Southwest Behavioral Health Services Inc | |
3450 N 3rd St Phoenix AZ 85012-2331 | |
(602) 265-8338 | |
(602) 266-9025 |
Full Name | Southwest Behavioral Health Services Inc |
---|---|
Speciality | Community/Behavioral Health |
Location | 3450 N 3rd St, Phoenix, Arizona |
Authorized Official Name and Position | Jeff Jorde (PRESIDENT AND CEO) |
Authorized Official Contact | 6022579339 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Southwest Behavioral Health Services Inc 3450 N 3rd St Phoenix AZ 85012-2331 Ph: (602) 257-9339 | Southwest Behavioral Health Services Inc 3450 N 3rd St Phoenix AZ 85012-2331 Ph: (602) 265-8338 |
NPI Number | 1144384389 |
---|---|
Provider Enumeration Date | 12/21/2006 |
Last Update Date | 05/02/2024 |
Certification Date | 05/02/2024 |
Medicare PECOS PAC ID | 9739075854 |
---|---|
Medicare Enrollment ID | O20040225000948 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144384389 | NPI | - | NPPES |
033923 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Gail M Pigeon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548224421 PECOS PAC ID: 4789653494 Enrollment ID: I20040929000824 |
Provider Name | Dmitry V Listengarten |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1669433173 PECOS PAC ID: 4486680931 Enrollment ID: I20050715000218 |
Provider Name | Paul B Tilyou |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1144280009 PECOS PAC ID: 8123046281 Enrollment ID: I20051107000959 |
Provider Name | John R Keck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215047766 PECOS PAC ID: 6800816083 Enrollment ID: I20051202000219 |
Provider Name | Scott C Mccall |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083625883 PECOS PAC ID: 3274539101 Enrollment ID: I20061016000477 |
Provider Name | Houshang Semino |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1154388650 PECOS PAC ID: 8729082227 Enrollment ID: I20061108000430 |
Provider Name | Sherry Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720167182 PECOS PAC ID: 5991705584 Enrollment ID: I20070104000376 |
Provider Name | Naeem A Pathan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1366506263 PECOS PAC ID: 2062502248 Enrollment ID: I20080220000657 |
Provider Name | Michael W Sweeney |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1255410270 PECOS PAC ID: 9436212610 Enrollment ID: I20090114000446 |
Provider Name | Karl R Marku |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1841490232 PECOS PAC ID: 3476634437 Enrollment ID: I20100421000297 |
Provider Name | Lynette Small |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1972819688 PECOS PAC ID: 1153447974 Enrollment ID: I20100929000334 |
Provider Name | Stacy L Underwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043325541 PECOS PAC ID: 5597948851 Enrollment ID: I20110323000722 |
Provider Name | Sharon L Mendenhall |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174718019 PECOS PAC ID: 4587848270 Enrollment ID: I20110404000730 |
Provider Name | Elisa S Stephens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730483082 PECOS PAC ID: 8729263298 Enrollment ID: I20110427000047 |
Provider Name | Travis C Stiegler |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1235371493 PECOS PAC ID: 5395913388 Enrollment ID: I20110718000731 |
Provider Name | Kristen Lyn Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447545645 PECOS PAC ID: 8527237569 Enrollment ID: I20110809000606 |
Provider Name | Arash Zamanian |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1184924904 PECOS PAC ID: 7911174107 Enrollment ID: I20120111000167 |
Provider Name | Renee H Kania |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184940652 PECOS PAC ID: 6204088123 Enrollment ID: I20121128000558 |
Provider Name | Vivek Prasad |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1760692032 PECOS PAC ID: 2769675701 Enrollment ID: I20130308000297 |
Provider Name | Laura M Ross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538417142 PECOS PAC ID: 9830334374 Enrollment ID: I20130403000555 |
Provider Name | Sara J Edmund |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730441825 PECOS PAC ID: 0749427656 Enrollment ID: I20130515000092 |
Provider Name | Emily Jose |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043559438 PECOS PAC ID: 5991943722 Enrollment ID: I20130605000798 |
Provider Name | Shalini Tharani |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1386841252 PECOS PAC ID: 1052550167 Enrollment ID: I20130621000339 |
Provider Name | Laura D Hatfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205178613 PECOS PAC ID: 1355589417 Enrollment ID: I20130703000319 |
