| Family Service Agency | |
|
3342 E Greenway Rd Ste 108 Phoenix AZ 85032-4540 | |
| (602) 275-2726 | |
| (602) 293-3591 |
| Full Name | Family Service Agency |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3342 E Greenway Rd Ste 108, Phoenix, Arizona |
| Authorized Official Name and Position | Rose M Lopez (PRESIDENT AND CEO) |
| Authorized Official Contact | 5207211887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Agency Po Box 86537 Tucson AZ 85754-6537 Ph: (520) 721-1887 | Family Service Agency 3342 E Greenway Rd Ste 108 Phoenix AZ 85032-4540 Ph: (602) 275-2726 |
| NPI Number | 1477597193 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Medicare PECOS PAC ID | 0446443782 |
|---|---|
| Medicare Enrollment ID | O20101019001665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477597193 | NPI | - | NPPES |
| OTC12977 | Other | AZ | ADHS/BMFL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 251V00000X | Voluntary Or Charitable | BH-2847 (Arizona) | Secondary |
| Provider Name | Jennifer M Linehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467547414 PECOS PAC ID: 9436104098 Enrollment ID: I20050316000478 |
| Provider Name | Robin L Ross |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629101217 PECOS PAC ID: 7911043252 Enrollment ID: I20150307000288 |
| Provider Name | Sangita B Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548662208 PECOS PAC ID: 3375852932 Enrollment ID: I20151021001793 |
| Provider Name | Jane M Kinstler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235521147 PECOS PAC ID: 1456651991 Enrollment ID: I20151204001668 |
| Provider Name | Sarah Manco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396907598 PECOS PAC ID: 3678736238 Enrollment ID: I20160429000909 |
| Provider Name | Ian Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417402280 PECOS PAC ID: 8820374911 Enrollment ID: I20170403002154 |
| Provider Name | Dumebi Uchendu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558870378 PECOS PAC ID: 0941568240 Enrollment ID: I20171214000901 |
| Provider Name | Lindsey M Retterath |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417334970 PECOS PAC ID: 3971817925 Enrollment ID: I20180530003050 |
| Provider Name | Margarita Madrid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619476207 PECOS PAC ID: 6901150028 Enrollment ID: I20181108000733 |
| Provider Name | Stacy Kit Rickerd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275140972 PECOS PAC ID: 7911307863 Enrollment ID: I20210614003194 |
| Provider Name | Delphine Valentin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982205944 PECOS PAC ID: 7618375841 Enrollment ID: I20211001001733 |
| Provider Name | Pamela Schreurs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336866748 PECOS PAC ID: 7911371398 Enrollment ID: I20230327001067 |
| Provider Name | Nathan Goltsman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902250418 PECOS PAC ID: 1153851159 Enrollment ID: I20250226002688 |
| Provider Name | Pamela Sue Conn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174712491 PECOS PAC ID: 4880115914 Enrollment ID: I20250305003637 |
| Provider Name | Chantelle Ezinne Okoye |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740986553 PECOS PAC ID: 6800317728 Enrollment ID: I20250307003295 |
| Provider Name | Philip Allen Bohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386312577 PECOS PAC ID: 4486173457 Enrollment ID: I20250522001054 |
Amra Stafford, Psyd, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 E Weldon Ave, Suite 320, Phoenix, AZ 85012 Phone: 602-456-7565 Fax: 602-266-0234 | |
Pro Iom Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 Phone: 602-482-2282 | |
Liberty Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8111 N 19th Ave Apt 2038, Phoenix, AZ 85021 Phone: 602-367-7916 | |
Insight-therapy Az Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 E Shea Blvd Ste 235, Phoenix, AZ 85028 Phone: 602-315-4068 Fax: 602-675-2705 | |
White Tiger Integrated Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 E Weldon Ave Ste 220, Phoenix, AZ 85012 Phone: 603-637-7361 | |
Eden Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2538 E University Dr Ste 180, Phoenix, AZ 85034 Phone: 480-390-3375 | |
Native Country Healthcare Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4805 W Thomas Rd, Phoenix, AZ 85031 Phone: 602-706-8741 |