New Merveille Llc - Medicare Mental Health Clinic in Phoenix, AZ

New Merveille Llc is a medicare enrolled mental health clinic (Community/behavioral Health) in Phoenix, Arizona. The current practice location for New Merveille Llc is 2375 E Camelback Rd Ste 600, Phoenix, Arizona. For appointments, you can reach them via phone at (817) 707-2798. The mailing address for New Merveille Llc is 4821 N 108th Ave, Phoenix, Arizona and phone number is (817) 707-2798.

New Merveille Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1710749288. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (817) 707-2798.

Contact Information

New Merveille Llc
2375 E Camelback Rd Ste 600
Phoenix
AZ 85016-3493
(817) 707-2798
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameNew Merveille Llc
SpecialityCommunity/Behavioral Health
Location2375 E Camelback Rd Ste 600, Phoenix, Arizona
Authorized Official Name and PositionDesire Nkomezi (OWNER)
Authorized Official Contact8177072798
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
New Merveille Llc
4821 N 108th Ave
Phoenix
AZ 85037-5471

Ph: (817) 707-2798
New Merveille Llc
2375 E Camelback Rd Ste 600
Phoenix
AZ 85016-3493

Ph: (817) 707-2798

NPI Details:

NPI Number1710749288
Provider Enumeration Date01/29/2024
Last Update Date03/21/2025
Certification Date03/21/2025

Medicare PECOS Information:

Medicare PECOS PAC ID1456797414
Medicare Enrollment IDO20240312004016

Medical Identifiers

Medical identifiers for New Merveille Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710749288NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary
261QM0850XClinic/center - Adult Mental Health (* (Not Available))Secondary
324500000XSubstance Abuse Rehabilitation Facility (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. New Merveille Llc acts as a billing entity for following providers:
Provider NameApril R Ellis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285224477
PECOS PAC ID: 6204212566
Enrollment ID: I20221011000119
Provider NameDanielle D Younge
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1649631664
PECOS PAC ID: 8820332083
Enrollment ID: I20230419002968
Provider NameSimisola Morayo Asekun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386380608
PECOS PAC ID: 9032587738
Enrollment ID: I20230512001752
Provider NameSuma Hodge
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1700496718
PECOS PAC ID: 2062824162
Enrollment ID: I20240718002860

Reviews and Comments

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Amra Stafford, Psyd, Pllc
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Phone: 602-315-4068    Fax: 602-675-2705
White Tiger Integrated Services, Llc
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Phone: 603-637-7361    
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Phone: 480-390-3375    
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Medicare: Not Enrolled in Medicare
Practice Location: 4805 W Thomas Rd, Phoenix, AZ 85031
Phone: 602-706-8741    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.