| Bella Vida Tms LLC | |
|
9250 W Thomas Rd Ste 100 Phoenix AZ 85037-3383 | |
| (602) 610-1191 | |
| (602) 835-0559 |
| Full Name | Bella Vida Tms LLC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9250 W Thomas Rd Ste 100, Phoenix, Arizona |
| Authorized Official Name and Position | Brittany Cavicchioni (CEO) |
| Authorized Official Contact | 6026101191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bella Vida Tms LLC 9250 W Thomas Rd Ste 100 Phoenix AZ 85037-3383 Ph: (602) 610-1191 | Bella Vida Tms LLC 9250 W Thomas Rd Ste 100 Phoenix AZ 85037-3383 Ph: (602) 610-1191 |
| NPI Number | 1215700943 |
|---|---|
| Provider Enumeration Date | 11/03/2023 |
| Last Update Date | 01/18/2026 |
| Certification Date | 01/18/2026 |
| Medicare PECOS PAC ID | 7810340874 |
|---|---|
| Medicare Enrollment ID | O20240126001026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215700943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
| Provider Name | Jennifer J Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427510437 PECOS PAC ID: 9537402128 Enrollment ID: I20190522003163 |
| Provider Name | Fernando P Grabner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104321389 PECOS PAC ID: 9335481670 Enrollment ID: I20220613000503 |
| Provider Name | Robert M Wallen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609583517 PECOS PAC ID: 1153792643 Enrollment ID: I20230119002895 |
| Provider Name | Farshad Yahya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245858893 PECOS PAC ID: 8628440773 Enrollment ID: I20230217002272 |
| Provider Name | Joseph Michael Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235963158 PECOS PAC ID: 3779017009 Enrollment ID: I20241108003706 |
| Provider Name | Mark Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619703261 PECOS PAC ID: 7214451483 Enrollment ID: I20250409001291 |
| Provider Name | Michelle R North |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619374543 PECOS PAC ID: 0547760241 Enrollment ID: I20250826004004 |
| Provider Name | Weston Mitchell Hilland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487545372 PECOS PAC ID: 2466949201 Enrollment ID: I20251015000062 |
| Provider Name | Tery Paul Sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003779612 PECOS PAC ID: 1658867981 Enrollment ID: I20260106003604 |
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