Virtuhealth | |
1500 N Priest Drive 109 Tempe AZ 85288-1213 | |
(702) 589-4871 | |
(702) 589-4872 |
Full Name | Virtuhealth |
---|---|
Speciality | Psychiatry & Neurology |
Location | 1500 N Priest Drive, Tempe, Arizona |
Authorized Official Name and Position | Jennifer Williamson (CREDENTIALING SUPERVISOR) |
Authorized Official Contact | 7073496919 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Virtuhealth 275 E Rivulon Blvd Ste 201 Gilbert AZ 85297-0008 Ph: (602) 734-5664 | Virtuhealth 1500 N Priest Drive 109 Tempe AZ 85288-1213 Ph: (702) 589-4871 |
NPI Number | 1932560729 |
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Provider Enumeration Date | 03/08/2016 |
Last Update Date | 07/13/2022 |
Certification Date | 07/13/2022 |
Medicare PECOS PAC ID | 9335430693 |
---|---|
Medicare Enrollment ID | O20160617000240 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932560729 | NPI | - | NPPES |
143931 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Jaroslaw F Opechowski |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689753352 PECOS PAC ID: 7719972124 Enrollment ID: I20080701000432 |
Provider Name | Katrina Dryer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124068952 PECOS PAC ID: 7315914090 Enrollment ID: I20080808000226 |
Provider Name | Kristen Lyn Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447545645 PECOS PAC ID: 8527237569 Enrollment ID: I20110809000606 |
Provider Name | Aaron R Wilson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1982871463 PECOS PAC ID: 0941479497 Enrollment ID: I20110817000901 |
Provider Name | Nathan E Dingeldein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902992639 PECOS PAC ID: 0749267565 Enrollment ID: I20120206000265 |
Provider Name | Catherine Bradway |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831128016 PECOS PAC ID: 4880740554 Enrollment ID: I20120215000191 |
Provider Name | Veroncia J Fox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457662165 PECOS PAC ID: 1153589460 Enrollment ID: I20120215000944 |
Provider Name | Lynn M Klimo |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1184669921 PECOS PAC ID: 4385531623 Enrollment ID: I20120919000862 |
Provider Name | Renee H Kania |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184940652 PECOS PAC ID: 6204088123 Enrollment ID: I20121128000558 |
Provider Name | Heather L Carlisle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467734954 PECOS PAC ID: 6103068440 Enrollment ID: I20130815000511 |
Provider Name | Mona Amini |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1770710782 PECOS PAC ID: 9436393568 Enrollment ID: I20130911000623 |
Provider Name | Sherrily B Mulleneaux |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730334293 PECOS PAC ID: 4284878638 Enrollment ID: I20130925000159 |
Provider Name | Ashley N Holton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184051005 PECOS PAC ID: 6406082049 Enrollment ID: I20131204000421 |
Provider Name | Roy Lee Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578583209 PECOS PAC ID: 8426108481 Enrollment ID: I20140428000003 |
Provider Name | Rose L Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336540459 PECOS PAC ID: 2860614088 Enrollment ID: I20141103002610 |
Provider Name | Katie M Golbeck |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366614323 PECOS PAC ID: 4880763168 Enrollment ID: I20150102001532 |
Provider Name | Vicki A Mcleod |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982975074 PECOS PAC ID: 1456668292 Enrollment ID: I20150911000450 |
Provider Name | Ana L Mcnabb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679945174 PECOS PAC ID: 0749583342 Enrollment ID: I20160114001002 |
Provider Name | Ethel Winfunke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588052823 PECOS PAC ID: 5496042665 Enrollment ID: I20161003001520 |
Provider Name | Bryan Lazaro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912458845 PECOS PAC ID: 4880976521 Enrollment ID: I20170112003390 |
Provider Name | Muriel E Rosenfeld |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942637780 PECOS PAC ID: 5890093819 Enrollment ID: I20170119002789 |
Provider Name | Joshua Burgett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841378247 PECOS PAC ID: 1355625112 Enrollment ID: I20170223001183 |
Provider Name | Alicia A Sexton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932627395 PECOS PAC ID: 6608140074 Enrollment ID: I20170922003372 |
Provider Name | Misty Mcgillem |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467847822 PECOS PAC ID: 3870869654 Enrollment ID: I20171023001789 |
Provider Name | Michelle C James |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1841702743 PECOS PAC ID: 8921366535 Enrollment ID: I20180102002535 |
Provider Name | Pinky R Castillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073063590 PECOS PAC ID: 5890055248 Enrollment ID: I20180205001257 |
