| Ganesha Institute of Neurology and Psychiatry SC | |
|
9327 N 3rd St Ste 200 Phoenix AZ 85020-2473 | |
| (847) 816-6335 | |
| Not Available |
| Full Name | Ganesha Institute of Neurology and Psychiatry SC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9327 N 3rd St Ste 200, Phoenix, Arizona |
| Authorized Official Name and Position | Lori a Smith (OFFICE MANAGER) |
| Authorized Official Contact | 8478166441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ganesha Institute of Neurology and Psychiatry SC Po Box 14545 Belfast ME 04915-4038 Ph: (847) 816-6335 | Ganesha Institute of Neurology and Psychiatry SC 9327 N 3rd St Ste 200 Phoenix AZ 85020-2473 Ph: (847) 816-6335 |
| NPI Number | 1134979644 |
|---|---|
| Provider Enumeration Date | 03/26/2024 |
| Last Update Date | 01/17/2025 |
| Certification Date | 01/17/2025 |
| Medicare PECOS PAC ID | 0042432296 |
|---|---|
| Medicare Enrollment ID | O20240412002477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134979644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | () | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | () | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Secondary |
| Provider Name | Francis Edward Levandowsk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154975217 PECOS PAC ID: 1254765159 Enrollment ID: I20191231002335 |
| Provider Name | Shannon Marie Balaban |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093425985 PECOS PAC ID: 3072953520 Enrollment ID: I20240430004345 |
| Provider Name | Vesna Pepic |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649917790 PECOS PAC ID: 9234577271 Enrollment ID: I20240501002153 |
| Provider Name | Seanra Kalil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669626149 PECOS PAC ID: 7012033525 Enrollment ID: I20240607003486 |
| Provider Name | Vijayta Bansal Kapuria |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093900771 PECOS PAC ID: 4486876638 Enrollment ID: I20240816003727 |
| Provider Name | Caprece Donna Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255130779 PECOS PAC ID: 8921516980 Enrollment ID: I20250925001460 |
| Provider Name | Carol Kessel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609490952 PECOS PAC ID: 0042687238 Enrollment ID: I20251015003772 |
| Provider Name | Victoria Sayun Love |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275092256 PECOS PAC ID: 6901382563 Enrollment ID: I20260113003587 |
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