| Terros Health | |
|
3003 N Central Ave Ste 400 Phoenix AZ 85012-2929 | |
| (602) 685-6000 | |
| (602) 685-6001 |
| Full Name | Terros Health |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3003 N Central Ave Ste 400, Phoenix, Arizona |
| Authorized Official Name and Position | Karen Hoffman Tepper (PRESIDENT/CEO) |
| Authorized Official Contact | 6026856000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terros Health 3003 N Central Ave Ste 400 Phoenix AZ 85012-2929 Ph: (602) 685-6000 | Terros Health 3003 N Central Ave Ste 400 Phoenix AZ 85012-2929 Ph: (602) 685-6000 |
| NPI Number | 1841498060 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 06/03/2022 |
| Certification Date | 06/03/2022 |
| Medicare PECOS PAC ID | 8224077045 |
|---|---|
| Medicare Enrollment ID | O20050429000811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841498060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Lilliam Villalobos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437217007 PECOS PAC ID: 8628029766 Enrollment ID: I20050204000800 |
| Provider Name | Joao L Esteves |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437237625 PECOS PAC ID: 6709824998 Enrollment ID: I20050419000652 |
| Provider Name | Marlene I Robles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578635603 PECOS PAC ID: 5597703454 Enrollment ID: I20050420001344 |
| Provider Name | Anupama Trighatia Banghar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629022637 PECOS PAC ID: 6406868496 Enrollment ID: I20070112000382 |
| Provider Name | Jean P Arlotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235210071 PECOS PAC ID: 3870688351 Enrollment ID: I20070927001084 |
| Provider Name | Steven Friedland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861570392 PECOS PAC ID: 2567588932 Enrollment ID: I20100923000661 |
| Provider Name | Jon Allison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558559682 PECOS PAC ID: 1052468444 Enrollment ID: I20101208000004 |
| Provider Name | Monica Benavidez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710182225 PECOS PAC ID: 3678723913 Enrollment ID: I20121023000712 |
| Provider Name | Hope E Kurczeski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962840793 PECOS PAC ID: 4486895786 Enrollment ID: I20130730000200 |
| Provider Name | Melinda S Baehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114344157 PECOS PAC ID: 9830313303 Enrollment ID: I20140624001921 |
| Provider Name | Lara Lynn Wolfe Sepulveda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538564109 PECOS PAC ID: 1052638731 Enrollment ID: I20150317001270 |
| Provider Name | Shuntelle J Hawk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033508635 PECOS PAC ID: 7315258258 Enrollment ID: I20150921002788 |
| Provider Name | Valerie Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164817987 PECOS PAC ID: 1052620663 Enrollment ID: I20151022000532 |
| Provider Name | Kimberly Keene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285004234 PECOS PAC ID: 2668781154 Enrollment ID: I20151023000975 |
| Provider Name | Yolanda Munoz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942699038 PECOS PAC ID: 0345550463 Enrollment ID: I20151102001804 |
| Provider Name | David A Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396958393 PECOS PAC ID: 4284934241 Enrollment ID: I20151123001824 |
| Provider Name | Carolyn V Burcham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306859798 PECOS PAC ID: 1951607225 Enrollment ID: I20160311002214 |
| Provider Name | Joyce B Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013373976 PECOS PAC ID: 7416255781 Enrollment ID: I20160420000649 |
| Provider Name | Huguette Kenabantu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316394646 PECOS PAC ID: 5496046229 Enrollment ID: I20160624000943 |
| Provider Name | Jocelyn Verdugo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861804270 PECOS PAC ID: 4587932066 Enrollment ID: I20170626001513 |
| Provider Name | Michelle R Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437674801 PECOS PAC ID: 1951673235 Enrollment ID: I20170822000500 |
| Provider Name | Humberto A Beltran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821513565 PECOS PAC ID: 2062784952 Enrollment ID: I20170828003167 |
| Provider Name | Shayna K Moratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780108308 PECOS PAC ID: 5193098903 Enrollment ID: I20170830000542 |
