20040304000335 |
| Provider Name | Lauren T Bonner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740265990 PECOS PAC ID: 6103811815 Enrollment ID: I20040421000013 |
| Provider Name | Gargi M Dwivedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700874153 PECOS PAC ID: 4183670417 Enrollment ID: I20050329001233 |
| Provider Name | Mehmud Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942221635 PECOS PAC ID: 8628019445 Enrollment ID: I20050520000931 |
| Provider Name | Roland Segal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972671022 PECOS PAC ID: 2961411590 Enrollment ID: I20060411000100 |
| Provider Name | Fariba K Pfitzner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053511923 PECOS PAC ID: 2769575885 Enrollment ID: I20070906000227 |
| Provider Name | Ehab Abdallah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922112572 PECOS PAC ID: 8224065289 Enrollment ID: I20150225000918 |
| Provider Name | Bahar Altaha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972531630 PECOS PAC ID: 3274598180 Enrollment ID: I20190415002176 |
| Provider Name | Regan V O'brien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578950978 PECOS PAC ID: 6406198613 Enrollment ID: I20190508000925 |
| Provider Name | Akshay Pandharinath Lokhande |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508268582 PECOS PAC ID: 1456641711 Enrollment ID: I20190612001631 |
| Provider Name | Rebecca Boger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235797283 PECOS PAC ID: 8224368576 Enrollment ID: I20190930000959 |
| Provider Name | Ellen S Friedman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538545363 PECOS PAC ID: 7315303690 Enrollment ID: I20230510003229 |
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