| Lighthouse Psychology Llc | |
|
5635 N Scottsdale Rd Ste 170 Scottsdale AZ 85250-5945 | |
| (480) 383-3882 | |
| Not Available |
| Full Name | Lighthouse Psychology Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5635 N Scottsdale Rd Ste 170, Scottsdale, Arizona |
| Authorized Official Name and Position | Sarette A Zecharia (CEO) |
| Authorized Official Contact | 4803833882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Psychology Llc 5635 N Scottsdale Rd Ste 170 Scottsdale AZ 85250-5945 Ph: (480) 383-3882 | Lighthouse Psychology Llc 5635 N Scottsdale Rd Ste 170 Scottsdale AZ 85250-5945 Ph: (480) 383-3882 |
| NPI Number | 1013565753 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 09/16/2022 |
| Certification Date | 09/16/2022 |
| Medicare PECOS PAC ID | 6204168511 |
|---|---|
| Medicare Enrollment ID | O20191105002353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013565753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dennis James Burns |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558406629 PECOS PAC ID: 0143535344 Enrollment ID: I20150818003649 |
| Provider Name | Sarette Zecharia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013387307 PECOS PAC ID: 7618275660 Enrollment ID: I20160420000923 |
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