Provider Name | Carlos D Williams |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295043677 PECOS PAC ID: 8325302417 Enrollment ID: I20180425000999 |
Provider Name | Jessica Wells |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720567647 PECOS PAC ID: 2860743788 Enrollment ID: I20180914002810 |
Provider Name | Carolyn Wendy Tellez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285122408 PECOS PAC ID: 7618229790 Enrollment ID: I20181018001045 |
Provider Name | Courtney Jade Gaines |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710466321 PECOS PAC ID: 8123371622 Enrollment ID: I20181031000689 |
Provider Name | Melissa L Joslyn |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841386992 PECOS PAC ID: 4789780388 Enrollment ID: I20190307000544 |
Provider Name | Achie Bela |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437639192 PECOS PAC ID: 9234479262 Enrollment ID: I20190328002533 |
Provider Name | Cynthia Loebig |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841407582 PECOS PAC ID: 4587729199 Enrollment ID: I20191016000238 |
Provider Name | Luana Rutherford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194287391 PECOS PAC ID: 4082048038 Enrollment ID: I20191227000395 |
Provider Name | Shannon Janine Crawford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275164337 PECOS PAC ID: 3173951456 Enrollment ID: I20200319002854 |
Provider Name | Amanda Elizabeth Martinez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245798909 PECOS PAC ID: 9032549928 Enrollment ID: I20200416001547 |
Provider Name | Chinelo Unoma Ughanze |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942713086 PECOS PAC ID: 4183045032 Enrollment ID: I20200601001127 |
Provider Name | Ketura C James |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548508237 PECOS PAC ID: 4284860529 Enrollment ID: I20200706000167 |
Provider Name | Pai-han A Yeh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205344066 PECOS PAC ID: 9638401532 Enrollment ID: I20200720001835 |
Provider Name | Kimberlee V Wilson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1306134929 PECOS PAC ID: 3678890563 Enrollment ID: I20200921001540 |
Provider Name | Toni R Crawford-jonas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467069567 PECOS PAC ID: 2062832132 Enrollment ID: I20201012002777 |
Provider Name | Kimberly Onwubuya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386292001 PECOS PAC ID: 4981027281 Enrollment ID: I20210315001017 |
Provider Name | Meshack Samia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760014047 PECOS PAC ID: 4183055239 Enrollment ID: I20210429002800 |
Provider Name | Adesuwa Ohuoba |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568974129 PECOS PAC ID: 6901060649 Enrollment ID: I20210517001064 |
Provider Name | Tiffany Marie Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518444041 PECOS PAC ID: 7012259708 Enrollment ID: I20210517001219 |
Provider Name | Joan Ili |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194946012 PECOS PAC ID: 0244639565 Enrollment ID: I20210518002975 |
Provider Name | Emmanuel T Onyeani |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194215673 PECOS PAC ID: 0244639516 Enrollment ID: I20210519001380 |
Provider Name | Salema Coaxum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487021911 PECOS PAC ID: 4082956537 Enrollment ID: I20210524001067 |
Provider Name | Anthony Quinn |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1558621151 PECOS PAC ID: 0547489619 Enrollment ID: I20210527001939 |
Provider Name | Jesus Alexie Romero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164901161 PECOS PAC ID: 5496157687 Enrollment ID: I20210709002974 |
Provider Name | Lucy Akpan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568044519 PECOS PAC ID: 4385047075 Enrollment ID: I20210719001608 |
Provider Name | Sarah Fese Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023413556 PECOS PAC ID: 6901128453 Enrollment ID: I20210811002406 |
Provider Name | Smink Achila |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437737517 PECOS PAC ID: 3779988464 Enrollment ID: I20210818001927 |
Provider Name | Brenda Alexander O Neil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467905778 PECOS PAC ID: 1658651260 Enrollment ID: I20210902001281 |
Provider Name | Dorothy C Igwe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073038824 PECOS PAC ID: 9739577107 Enrollment ID: I20211104001097 |
Provider Name | Kristine Nutt |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245379973 PECOS PAC ID: 2567551914 Enrollment ID: I20211105000603 |
Provider Name | Mispa Ewube Nkongho |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083389662 PECOS PAC ID: 3274922497 Enrollment ID: I20211109003392 |
Provider Name | Glenn David Tanita |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1669632006 PECOS PAC ID: 6002705977 Enrollment ID: I20211124001606 |
