| |
1501 N Gilbert Rd Ste 206 Gilbert AZ 85234-2394 | |
(480) 630-4794 | |
(480) 210-0230 |
Full Name | |
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Speciality | Psychiatry & Neurology |
Location | 1501 N Gilbert Rd Ste 206, Gilbert, Arizona |
Authorized Official Name and Position | Benjamin Pease (MEMBER MANAGER) |
Authorized Official Contact | 6039866182 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3300 N Triumph Blvd Ste 500 Lehi UT 84043-6475 Ph: (801) 821-2333 | 1501 N Gilbert Rd Ste 206 Gilbert AZ 85234-2394 Ph: (480) 630-4794 |
NPI Number | 1710492095 |
---|---|
Provider Enumeration Date | 12/07/2017 |
Last Update Date | 10/07/2024 |
Certification Date | 10/07/2024 |
Medicare PECOS PAC ID | 0840550596 |
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Medicare Enrollment ID | O20180129001252 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710492095 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 5662 (Arizona) | Secondary |
Provider Name | Elias O Ruiloba |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1124014196 PECOS PAC ID: 0648241851 Enrollment ID: I20040803000023 |
Provider Name | Thomas David Gazda |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1730158189 PECOS PAC ID: 3375501620 Enrollment ID: I20050103000732 |
Provider Name | Winona Z T Belmonte |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1336227842 PECOS PAC ID: 6002870508 Enrollment ID: I20051123000681 |
Provider Name | Dana Jean La Haie |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1669679288 PECOS PAC ID: 2466623368 Enrollment ID: I20110926000927 |
Provider Name | Teejay Tripp |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629308424 PECOS PAC ID: 1658520598 Enrollment ID: I20121009000426 |
Provider Name | Yong B Lee |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1861442683 PECOS PAC ID: 5698997633 Enrollment ID: I20141106002568 |
Provider Name | Angela M Oakley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104288620 PECOS PAC ID: 2567747223 Enrollment ID: I20170320001041 |
Provider Name | Sherry Dekeyser |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1518913540 PECOS PAC ID: 1658384912 Enrollment ID: I20170428000888 |
Provider Name | Danny Mcclure |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1073855409 PECOS PAC ID: 7416228721 Enrollment ID: I20170804001967 |
Provider Name | Sherri Crespin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326188301 PECOS PAC ID: 2860488665 Enrollment ID: I20180320002755 |
Provider Name | Brenda A. Donovan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659868776 PECOS PAC ID: 8325302490 Enrollment ID: I20180426001511 |
Provider Name | Aaron Dahl |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1891172813 PECOS PAC ID: 7719227990 Enrollment ID: I20190326001625 |
Provider Name | Deborah Lopez Stegner |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1033265715 PECOS PAC ID: 7719045426 Enrollment ID: I20190627001556 |
Provider Name | Aaron James Clay |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1578941001 PECOS PAC ID: 3870887037 Enrollment ID: I20190913003030 |
Provider Name | Brian K Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588111264 PECOS PAC ID: 8224460894 Enrollment ID: I20191120001001 |
Provider Name | Tyler Ray Vestal |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1851747687 PECOS PAC ID: 8921420332 Enrollment ID: I20200611002912 |
Provider Name | Emmanuel T Onyeani |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194215673 PECOS PAC ID: 0244639516 Enrollment ID: I20210519001380 |
Provider Name | Tommie Lee Butler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184221939 PECOS PAC ID: 1254730492 Enrollment ID: I20210520001871 |
Provider Name | Breenecia Scott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306324769 PECOS PAC ID: 9436559614 Enrollment ID: I20210609001378 |
Provider Name | Nathaniel Brooks |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1659728731 PECOS PAC ID: 8820382260 Enrollment ID: I20210616002544 |
Provider Name | Nicole Dressler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972179687 PECOS PAC ID: 9032510904 Enrollment ID: I20210629003098 |
Provider Name | Anita S Philip-johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710515796 PECOS PAC ID: 7810399953 Enrollment ID: I20210712002240 |
Provider Name | Nikka Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962939454 PECOS PAC ID: 4082040928 Enrollment ID: I20210819003588 |
Provider Name | James O'hara |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427675222 PECOS PAC ID: 9739584160 Enrollment ID: I20210824002059 |
Provider Name | Jennifer Madu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952705501 PECOS PAC ID: 7416267042 Enrollment ID: I20210901004085 |
Provider Name | Marie Paulene Jean-baptiste |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285301374 PECOS PAC ID: 4486051182 Enrollment ID: I20210922003609 |
Provider Name | Antoinette Flores |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669140299 PECOS PAC ID: 9335547488 Enrollment ID: I20211005000753 |
Provider Name | Stuart Porter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285306803 PECOS PAC ID: 2567850704 Enrollment ID: I20211021000221 |
Provider Name | Kara Prussing |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1235662800 PECOS PAC ID: 4284971763 Enrollment ID: I20211129002612 |
