| Family Care Center, Llc | |
|
1910 S Stapley Dr Ste 209 Mesa AZ 85204-6679 | |
| (719) 540-2100 | |
| Not Available |
| Full Name | Family Care Center, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1910 S Stapley Dr Ste 209, Mesa, Arizona |
| Authorized Official Name and Position | Christian M Ellis (PROVIDER ENGAGEMENT & CREDENTIALING) |
| Authorized Official Contact | 7655402100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Center, Llc 2860 S Circle Dr Ste 109 Colorado Springs CO 80906-4195 Ph: (719) 540-2100 | Family Care Center, Llc 1910 S Stapley Dr Ste 209 Mesa AZ 85204-6679 Ph: (719) 540-2100 |
| NPI Number | 1598535288 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/07/2024 |
| Medicare PECOS PAC ID | 5991064420 |
|---|---|
| Medicare Enrollment ID | O20240903000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598535288 | NPI | - | NPPES |
| Provider Name | Lynn M Nunemacher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790920882 PECOS PAC ID: 0446308233 Enrollment ID: I20090505000400 |
| Provider Name | Stacey Stocks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558699843 PECOS PAC ID: 5698939262 Enrollment ID: I20120611000551 |
| Provider Name | Sally Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316013253 PECOS PAC ID: 0547533481 Enrollment ID: I20170829001414 |
| Provider Name | Bethany Riley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932630373 PECOS PAC ID: 5294169769 Enrollment ID: I20191217001414 |
| Provider Name | Shana M Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689976938 PECOS PAC ID: 5991114878 Enrollment ID: I20210505000975 |
| Provider Name | Heidi J Quinlan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851310932 PECOS PAC ID: 9830549831 Enrollment ID: I20240102004034 |
| Provider Name | Mireille Beauchaine Reece |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841434123 PECOS PAC ID: 3476603416 Enrollment ID: I20240821004276 |
| Provider Name | Stephanie Laev Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558866160 PECOS PAC ID: 2062943582 Enrollment ID: I20241008000858 |
| Provider Name | Charles Lee Weber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841277258 PECOS PAC ID: 1254600935 Enrollment ID: I20241112001648 |
| Provider Name | Dollmarie Adorno Rondon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255684320 PECOS PAC ID: 0345775623 Enrollment ID: I20241122002931 |
| Provider Name | Belinda Ufei Fomba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194434738 PECOS PAC ID: 2264898816 Enrollment ID: I20241123000041 |
| Provider Name | Cordell Thomas Cheret |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194375352 PECOS PAC ID: 4981139177 Enrollment ID: I20241125003031 |
| Provider Name | Tyson Karl Lippe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164804282 PECOS PAC ID: 7113216888 Enrollment ID: I20241205002794 |
| Provider Name | Kartiki Churi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619137189 PECOS PAC ID: 2769630243 Enrollment ID: I20241220000510 |
| Provider Name | Ryan Troy Porter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811184955 PECOS PAC ID: 3577091412 Enrollment ID: I20250106003727 |
| Provider Name | Janice Webb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982315677 PECOS PAC ID: 7517488315 Enrollment ID: I20250310002383 |
| Provider Name | Nicole Lawson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790141422 PECOS PAC ID: 3577909563 Enrollment ID: I20250408002615 |
| Provider Name | Frank Paul Pallavicini |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093731259 PECOS PAC ID: 6901322486 Enrollment ID: I20250428002889 |
Wendy Hart Ph.d., Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2222 S Dobson Rd, Suite 1004, Mesa, AZ 85202 Phone: 480-775-8811 Fax: 480-775-8866 | |
Maricopa County Special Health Care District Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 570 W Brown Rd, Mesa, AZ 85201 Phone: 602-344-8178 Fax: 602-344-8122 | |
Supreme Positive Innovation Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1833 W Main St Ste 139-140, Mesa, AZ 85201 Phone: 602-757-6786 | |
East Valley Child Psychology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 S Stapley Dr Ste 221, Mesa, AZ 85204 Phone: 480-202-1285 | |
Ohana Behavioral Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2735 E Main St Ste 9, Mesa, AZ 85213 Phone: 619-823-9444 | |
Circle Of Hope Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1550 E University Dr # P7, Mesa, AZ 85203 Phone: 480-597-4980 | |
Madcap Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2266 S Dobson Rd Ste 230, Mesa, AZ 85202 Phone: 602-767-7115 |