| West Valley Family Development Center | |
|
2620 N 140th Ave Ste 101 Goodyear AZ 85395-2437 | |
| (623) 536-7956 | |
| (623) 536-9806 |
| Full Name | West Valley Family Development Center |
|---|---|
| Speciality | Psychologist |
| Location | 2620 N 140th Ave, Goodyear, Arizona |
| Authorized Official Name and Position | Stefanie M Kool (OWNER) |
| Authorized Official Contact | 6235367956 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Valley Family Development Center 2620 N 140th Ave Ste 101 Goodyear AZ 85395-2437 Ph: (623) 536-7956 | West Valley Family Development Center 2620 N 140th Ave Ste 101 Goodyear AZ 85395-2437 Ph: (623) 536-7956 |
| NPI Number | 1891201521 |
|---|---|
| Provider Enumeration Date | 12/18/2017 |
| Last Update Date | 06/04/2024 |
| Medicare PECOS PAC ID | 7416217153 |
|---|---|
| Medicare Enrollment ID | O20180129001056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891201521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Rosemarie T Higgins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790899276 PECOS PAC ID: 2668367798 Enrollment ID: I20040218000377 |
| Provider Name | Stefanie M Kool |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629386289 PECOS PAC ID: 5991085037 Enrollment ID: I20161208000019 |
| Provider Name | Victoria V Weaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861991630 PECOS PAC ID: 6103187067 Enrollment ID: I20180309002323 |
| Provider Name | Eileen J Hancock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285131110 PECOS PAC ID: 2365706892 Enrollment ID: I20180508002351 |
| Provider Name | Raman K Saini |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346775459 PECOS PAC ID: 2062747892 Enrollment ID: I20190716001046 |
| Provider Name | Shannon L Hendrickson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629510169 PECOS PAC ID: 9436569886 Enrollment ID: I20201113001312 |
| Provider Name | James W Stocks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073655312 PECOS PAC ID: 4981700085 Enrollment ID: I20210128000210 |
| Provider Name | Kia A Watkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346991700 PECOS PAC ID: 7719371897 Enrollment ID: I20220307001810 |
| Provider Name | Jennifer Holzapfel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689288946 PECOS PAC ID: 6608254024 Enrollment ID: I20220525002388 |
| Provider Name | Kristin Million |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023657152 PECOS PAC ID: 6204207533 Enrollment ID: I20230125001525 |
| Provider Name | Cathleen E Campaigne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932383759 PECOS PAC ID: 9032575162 Enrollment ID: I20230516002274 |
| Provider Name | Erasmo Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821338641 PECOS PAC ID: 9335590421 Enrollment ID: I20240112003714 |
| Provider Name | Jennifer R Aaron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558499657 PECOS PAC ID: 7214372416 Enrollment ID: I20240227004447 |
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