Provider Name | Latoya C Murphy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275195653 PECOS PAC ID: 7012308901 Enrollment ID: I20220104001199 |
Provider Name | Jerzy Hubert |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1437563186 PECOS PAC ID: 0749535532 Enrollment ID: I20220328000333 |
Provider Name | Tyler Kimsey Aman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225706286 PECOS PAC ID: 4688066376 Enrollment ID: I20220421001396 |
Provider Name | Sarah Elizabeth Buttles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902563620 PECOS PAC ID: 1759769250 Enrollment ID: I20220610001718 |
Provider Name | Derin Colvin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346989944 PECOS PAC ID: 7719367341 Enrollment ID: I20220629001231 |
Provider Name | Jayson Tripp |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1578053138 PECOS PAC ID: 4981953619 Enrollment ID: I20220722002616 |
Provider Name | Yun Bunch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164031563 PECOS PAC ID: 8426431859 Enrollment ID: I20220818000780 |
Provider Name | Bradley J Zehring |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1114363561 PECOS PAC ID: 9739458308 Enrollment ID: I20221121002848 |
Provider Name | Brian Christopher Nyberg |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689968844 PECOS PAC ID: 3779712302 Enrollment ID: I20230117000684 |
Provider Name | David Hauser |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1992006852 PECOS PAC ID: 2668616608 Enrollment ID: I20230908001956 |
Provider Name | Lilian Oghenevwoke Orumana |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457058091 PECOS PAC ID: 2961857982 Enrollment ID: I20231011003015 |
Provider Name | Colleen Lynn Fornear |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962120774 PECOS PAC ID: 1355797663 Enrollment ID: I20231023002893 |
Provider Name | Princess Darko-amoako |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043775547 PECOS PAC ID: 8022464064 Enrollment ID: I20231117002116 |
Provider Name | Melissa Faulls Leuzzi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841063971 PECOS PAC ID: 6608210463 Enrollment ID: I20240220002660 |
Provider Name | Marcus Nielson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376257170 PECOS PAC ID: 0547609901 Enrollment ID: I20240417003515 |
Provider Name | Ryan Wandler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982388997 PECOS PAC ID: 7719326990 Enrollment ID: I20240421000111 |
Provider Name | R Jason Adams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992401582 PECOS PAC ID: 8527408053 Enrollment ID: I20240501002805 |
Provider Name | Jeffrey Ely |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710763131 PECOS PAC ID: 2365883386 Enrollment ID: I20240508002254 |
Provider Name | Elizabeth Rotella |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811763915 PECOS PAC ID: 1456792845 Enrollment ID: I20240516001589 |
Provider Name | Kasey James |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023862257 PECOS PAC ID: 4789026212 Enrollment ID: I20240529001785 |
Provider Name | Holly Marie Sleva |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588220883 PECOS PAC ID: 8325580616 Enrollment ID: I20240531003815 |
Provider Name | Kayla Jacqueline Cartwright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174392443 PECOS PAC ID: 7416499181 Enrollment ID: I20240610001630 |
Provider Name | David Enis Gallegos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952168114 PECOS PAC ID: 7214470467 Enrollment ID: I20240617002432 |
Provider Name | Juliane Hayashi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336983840 PECOS PAC ID: 4486199296 Enrollment ID: I20240716002682 |
Provider Name | Michelle Reijonen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306683065 PECOS PAC ID: 9638616246 Enrollment ID: I20240731004104 |
Provider Name | Sarah Ann Moody |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932944691 PECOS PAC ID: 9436696432 Enrollment ID: I20240808001572 |
Provider Name | Laura Skiba |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518716794 PECOS PAC ID: 7315485760 Enrollment ID: I20240815003214 |
Provider Name | Tara Leedham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568280451 PECOS PAC ID: 3274065230 Enrollment ID: I20241015002361 |
Provider Name | Lacy Garth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063266658 PECOS PAC ID: 6103358056 Enrollment ID: I20241016002366 |
Provider Name | Lauren Marienau |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922865187 PECOS PAC ID: 8729512660 Enrollment ID: I20241114001000 |
Optima Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4365 E Pecos Rd Ste 120, Gilbert, AZ 85295 Phone: 480-466-8380 | |
A Peaceful Mind Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1525 S Higley Rd Ste 104, Gilbert, AZ 85296 Phone: 480-640-4908 Fax: 480-944-7849 | |
Breathing Room Therapy Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3303 E Baseline Rd Ste 109, Gilbert, AZ 85234 Phone: 480-233-3720 Fax: 480-559-9701 | |
Touch Angels Behavior Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5045 S Tatum Ln, Gilbert, AZ 85298 Phone: 480-616-0133 Fax: 480-616-0133 | |
Aps Iom Technical Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 W Guadalupe Rd Ste 124, Gilbert, AZ 85233 Phone: 480-307-8258 | |