Empact-suicide Prevention Center - Medicare Mental Health Clinic in Tempe, AZ

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Empact-suicide Prevention Center is a medicare enrolled mental health clinic (Community/behavioral Health) in Tempe, Arizona. The current practice location for Empact-suicide Prevention Center is 618 S. Madison Drive, Tempe, Arizona. For appointments, you can reach them via phone at (480) 784-1514. The mailing address for Empact-suicide Prevention Center is 618 S. Madison Drive, Tempe, Arizona and phone number is (480) 784-1514.

Empact-suicide Prevention Center is licensed to practice in Arizona (license number BH-4062). The clinic also participates in the medicare program and its NPI number is 1003982133. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (480) 784-1514.

Contact Information

Empact-suicide Prevention Center
618 S. Madison Drive
Tempe
AZ 85281-7248
(480) 784-1514
(480) 967-3528

Map and Direction


Mental Health Clinic Profile

Full NameEmpact-suicide Prevention Center
SpecialityCommunity/Behavioral Health
Location618 S. Madison Drive, Tempe, Arizona
Authorized Official Name and PositionLaura Larson-huffaker (EXECUTIVE DIRECTOR)
Authorized Official Contact4807841514
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Empact-suicide Prevention Center
618 S. Madison Drive
Tempe
AZ 85281-7248

Ph: (480) 784-1514		Empact-suicide Prevention Center
618 S. Madison Drive
Tempe
AZ 85281-7248

Ph: (480) 784-1514

NPI Details:

NPI Number1003982133
Provider Enumeration Date11/28/2006
Last Update Date06/14/2017

Medicare PECOS Information:

