| Lighthouse Psychiatry Llc | |
|
4001 E Baseline Rd Suite B-7 Gilbert AZ 85234-2726 | |
| (480) 565-6440 | |
| (480) 454-1085 |
| Full Name | Lighthouse Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4001 E Baseline Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Connie Decker (CREDENTIALING MANAGE) |
| Authorized Official Contact | 4802692971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Psychiatry Llc 4001 E Baseline Rd Suite B-7 Gilbert AZ 85234-2726 Ph: (480) 565-6440 | Lighthouse Psychiatry Llc 4001 E Baseline Rd Suite B-7 Gilbert AZ 85234-2726 Ph: (480) 565-6440 |
| NPI Number | 1326596719 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 05/17/2022 |
| Certification Date | 05/17/2022 |
| Medicare PECOS PAC ID | 0547545824 |
|---|---|
| Medicare Enrollment ID | O20170329000962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326596719 | NPI | - | NPPES |
| Provider Name | Waldeck Charles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689752123 PECOS PAC ID: 9436101060 Enrollment ID: I20050211000422 |
| Provider Name | Tiffany N Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275779423 PECOS PAC ID: 2668500885 Enrollment ID: I20100510000387 |
| Provider Name | Amie E Kafer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437382736 PECOS PAC ID: 2769646124 Enrollment ID: I20120614000582 |
| Provider Name | Roya Nayeri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225606460 PECOS PAC ID: 1052709557 Enrollment ID: I20211103000909 |
| Provider Name | Frank Genova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396803219 PECOS PAC ID: 1052441300 Enrollment ID: I20230501002619 |
| Provider Name | Laura Dawn Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639877640 PECOS PAC ID: 2769839265 Enrollment ID: I20231106000506 |
Gateway Marriage And Family Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 690 E Warner Rd, Bldg 10, Ste# 152, Gilbert, AZ 85296 Phone: 480-420-7061 | |
Optima Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4365 E Pecos Rd Ste 120, Gilbert, AZ 85295 Phone: 480-466-8380 | |
A Peaceful Mind Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1525 S Higley Rd Ste 104, Gilbert, AZ 85296 Phone: 480-640-4908 Fax: 480-944-7849 | |
Breathing Room Therapy Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3303 E Baseline Rd Ste 109, Gilbert, AZ 85234 Phone: 480-233-3720 Fax: 480-559-9701 | |
Music Therapy Works, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 858 N Date Palm Dr, Gilbert, AZ 85234 Phone: 602-315-0267 Fax: 480-497-8826 | |
Touch Angels Behavior Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5045 S Tatum Ln, Gilbert, AZ 85298 Phone: 480-616-0133 Fax: 480-616-0133 | |
Aps Iom Technical Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 W Guadalupe Rd Ste 124, Gilbert, AZ 85233 Phone: 480-307-8258 |