| Brain Solutions Pllc | |
|
1930 S Alma School Rd Ste A206 Mesa AZ 85210-3066 | |
| (480) 779-9050 | |
| (480) 717-4025 |
| Full Name | Brain Solutions Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1930 S Alma School Rd Ste A206, Mesa, Arizona |
| Authorized Official Name and Position | Jonathan Charles Mackey (OWNER/ CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4807799050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Solutions Pllc 1930 S Alma School Rd Ste A206 Mesa AZ 85210-3066 Ph: (480) 779-9050 | Brain Solutions Pllc 1930 S Alma School Rd Ste A206 Mesa AZ 85210-3066 Ph: (480) 779-9050 |
| NPI Number | 1548692742 |
|---|---|
| Provider Enumeration Date | 07/30/2013 |
| Last Update Date | 01/04/2023 |
| Certification Date | 01/04/2023 |
| Medicare PECOS PAC ID | 7214163005 |
|---|---|
| Medicare Enrollment ID | O20131127000597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548692742 | NPI | - | NPPES |
| 854031 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Danielle D Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851385207 PECOS PAC ID: 8820016538 Enrollment ID: I20051110000412 |
| Provider Name | Francesca Bianco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104976026 PECOS PAC ID: 7113024498 Enrollment ID: I20070522000016 |
| Provider Name | Marianne C Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497896559 PECOS PAC ID: 4789768557 Enrollment ID: I20080303000847 |
| Provider Name | Dawn M Benford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538497110 PECOS PAC ID: 7214078252 Enrollment ID: I20100112000859 |
| Provider Name | Jonathan C Mackey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770867608 PECOS PAC ID: 3577799360 Enrollment ID: I20131127000700 |
| Provider Name | Arnaldo Fargas-rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689831794 PECOS PAC ID: 9335446715 Enrollment ID: I20160330001082 |
| Provider Name | Ester L Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114924362 PECOS PAC ID: 6709978687 Enrollment ID: I20160803000871 |
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