| Provider Name | Bindu K Jose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306361290 PECOS PAC ID: 1153694989 Enrollment ID: I20170830001456 |
| Provider Name | Vanna R Campion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235540055 PECOS PAC ID: 2567743842 Enrollment ID: I20171109001694 |
| Provider Name | Troy Riutta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396237640 PECOS PAC ID: 9032465869 Enrollment ID: I20180709001666 |
| Provider Name | Christine Queval-chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164919064 PECOS PAC ID: 1254681836 Enrollment ID: I20180830003470 |
| Provider Name | Luis Carrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922465830 PECOS PAC ID: 2466792437 Enrollment ID: I20190329000993 |
| Provider Name | Danielle Searor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720481419 PECOS PAC ID: 6305139122 Enrollment ID: I20190828004330 |
| Provider Name | Amanda M Chavez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376189894 PECOS PAC ID: 1456788322 Enrollment ID: I20200305002437 |
| Provider Name | Diana M Kirby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124664362 PECOS PAC ID: 7618305988 Enrollment ID: I20200319002338 |
| Provider Name | Lia Seoyeon Doh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962034215 PECOS PAC ID: 0345661740 Enrollment ID: I20200610000660 |
| Provider Name | Karyn Anne Mccreary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982227898 PECOS PAC ID: 0042632499 Enrollment ID: I20200612000953 |
| Provider Name | Reena Pathak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447877972 PECOS PAC ID: 5193148039 Enrollment ID: I20200709003775 |
| Provider Name | Karen J Difrancesco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518576198 PECOS PAC ID: 1759706062 Enrollment ID: I20200804001399 |
| Provider Name | Vanessa Lynn Moe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700494374 PECOS PAC ID: 2264858653 Enrollment ID: I20200817000605 |
| Provider Name | Jill M Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679173181 PECOS PAC ID: 9234549312 Enrollment ID: I20201030000586 |
| Provider Name | Sherri Ann Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831796549 PECOS PAC ID: 7810309341 Enrollment ID: I20201207002346 |
| Provider Name | Bertha Nambuye Mbatau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538709415 PECOS PAC ID: 9638586886 Enrollment ID: I20210406000400 |
| Provider Name | Jennifer Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487249710 PECOS PAC ID: 7416365531 Enrollment ID: I20210409000225 |
| Provider Name | Laura Louise Chesley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750961298 PECOS PAC ID: 2062821283 Enrollment ID: I20210429000688 |
| Provider Name | Sheila Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760808638 PECOS PAC ID: 5698908440 Enrollment ID: I20210729002438 |
| Provider Name | Tiffany Zenk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073286605 PECOS PAC ID: 0840694303 Enrollment ID: I20210804004110 |
| Provider Name | Tajia Noelle Diggs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760050280 PECOS PAC ID: 9133523178 Enrollment ID: I20210812001608 |
| Provider Name | Laura Lynne Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841527736 PECOS PAC ID: 2365847100 Enrollment ID: I20210817003659 |
| Provider Name | Tyler Cluff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871160648 PECOS PAC ID: 4082010467 Enrollment ID: I20210909003697 |
| Provider Name | Lori Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326719774 PECOS PAC ID: 3678962032 Enrollment ID: I20211105001661 |
| Provider Name | Eureka S Ragan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508011156 PECOS PAC ID: 3476948324 Enrollment ID: I20220311001873 |
| Provider Name | Shalby Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891366118 PECOS PAC ID: 4587059191 Enrollment ID: I20220317001976 |
| Provider Name | Carrie Susanne Bann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023769023 PECOS PAC ID: 5193112365 Enrollment ID: I20220419001046 |
| Provider Name | Jerica L Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609515303 PECOS PAC ID: 8729466396 Enrollment ID: I20220610000078 |
