| Integrated Mental Health Associates | |
|
8079 N 85th Way Scottsdale AZ 85258-4321 | |
| (480) 261-5015 | |
| (602) 368-8266 |
| Full Name | Integrated Mental Health Associates |
|---|---|
| Speciality | Social Worker |
| Location | 8079 N 85th Way, Scottsdale, Arizona |
| Authorized Official Name and Position | Ryan M Sheade (OWNER) |
| Authorized Official Contact | 4802615015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Mental Health Associates 8079 N 85th Way Scottsdale AZ 85258-4321 Ph: (480) 261-5015 | Integrated Mental Health Associates 8079 N 85th Way Scottsdale AZ 85258-4321 Ph: (480) 261-5015 |
| NPI Number | 1063831592 |
|---|---|
| Provider Enumeration Date | 04/11/2014 |
| Last Update Date | 03/01/2021 |
| Certification Date | 03/01/2021 |
| Medicare PECOS PAC ID | 3971813536 |
|---|---|
| Medicare Enrollment ID | O20151111000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063831592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 13100 (Arizona) | Primary |
| Provider Name | Ryan Matthew Sheade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780918839 PECOS PAC ID: 6002088820 Enrollment ID: I20111020000048 |
| Provider Name | John Santacrose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457773095 PECOS PAC ID: 9032466826 Enrollment ID: I20180725001652 |
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