Provider Name | Sherrily B Mulleneaux |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730334293 PECOS PAC ID: 4284878638 Enrollment ID: I20130925000159 |
Provider Name | Ryan D Bingham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316371586 PECOS PAC ID: 2769616036 Enrollment ID: I20130930000378 |
Provider Name | Jorge A. Castro-alvear |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1730393984 PECOS PAC ID: 8325210578 Enrollment ID: I20140417001164 |
Provider Name | Sherri S Payne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891714507 PECOS PAC ID: 9133268782 Enrollment ID: I20140520001997 |
Provider Name | Danielle Orr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215366497 PECOS PAC ID: 7517198526 Enrollment ID: I20140711001062 |
Provider Name | Alys M Oxentenko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750785168 PECOS PAC ID: 3072837798 Enrollment ID: I20150128000792 |
Provider Name | Jessica Mills |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023249877 PECOS PAC ID: 4981922689 Enrollment ID: I20150409000001 |
Provider Name | Andrea Kemp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265812135 PECOS PAC ID: 9537471693 Enrollment ID: I20150701001698 |
Provider Name | Amal Sharifi |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1386937688 PECOS PAC ID: 1759693476 Enrollment ID: I20150708002168 |
Provider Name | Brent T Whitley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316317704 PECOS PAC ID: 2062714413 Enrollment ID: I20151231001735 |
Provider Name | Arnaldo Fargas-rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689831794 PECOS PAC ID: 9335446715 Enrollment ID: I20160330001082 |
Provider Name | Surjit Mahal |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1558331884 PECOS PAC ID: 7810064995 Enrollment ID: I20160523002480 |
Provider Name | Amanda Kerr |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1275896268 PECOS PAC ID: 4789975921 Enrollment ID: I20160620001283 |
Provider Name | Adam Rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558800904 PECOS PAC ID: 1254616782 Enrollment ID: I20170324001820 |
Provider Name | Christy Olloh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134591753 PECOS PAC ID: 2668779901 Enrollment ID: I20170407001301 |
Provider Name | Gina Pitocchelli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366886426 PECOS PAC ID: 3173753886 Enrollment ID: I20170615002618 |
Provider Name | Carolyn Michelle Norton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487026761 PECOS PAC ID: 3476853524 Enrollment ID: I20170616001401 |
Provider Name | Vincent M. Placido |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1811332059 PECOS PAC ID: 2769750694 Enrollment ID: I20170619002007 |
Provider Name | Kelsy Streeter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427586197 PECOS PAC ID: 2264701952 Enrollment ID: I20170712002092 |
Provider Name | Robin M Shepherd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245760420 PECOS PAC ID: 9739459025 Enrollment ID: I20170719001821 |
Provider Name | Argie Jamaica Rivera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336669191 PECOS PAC ID: 3971873720 Enrollment ID: I20170726004135 |
Provider Name | Alicia A Sexton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932627395 PECOS PAC ID: 6608140074 Enrollment ID: I20170922003372 |
Provider Name | Majda Tuor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215446091 PECOS PAC ID: 8820357437 Enrollment ID: I20180104001339 |
Provider Name | Annette A Atkinson-meiklejohn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477818540 PECOS PAC ID: 2860751088 Enrollment ID: I20180116002393 |
Provider Name | Martha M Mann |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1821120288 PECOS PAC ID: 6002086592 Enrollment ID: I20180130000410 |
Provider Name | Kelsey Brisbin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760990121 PECOS PAC ID: 4587925227 Enrollment ID: I20180221000663 |
Provider Name | Rebecca Marie Grudowski |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386145803 PECOS PAC ID: 0345502183 Enrollment ID: I20180315000542 |
Provider Name | Laura Lavinia Cardwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417488347 PECOS PAC ID: 1850660499 Enrollment ID: I20180530002790 |
Provider Name | Jillian Eve Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134614324 PECOS PAC ID: 8820347685 Enrollment ID: I20180828001372 |
Provider Name | Sandra J Bass |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922581909 PECOS PAC ID: 8325382823 Enrollment ID: I20181211001666 |
Provider Name | Anu Marrott-ware |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518442128 PECOS PAC ID: 8921343294 Enrollment ID: I20190122001347 |