| Provider Name | Jasmine Candelaria Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053048470 PECOS PAC ID: 2264815661 Enrollment ID: I20220817003921 |
| Provider Name | Jill Catherine Swope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629710413 PECOS PAC ID: 7214303809 Enrollment ID: I20221024000761 |
| Provider Name | Marilizabeth Birk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306453220 PECOS PAC ID: 0345618435 Enrollment ID: I20221121002647 |
| Provider Name | Channing J Kay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346905650 PECOS PAC ID: 8022487339 Enrollment ID: I20221208001443 |
| Provider Name | Nana Aisha Nasir-deen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174138051 PECOS PAC ID: 6709257223 Enrollment ID: I20230120000833 |
| Provider Name | Jennifer Degain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205532470 PECOS PAC ID: 0345612453 Enrollment ID: I20230217000349 |
| Provider Name | Farshad Yahya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245858893 PECOS PAC ID: 8628440773 Enrollment ID: I20230217002272 |
| Provider Name | Nicholas Conrad Eisemann-astone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114633815 PECOS PAC ID: 2365815297 Enrollment ID: I20230223002722 |
| Provider Name | Marisol Molina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932808557 PECOS PAC ID: 3375917792 Enrollment ID: I20230324001894 |
| Provider Name | Jason E Scoglio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104528934 PECOS PAC ID: 6608241856 Enrollment ID: I20230331001828 |
| Provider Name | Emily Meeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043906738 PECOS PAC ID: 0446615652 Enrollment ID: I20230421002208 |
| Provider Name | Natalie Jean Holmgren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609566231 PECOS PAC ID: 6002272150 Enrollment ID: I20230516003377 |
| Provider Name | Kiley Michelle Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376975763 PECOS PAC ID: 1557744869 Enrollment ID: I20230518002103 |
| Provider Name | Peninah N Gitonga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811515901 PECOS PAC ID: 7618335308 Enrollment ID: I20230628002160 |
| Provider Name | Myesha Raven Danielle Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073299582 PECOS PAC ID: 4688033467 Enrollment ID: I20230711004312 |
| Provider Name | Melanie Guttman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245017383 PECOS PAC ID: 4688029028 Enrollment ID: I20231005000144 |
| Provider Name | David Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841078847 PECOS PAC ID: 5890140149 Enrollment ID: I20231006001829 |
| Provider Name | Marilyn Monica Linderman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992095848 PECOS PAC ID: 1658721618 Enrollment ID: I20240103002204 |
| Provider Name | Susan Kinkel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972919397 PECOS PAC ID: 4082065883 Enrollment ID: I20240105001676 |
| Provider Name | Kimberly Mcwilliams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275844938 PECOS PAC ID: 6305297110 Enrollment ID: I20240105002242 |
| Provider Name | Gloria Jean Whelchel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184805194 PECOS PAC ID: 9133570823 Enrollment ID: I20240106000900 |
| Provider Name | Ashlie Larriva |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922707322 PECOS PAC ID: 7719338458 Enrollment ID: I20240108003539 |
| Provider Name | Zandra L Coghlan |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1356072284 PECOS PAC ID: 8527419860 Enrollment ID: I20240110004584 |
| Provider Name | Julie Treinen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336719277 PECOS PAC ID: 5395196638 Enrollment ID: I20240110004749 |
| Provider Name | Marina Marques Spiegel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003689126 PECOS PAC ID: 1052762309 Enrollment ID: I20240110004985 |
| Provider Name | Robert Andrew Golden-dick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295412153 PECOS PAC ID: 6204288335 Enrollment ID: I20240114000119 |
| Provider Name | Jacqueline Zengler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518337401 PECOS PAC ID: 7618329780 Enrollment ID: I20240115001353 |
| Provider Name | Michael Zimmerman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801337217 PECOS PAC ID: 3577915487 Enrollment ID: I20240116003919 |
