| Arizona Behavioral Health | |
|
7330 N. 16th St. Suite A-120 Phoenix AZ 85020 | |
| (602) 997-6635 | |
| (602) 997-6642 |
| Full Name | Arizona Behavioral Health |
|---|---|
| Speciality | Social Worker |
| Location | 7330 N. 16th St., Phoenix, Arizona |
| Authorized Official Name and Position | Owen Golden (PARTNER) |
| Authorized Official Contact | 6029976635 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Behavioral Health 7330 N. 16th St. Suite A-120 Phoenix AZ 85020 Ph: (602) 997-6635 | Arizona Behavioral Health 7330 N. 16th St. Suite A-120 Phoenix AZ 85020 Ph: (602) 997-6635 |
| NPI Number | 1235318130 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 10/29/2018 |
| Medicare PECOS PAC ID | 6305825274 |
|---|---|
| Medicare Enrollment ID | O20040714001562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235318130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW 0394 (Arizona) | Primary |
| Provider Name | Sean C Mcdevitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942221858 PECOS PAC ID: 2769657337 Enrollment ID: I20111209000089 |
| Provider Name | Owen Golden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184696304 PECOS PAC ID: 3779663000 Enrollment ID: I20120207000233 |
| Provider Name | Celia A Drake |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518027705 PECOS PAC ID: 2961582291 Enrollment ID: I20120224000468 |
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