Provider Name | Linda Hash |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518550995 PECOS PAC ID: 2466844030 Enrollment ID: I20220112001372 |
Provider Name | Spencer David Stott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699445601 PECOS PAC ID: 7416341706 Enrollment ID: I20220302002758 |
Provider Name | Nicholas Hollister |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1275074445 PECOS PAC ID: 3476886904 Enrollment ID: I20220414000763 |
Provider Name | Beth Pembroke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902304678 PECOS PAC ID: 5991191520 Enrollment ID: I20220504000890 |
Provider Name | Nima Alinejad |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043310808 PECOS PAC ID: 7214074418 Enrollment ID: I20220513002124 |
Provider Name | Emetu Onuma |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003424771 PECOS PAC ID: 7012397821 Enrollment ID: I20220711000084 |
Provider Name | Virginia Davidson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821556598 PECOS PAC ID: 8628450509 Enrollment ID: I20220809003298 |
Provider Name | Melinda Marie Arias |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720688369 PECOS PAC ID: 1052795242 Enrollment ID: I20220907003404 |
Provider Name | Sarita Vijay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205569910 PECOS PAC ID: 3678958758 Enrollment ID: I20220912000602 |
Provider Name | Serena Lynn Brawley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255068318 PECOS PAC ID: 1951786243 Enrollment ID: I20220922003093 |
Provider Name | Amanda Lori Burgess |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508512302 PECOS PAC ID: 5496121352 Enrollment ID: I20221018000449 |
Provider Name | Adesola A Izasomeh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720701261 PECOS PAC ID: 6002283785 Enrollment ID: I20221109002280 |
Provider Name | Yemi Olufunmilayo Alejo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396243457 PECOS PAC ID: 6608130042 Enrollment ID: I20221123002450 |
Provider Name | Meredith Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578286431 PECOS PAC ID: 8123496890 Enrollment ID: I20221130002238 |
Provider Name | Elaine Marie Maher |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629055975 PECOS PAC ID: 7810366119 Enrollment ID: I20221208001101 |
Provider Name | Jennifer Lynn Mitchell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841939063 PECOS PAC ID: 8325429491 Enrollment ID: I20221208001169 |
Provider Name | Brian John Berrett |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1396107595 PECOS PAC ID: 6103104815 Enrollment ID: I20230203002550 |
Provider Name | Marie Grace De Leon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942990593 PECOS PAC ID: 0042676801 Enrollment ID: I20230520000044 |
Provider Name | Irene Njenga |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801509245 PECOS PAC ID: 0941667224 Enrollment ID: I20230531003062 |
Provider Name | Martin Ngu Kwale Pong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245935204 PECOS PAC ID: 3476911942 Enrollment ID: I20230615002989 |
Provider Name | Bernice Ohene |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073007126 PECOS PAC ID: 1951642644 Enrollment ID: I20230707003187 |
Provider Name | Kinner Echeche Atekwane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093420374 PECOS PAC ID: 1557749173 Enrollment ID: I20230724002023 |
Provider Name | Nchekwube C Okafor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073220976 PECOS PAC ID: 0840645040 Enrollment ID: I20231009000391 |
Provider Name | Melissa Bolt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730374547 PECOS PAC ID: 6901290618 Enrollment ID: I20231011003278 |
Provider Name | Kara Masters |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770263642 PECOS PAC ID: 2961857883 Enrollment ID: I20231012003497 |
Provider Name | Maceline Check Check |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821795626 PECOS PAC ID: 6800242983 Enrollment ID: I20231025002870 |
Provider Name | David Lars Christian Johnsrud |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063152791 PECOS PAC ID: 2365898186 Enrollment ID: I20231030002788 |
Provider Name | Ashlie Larriva |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1922707322 PECOS PAC ID: 7719338458 Enrollment ID: I20240108003539 |
Provider Name | Felicia D Thomas |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1134801053 PECOS PAC ID: 2961855283 Enrollment ID: I20240201004273 |
Provider Name | Megan C Segraves |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1396410304 PECOS PAC ID: 1557714995 Enrollment ID: I20240215002140 |
Provider Name | Gouni Aicha Bouraima |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831946987 PECOS PAC ID: 3375085806 Enrollment ID: I20240611004133 |
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