| Crc-outpatient Services | |
|
2802 E District St Fl 1 Tucson AZ 85714-2081 | |
| (520) 301-2400 | |
| Not Available |
| Full Name | Crc-outpatient Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 2802 E District St Fl 1, Tucson, Arizona |
| Authorized Official Name and Position | Chris Carson (BOARD MEMBER) |
| Authorized Official Contact | 6024167647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crc-outpatient Services 1205 S 7th Ave Ste 105 Phoenix AZ 85007-3913 Ph: (602) 416-7652 | Crc-outpatient Services 2802 E District St Fl 1 Tucson AZ 85714-2081 Ph: (520) 301-2400 |
| NPI Number | 1982362943 |
|---|---|
| Provider Enumeration Date | 12/07/2021 |
| Last Update Date | 12/09/2025 |
| Certification Date | 12/09/2025 |
| Medicare PECOS PAC ID | 2769874197 |
|---|---|
| Medicare Enrollment ID | O20220117000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982362943 | NPI | - | NPPES |
| 106201 | Medicaid | AZ | |
| OTC11316 | Other | AZ | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
| Provider Name | Gladys Loyola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871692616 PECOS PAC ID: 9931196839 Enrollment ID: I20040430000268 |
| Provider Name | Richard S Rhoads |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033149265 PECOS PAC ID: 4587612148 Enrollment ID: I20050110001199 |
| Provider Name | Kathy W Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629087143 PECOS PAC ID: 4688622194 Enrollment ID: I20050111000368 |
| Provider Name | Kiyana V Brutus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548327356 PECOS PAC ID: 2668574849 Enrollment ID: I20071023000425 |
| Provider Name | Sally a Boeve |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053527077 PECOS PAC ID: 7214025857 Enrollment ID: I20071115000591 |
| Provider Name | Rebecca Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033467394 PECOS PAC ID: 6002068962 Enrollment ID: I20121129000188 |
| Provider Name | Mark a Goforth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699198747 PECOS PAC ID: 3870724933 Enrollment ID: I20140402002577 |
| Provider Name | Martin Alberto Longhi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558767111 PECOS PAC ID: 3678895158 Enrollment ID: I20141212000035 |
| Provider Name | Comfort D Impraim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144610239 PECOS PAC ID: 8820306533 Enrollment ID: I20150930000241 |
| Provider Name | Catherine M Etori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255722633 PECOS PAC ID: 6103145974 Enrollment ID: I20151106000597 |
| Provider Name | Joy Kwakuyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215303946 PECOS PAC ID: 6305147521 Enrollment ID: I20151214000279 |
| Provider Name | Holly M Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003353533 PECOS PAC ID: 9830475425 Enrollment ID: I20170413002290 |
| Provider Name | Amy Priftakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508212960 PECOS PAC ID: 4385915008 Enrollment ID: I20170728002897 |
| Provider Name | Mary Murrieta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770662371 PECOS PAC ID: 7214293000 Enrollment ID: I20171110001463 |
| Provider Name | Juniper Dery-chaffin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457800302 PECOS PAC ID: 0749547347 Enrollment ID: I20171207001256 |
| Provider Name | Kristin Elizabeth Powers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497223200 PECOS PAC ID: 8820336993 Enrollment ID: I20190214002634 |
| Provider Name | Fuanjia Njukeng Fuangunyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316500671 PECOS PAC ID: 3678807427 Enrollment ID: I20190627001538 |
| Provider Name | Stefan Khensouri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699237743 PECOS PAC ID: 5698198794 Enrollment ID: I20200708001834 |
| Provider Name | Adam Streiff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053935510 PECOS PAC ID: 8426471418 Enrollment ID: I20200709001396 |
| Provider Name | Sophia D Falana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942818984 PECOS PAC ID: 1951721950 Enrollment ID: I20201013001767 |
| Provider Name | Calen L Harding |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447879317 PECOS PAC ID: 0840610424 Enrollment ID: I20201020002890 |
| Provider Name | Leah Basile |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598367807 PECOS PAC ID: 5991107484 Enrollment ID: I20210706003346 |
| Provider Name | Sadia Ghani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700267093 PECOS PAC ID: 5496010779 Enrollment ID: I20210812003027 |
| Provider Name | Stephanie a Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407524630 PECOS PAC ID: 0749661718 Enrollment ID: I20220721003104 |
| Provider Name | Gina Pollina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396216289 PECOS PAC ID: 7618308248 Enrollment ID: I20220909002578 |
| Provider Name | Carinna Wilmot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780279786 PECOS PAC ID: 0042511487 Enrollment ID: I20221007001982 |
| Provider Name | Vanessa Arvizu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225773468 PECOS PAC ID: 2567848898 Enrollment ID: I20221010002317 |
| Provider Name | Yemi Olufunmilayo Alejo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396243457 PECOS PAC ID: 6608130042 Enrollment ID: I20221123002450 |
| Provider Name | Antonia Marie Doubrava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386256808 PECOS PAC ID: 7517325939 Enrollment ID: I20230629002156 |
| Provider Name | Jason Jose Manakat |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104547173 PECOS PAC ID: 0143682583 Enrollment ID: I20230816002356 |
| Provider Name | Kelly Irwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821713447 PECOS PAC ID: 1254793508 Enrollment ID: I20230817002883 |
| Provider Name | Daniel Jon Lamanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770065229 PECOS PAC ID: 7113350893 Enrollment ID: I20230912004378 |
| Provider Name | Yaara Geva Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558973065 PECOS PAC ID: 3173977311 Enrollment ID: I20230921003773 |
| Provider Name | Promise a Iteinjoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134880958 PECOS PAC ID: 8527441997 Enrollment ID: I20231009001096 |
| Provider Name | Linda M Mekang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801503008 PECOS PAC ID: 6901249085 Enrollment ID: I20240206000555 |
| Provider Name | Matthew Jay Boutin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104690064 PECOS PAC ID: 0941644363 Enrollment ID: I20240214000001 |
| Provider Name | Amber Tressa Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003686437 PECOS PAC ID: 4284070129 Enrollment ID: I20240313002827 |
| Provider Name | Sara M Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376321901 PECOS PAC ID: 1850833492 Enrollment ID: I20240611000733 |
| Provider Name | Gouni a Bouraima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831946987 PECOS PAC ID: 3375085806 Enrollment ID: I20240611004133 |
| Provider Name | Haley Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639915085 PECOS PAC ID: 1355880717 Enrollment ID: I20250806001736 |
| Provider Name | Daniel John Montville |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952806093 PECOS PAC ID: 9830446756 Enrollment ID: I20250908001851 |
| Provider Name | Jessica Peterson |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1871906107 PECOS PAC ID: 8325382732 Enrollment ID: I20251205004081 |
Nancy E Campbell, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2230 E. Speedway Blvd., Suite 100, Tucson, AZ 85719 Phone: 520-878-7857 Fax: 520-572-2049 |
Counterpoint Counseling LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1661 N Swan Rd Ste 200-2, Tucson, AZ 85712 Phone: 520-990-3122 |
Psyche PLLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5240 E Knight Dr Ste 120, Tucson, AZ 85712 Phone: 520-795-0309 Fax: 520-795-2030 |
Counseling Directions LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 N Alvernon Way Ste 105, Tucson, AZ 85711 Phone: 520-561-8773 |
Perception Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1213 E Warehouse Avenue, Tucson, AZ 85719 Phone: 520-623-7077 |
B. Robert Crago PhD PC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5363 E Pima St Ste 100, Tucson, AZ 85712 Phone: 520-323-0062 Fax: 520-323-1336 |