Medicare PECOS PAC ID2365416575
Medicare Enrollment IDO20040824000311

Medical Identifiers

Medical identifiers for Empact-suicide Prevention Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003982133NPI-NPPES
100587MedicaidAZ
622987MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health BH-373 (Arizona)Secondary
251S00000XCommunity/behavioral Health BH 1958 (Arizona)Secondary
251S00000XCommunity/behavioral Health BH-4062 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Empact-suicide Prevention Center acts as a billing entity for following providers:
Provider NameStephen Lopez
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1760432009
PECOS PAC ID: 8325943566
Enrollment ID: I20031202000076
Provider NameLauren T Bonner
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1740265990
PECOS PAC ID: 6103811815
Enrollment ID: I20040421000013
Provider NameVinod B Patel
Provider TypePractitioner - Sleep Medicine
Provider IdentifiersNPI Number: 1821054503
PECOS PAC ID: 9234103235
Enrollment ID: I20040825000249
Provider NameWilliam R Silverman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1215993902
PECOS PAC ID: 7012981012
Enrollment ID: I20040825000292
Provider NameGail M Pigeon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548224421
PECOS PAC ID: 4789653494
Enrollment ID: I20040929000824
Provider NameDebra L Ford
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1376618033
PECOS PAC ID: 1658367040
Enrollment ID: I20050322000778
Provider NameRosemarie Garduno
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851356257
PECOS PAC ID: 5092753640
Enrollment ID: I20050422000973
Provider NameRichelle Ramirez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396817862
PECOS PAC ID: 2062451750
Enrollment ID: I20050502001197
Provider NameEddy U De Los Santos
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1154409324
PECOS PAC ID: 0840227492
Enrollment ID: I20050726000021
Provider NameAndrew W Parker
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1912948431
PECOS PAC ID: 9931207560
Enrollment ID: I20070606000091
Provider NameCorey Yilmaz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1972703569
PECOS PAC ID: 8628161049
Enrollment ID: I20070830000499
Provider NameDeborah L Watson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548458045
PECOS PAC ID: 8527157718
Enrollment ID: I20071211000671
Provider NameTatyana Farietta-murray
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1710994249
PECOS PAC ID: 4880635150
Enrollment ID: I20090414000165
Provider NameAmadu Konteh
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1396910881
PECOS PAC ID: 3173671450
Enrollment ID: I20090423000779
Provider NameBarbara A Horton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457677205
PECOS PAC ID: 0749313393
Enrollment ID: I20100803000326
Provider NameLeona M Gillespie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134397334
PECOS PAC ID: 9830244680
Enrollment ID: I20110419000065
Provider NameLance F Rouse
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1437317237
PECOS PAC ID: 4880863869
Enrollment ID: I20110808000862
Provider NameKristen M Marshall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588934376
PECOS PAC ID: 6507020518
Enrollment ID: I20120601000546
Provider NameAdriana Vulic
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598001539
PECOS PAC ID: 8921251174
Enrollment ID: I20130121000149
Provider NameDedra A Wadsworth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205275997
PECOS PAC ID: 8729221734
Enrollment ID: I20130823000268
Provider NameRachel A Finegan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215317169
PECOS PAC ID: 9234446154
Enrollment ID: I20150909002766
Provider NameShuntelle J Hawk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033508635
PECOS PAC ID: 7315258258
Enrollment ID: I20150921002788
Provider NameJosefina Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467800144
PECOS PAC ID: 2264725860
Enrollment ID: I20160719002604
Provider NameJoanna Burns
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023402435
PECOS PAC ID: 7416231295
Enrollment ID: I20170222000942
Provider NameJami Arlene Cline
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801245303
PECOS PAC ID: 9537431580
Enrollment ID: I20170825000765
Provider NameJennifer Lindsey Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013458629
PECOS PAC ID: 7214201292
Enrollment ID: I20170915000008
Provider NameTina Violetta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508215435
PECOS PAC ID: 5597039495
Enrollment ID: I20170915001266
Provider NameMaria Audrey Erspamer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104320431
PECOS PAC ID: 1951664218
Enrollment ID: I20180419000676
Provider NameSteven L Prenzlauer
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1275580466
PECOS PAC ID: 4688733975
Enrollment ID: I20180619001333
Provider NameMorgan Uribe
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1033618103
PECOS PAC ID: 1052662970
Enrollment ID: I20180914002749
Provider NameWendy Seals Holland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154873032
PECOS PAC ID: 8325320658
Enrollment ID: I20190409003063
Provider NameKarl B Wick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104307644
PECOS PAC ID: 5890026116
Enrollment ID: I20191016003667
Provider NameTirsit Gebresenbet
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790204600
PECOS PAC ID: 2769816453
Enrollment ID: I20200106002483
Provider NameKamesha Mitchell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659742211
PECOS PAC ID: 0648577981
Enrollment ID: I20200310001612
Provider NameJames W Flint
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346895992
PECOS PAC ID: 5496183253
Enrollment ID: I20200310002511
Provider NameThomas J Pemberton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528600012
PECOS PAC ID: 9335578822
Enrollment ID: I20200403002904
Provider NameColleen Marie Lemmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407489701
PECOS PAC ID: 6406274034
Enrollment ID: I20200915000782
Provider NameSusan R Middleton
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1093743247
PECOS PAC ID: 0840466793
Enrollment ID: I20210201001985
Provider NameMichelle Breyfogle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841968328
PECOS PAC ID: 4486045093
Enrollment ID: I20211215001084
Provider NameMichelle R Ford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245940014
PECOS PAC ID: 5496126252
Enrollment ID: I20230114000142

Reviews and Comments

Community/Behavioral Health in Tempe, AZ

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Practice Location: 2600 E Southern Ave, #d1, Tempe, AZ 85282
Phone: 480-219-7272    
Ahc Services
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Practice Location: 509 S 48th St Ste 102, Tempe, AZ 85281
Phone: 602-466-5982    
Desert Rock Christian Counseling
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Medicare: Not Enrolled in Medicare
Practice Location: 7307 S Harl Ave Ste 6, Tempe, AZ 85283
Phone: 480-752-7992    Fax: 480-422-4450
Contemporary Psychopharmacology Practice
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1730 S Jentilly Ln, D-105, Tempe, AZ 85281
Phone: 480-894-1071    Fax: 480-894-1435
Asu Counseling And Consultation
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1150 S Forest Ave # 334, Tempe, AZ 85287
Phone: 480-965-6147    Fax: 480-965-3426
Tempe Psychiatry Gen Ptr
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 455 S 48th St Ste 109, Tempe, AZ 85281
Phone: 480-945-2558    Fax: 480-945-2354

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.