| Provider Name | Linsey M Mettenbrink |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467050195 PECOS PAC ID: 2961854872 Enrollment ID: I20240116004179 |
| Provider Name | Katherine Marie Lopez Marwitz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932614054 PECOS PAC ID: 5698127504 Enrollment ID: I20240116004192 |
| Provider Name | Brandi A Ferrari-lyon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457522559 PECOS PAC ID: 0941652861 Enrollment ID: I20240116004310 |
| Provider Name | Ray Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700292158 PECOS PAC ID: 0648622563 Enrollment ID: I20240116004444 |
| Provider Name | Melissa E Register |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487352845 PECOS PAC ID: 2860844677 Enrollment ID: I20240117003109 |
| Provider Name | Emily Landseadal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811357825 PECOS PAC ID: 9133571896 Enrollment ID: I20240118000201 |
| Provider Name | Lydia Aurora Roy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114463890 PECOS PAC ID: 0244682805 Enrollment ID: I20240118003727 |
| Provider Name | Diana Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588092985 PECOS PAC ID: 2163874520 Enrollment ID: I20240122001845 |
| Provider Name | Donna Sue Mcpherson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417421322 PECOS PAC ID: 8921450313 Enrollment ID: I20240122002808 |
| Provider Name | Rebecca Noelle Bishop |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972101228 PECOS PAC ID: 3476905639 Enrollment ID: I20240123004585 |
| Provider Name | Lorretta Winans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427829191 PECOS PAC ID: 5698128866 Enrollment ID: I20240124003457 |
| Provider Name | Marc A Freese |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982978243 PECOS PAC ID: 5496108565 Enrollment ID: I20240125002238 |
| Provider Name | Bryan Michael Gest |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699114454 PECOS PAC ID: 6305299314 Enrollment ID: I20240125004223 |
| Provider Name | Nicole Lynn Hatton |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1336811298 PECOS PAC ID: 5395198345 Enrollment ID: I20240126000625 |
| Provider Name | Jessica Ann Stelfox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538866009 PECOS PAC ID: 6406209873 Enrollment ID: I20240201001977 |
| Provider Name | Jacob Roger Schott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659926665 PECOS PAC ID: 8022451376 Enrollment ID: I20240204000027 |
| Provider Name | Randal S. Rudder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891443800 PECOS PAC ID: 7911340260 Enrollment ID: I20240204000105 |
| Provider Name | Kimberly E Sacra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477724573 PECOS PAC ID: 6305289430 Enrollment ID: I20240206002312 |
| Provider Name | Raquel Marie Dorame |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952701005 PECOS PAC ID: 6709229784 Enrollment ID: I20240206004583 |
| Provider Name | Lori Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265920490 PECOS PAC ID: 8527401413 Enrollment ID: I20240207003456 |
| Provider Name | Paul D Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265294011 PECOS PAC ID: 2062856925 Enrollment ID: I20240219002527 |
| Provider Name | Swandelyn L. Gardner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891206587 PECOS PAC ID: 1456797745 Enrollment ID: I20240308001799 |
| Provider Name | Katherine Marie Hood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831956366 PECOS PAC ID: 2466898119 Enrollment ID: I20240315002696 |
| Provider Name | Julie Ann Lopez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265291090 PECOS PAC ID: 3577901230 Enrollment ID: I20240401003011 |
| Provider Name | Nutaila Rizwi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750931317 PECOS PAC ID: 1355789280 Enrollment ID: I20240410003079 |
| Provider Name | Erin Dowling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881445658 PECOS PAC ID: 2860831641 Enrollment ID: I20240412000733 |
| Provider Name | Uchechi Onyinyechi Eze Moka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760232508 PECOS PAC ID: 3971944265 Enrollment ID: I20240517001147 |
| Provider Name | Edna Faye Booker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801193834 PECOS PAC ID: 5193267201 Enrollment ID: I20240604003911 |
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 |