Provider Name | Cheryl Anne Wagner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023444049 PECOS PAC ID: 0941436257 Enrollment ID: I20190916001170 |
Provider Name | Karnika Patel |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1366882052 PECOS PAC ID: 0042566374 Enrollment ID: I20191024001359 |
Provider Name | Rachel Bonvillain Josefchuk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215580469 PECOS PAC ID: 5890027122 Enrollment ID: I20191105003112 |
Provider Name | Aaron Hiller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235774480 PECOS PAC ID: 6406289057 Enrollment ID: I20191212000829 |
Provider Name | Allison Solarz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639727415 PECOS PAC ID: 9739513227 Enrollment ID: I20191216001178 |
Provider Name | Heath L Shomate |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841776044 PECOS PAC ID: 5496092090 Enrollment ID: I20200121001199 |
Provider Name | Linda Lieber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700420403 PECOS PAC ID: 4183054182 Enrollment ID: I20200414003980 |
Provider Name | Paula D Brungardt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528551595 PECOS PAC ID: 6608122262 Enrollment ID: I20200421001359 |
Provider Name | Rocksheng Zhong |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1205271897 PECOS PAC ID: 9537465596 Enrollment ID: I20200723001167 |
Provider Name | Alex Suarez Mendez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427610369 PECOS PAC ID: 1759612245 Enrollment ID: I20200728000513 |
Provider Name | Calissa Yepiz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689292468 PECOS PAC ID: 6103246319 Enrollment ID: I20201015002482 |
Provider Name | Amanda Mcbride |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1891125258 PECOS PAC ID: 6406136019 Enrollment ID: I20201109001937 |
Provider Name | Stephanie Jean Bakosh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093156408 PECOS PAC ID: 2466689286 Enrollment ID: I20201117003376 |
Provider Name | Melanie Ann Laub |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679166805 PECOS PAC ID: 4284041310 Enrollment ID: I20210407001753 |
Provider Name | Jennifer Steele |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487249710 PECOS PAC ID: 7416365531 Enrollment ID: I20210409000225 |
Provider Name | Marisol Moreno-leon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629637095 PECOS PAC ID: 8729498258 Enrollment ID: I20210706001264 |
Provider Name | Meta Alpha Galabe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598366767 PECOS PAC ID: 6103229836 Enrollment ID: I20210719002855 |
Provider Name | Shavaun J Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225624729 PECOS PAC ID: 7113320177 Enrollment ID: I20210728001658 |
Provider Name | Dorothy Chiabi Forchu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982272431 PECOS PAC ID: 1658774476 Enrollment ID: I20210730000803 |
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 Rae Kurr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417292764 PECOS PAC ID: 2163829607 Enrollment ID: I20210924002687 |
Provider Name | Hannah Carita Jurekovic-byrd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770109605 PECOS PAC ID: 6901225150 Enrollment ID: I20211122001145 |
Provider Name | Irene Johnston |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467118174 PECOS PAC ID: 7517357338 Enrollment ID: I20211209000168 |
Provider Name | Amy Elsbury |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417611559 PECOS PAC ID: 3173762598 Enrollment ID: I20220223000262 |
Provider Name | Scott Christopher Gilman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700547353 PECOS PAC ID: 1850785395 Enrollment ID: I20220228001704 |
Provider Name | David Lyons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225635378 PECOS PAC ID: 1456750652 Enrollment ID: I20220302001379 |
Provider Name | Logan Kodysz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215697941 PECOS PAC ID: 3870987811 Enrollment ID: I20220308001731 |
Provider Name | Madelyne Mildred Martinez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134479397 PECOS PAC ID: 6507252426 Enrollment ID: I20220401001027 |
Provider Name | Sean Patirick Mullen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821733247 PECOS PAC ID: 8123406188 Enrollment ID: I20220602002008 |
Provider Name | Marci Lynn Haines |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1992457402 PECOS PAC ID: 1557743887 Enrollment ID: I20220803003146 |
