| Neurotree | |
|
3707 E Southern Ave Floors 1 And 2 Mesa AZ 85206-2569 | |
| (424) 387-6806 | |
| Not Available |
| Full Name | Neurotree |
|---|---|
| Speciality | Counselor |
| Location | 3707 E Southern Ave, Mesa, Arizona |
| Authorized Official Name and Position | David Esraelian (CEO/CO-FOUNDER) |
| Authorized Official Contact | 4243876806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurotree 530 S Lake Ave # 149 Pasadena CA 91101-3515 Ph: (424) 387-6806 | Neurotree 3707 E Southern Ave Floors 1 And 2 Mesa AZ 85206-2569 Ph: (424) 387-6806 |
| NPI Number | 1386366755 |
|---|---|
| Provider Enumeration Date | 09/13/2022 |
| Last Update Date | 09/13/2022 |
| Certification Date | 09/13/2022 |
| Medicare PECOS PAC ID | 5294106373 |
|---|---|
| Medicare Enrollment ID | O20230127002106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386366755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Secondary |
| Provider Name | Frederick Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083676977 PECOS PAC ID: 1052335189 Enrollment ID: I20211220001482 |
| Provider Name | Jennifer Renae Kljajic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346645413 PECOS PAC ID: 1456629484 Enrollment ID: I20220914003457 |
| Provider Name | Oluwatoyin Aluko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659952984 PECOS PAC ID: 2769859610 Enrollment ID: I20221104002118 |
Wendy Hart Ph.d., Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2222 S Dobson Rd, Suite 1004, Mesa, AZ 85202 Phone: 480-775-8811 Fax: 480-775-8866 | |
Maricopa Special Health Care District Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 570 W Brown Rd, Mesa, AZ 85201 Phone: 602-344-8178 Fax: 602-344-8122 | |
Supreme Positive Innovation Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1833 W Main St Ste 139-140, Mesa, AZ 85201 Phone: 602-757-6786 | |
East Valley Child Psychology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 S Stapley Dr Ste 221, Mesa, AZ 85204 Phone: 480-202-1285 | |
Ohana Behavioral Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2735 E Main St Ste 9, Mesa, AZ 85213 Phone: 619-823-9444 | |
Circle Of Hope Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1550 E University Dr # P7, Mesa, AZ 85203 Phone: 480-597-4980 | |
Best Options For Recovery Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 W Frito Ave, Mesa, AZ 85210 Phone: 623-213-9207 |