Provider Name | Asha-lee Cadogan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124682653 PECOS PAC ID: 8820472236 Enrollment ID: I20220902002738 |
Provider Name | Candice Bahm |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033469267 PECOS PAC ID: 3678869617 Enrollment ID: I20221209000732 |
Provider Name | Jennifer Lynn Ruth Beaupre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437823143 PECOS PAC ID: 1759787112 Enrollment ID: I20230125001328 |
Provider Name | Sotoyia Lashae Fairley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851005862 PECOS PAC ID: 5294108643 Enrollment ID: I20230306000874 |
Provider Name | Krystal Skinner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851098115 PECOS PAC ID: 5193199339 Enrollment ID: I20230329002961 |
Provider Name | Frances Hall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659071496 PECOS PAC ID: 1759746985 Enrollment ID: I20230424000129 |
Provider Name | Isin Santos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134817448 PECOS PAC ID: 1153788542 Enrollment ID: I20230530002047 |
Provider Name | Marvin Jim |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1841900529 PECOS PAC ID: 7719345198 Enrollment ID: I20230615003616 |
Provider Name | Donna Berry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710612734 PECOS PAC ID: 0941664189 Enrollment ID: I20230906004220 |
Provider Name | Natalia Kazakova |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1518411958 PECOS PAC ID: 4183070436 Enrollment ID: I20231024000980 |
Provider Name | Katherine M Chewning |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1568238780 PECOS PAC ID: 7012368814 Enrollment ID: I20240105001545 |
Provider Name | Amitie Sexton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073388526 PECOS PAC ID: 5496106676 Enrollment ID: I20240111004806 |
Provider Name | Amanda Marie Amarillas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831858349 PECOS PAC ID: 7214389485 Enrollment ID: I20240123004921 |
Provider Name | Donna Lee Castaneda |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316715618 PECOS PAC ID: 5193178226 Enrollment ID: I20240125000888 |
Provider Name | Mary Jackson |
---|---|
Provider Type | Practitioner - Other (non-physician) |
Provider Identifiers | NPI Number: 1881374684 PECOS PAC ID: 1456704006 Enrollment ID: I20240130002862 |
Provider Name | Nichole Jessica Wojtanowski |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1598483711 PECOS PAC ID: 9032552765 Enrollment ID: I20240208004077 |
Provider Name | Leah Phillips |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1871279000 PECOS PAC ID: 4587007042 Enrollment ID: I20240212002796 |
Provider Name | Gregory Yarbrough |
---|---|
Provider Type | Practitioner - Other (non-physician) |
Provider Identifiers | NPI Number: 1891446795 PECOS PAC ID: 8628412681 Enrollment ID: I20240216004180 |
Provider Name | Dana Vargas |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1235860933 PECOS PAC ID: 8224473988 Enrollment ID: I20240304003148 |
Provider Name | Nicole J Wolf |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1295006203 PECOS PAC ID: 6103045281 Enrollment ID: I20240314003733 |
Provider Name | Brian Paul Colwell |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1235764648 PECOS PAC ID: 1951748334 Enrollment ID: I20240320003796 |
Provider Name | Ashley Rose Rees |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1164061859 PECOS PAC ID: 4981041183 Enrollment ID: I20240324000087 |
Provider Name | Shellby Taylor Mayo |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1750024469 PECOS PAC ID: 9739529686 Enrollment ID: I20240425003511 |
Provider Name | Ramses Vargas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982332912 PECOS PAC ID: 3870933914 Enrollment ID: I20240506004305 |
Amra Stafford, Psyd, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 67 E Weldon Ave, Suite 320, Phoenix, AZ 85012 Phone: 602-456-7565 Fax: 602-266-0234 | |
Pro Iom Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 Phone: 602-482-2282 | |
Liberty Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8111 N 19th Ave Apt 2038, Phoenix, AZ 85021 Phone: 602-367-7916 | |
Insight-therapy Az Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 E Shea Blvd Ste 235, Phoenix, AZ 85028 Phone: 602-315-4068 Fax: 602-675-2705 | |
White Tiger Integrated Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 E Weldon Ave Ste 220, Phoenix, AZ 85012 Phone: 603-637-7361 | |
Eden Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2538 E University Dr Ste 180, Phoenix, AZ 85034 Phone: 480-390-3375 | |
Native Country Healthcare Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4805 W Thomas Rd, Phoenix, AZ 85031 Phone: 602-706-8741 |