| Lifestance Health | |
|
7373 N Scottsdale Rd Ste A199 Scottsdale AZ 85253-3593 | |
| (702) 805-5360 | |
| Not Available |
| Full Name | Lifestance Health |
|---|---|
| Speciality | Psychologist |
| Location | 7373 N Scottsdale Rd Ste A199, Scottsdale, Arizona |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 4252139398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestance Health 4800 N Scottsdale Rd Ste 2500 Scottsdale AZ 85251-7630 Ph: (925) 282-1778 | Lifestance Health 7373 N Scottsdale Rd Ste A199 Scottsdale AZ 85253-3593 Ph: (702) 805-5360 |
| NPI Number | 1023125465 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 10/16/2025 |
| Certification Date | 10/16/2025 |
| Medicare PECOS PAC ID | 2567469174 |
|---|---|
| Medicare Enrollment ID | O20061024000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023125465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | () | Primary |
| Provider Name | Kelly a Swain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548274939 PECOS PAC ID: 0244144350 Enrollment ID: I20031113000488 |
| Provider Name | Mark F Fry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699705053 PECOS PAC ID: 1658274097 Enrollment ID: I20040131000302 |
| Provider Name | Inessa Essaian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366402976 PECOS PAC ID: 5092608612 Enrollment ID: I20040205001318 |
| Provider Name | Lukas Alexanian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780646331 PECOS PAC ID: 8527956846 Enrollment ID: I20040315000602 |
| Provider Name | Usha R Ramineni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255368080 PECOS PAC ID: 3173515772 Enrollment ID: I20040401001859 |
| Provider Name | Sherry L Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184645582 PECOS PAC ID: 4880680784 Enrollment ID: I20040424000424 |
| Provider Name | Levon a Ter Bagdasarian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891793089 PECOS PAC ID: 6103801428 Enrollment ID: I20040621001989 |
| Provider Name | Grace M Marian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538368626 PECOS PAC ID: 2365415684 Enrollment ID: I20040816000746 |
| Provider Name | Edward R Mccrone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962611590 PECOS PAC ID: 1658348099 Enrollment ID: I20040914001210 |
| Provider Name | Shannon T Suo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881670438 PECOS PAC ID: 5698730216 Enrollment ID: I20041123000653 |
| Provider Name | Deborah a Kass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043323611 PECOS PAC ID: 5597721464 Enrollment ID: I20041202001079 |
| Provider Name | Cynde Perry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275553083 PECOS PAC ID: 0446217889 Enrollment ID: I20041216000752 |
| Provider Name | Antonio M Santos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598826091 PECOS PAC ID: 4880646553 Enrollment ID: I20050210000942 |
| Provider Name | Marina Katz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366498446 PECOS PAC ID: 3274587225 Enrollment ID: I20050311000591 |
| Provider Name | Beatriz L Marfori |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053484006 PECOS PAC ID: 6709824626 Enrollment ID: I20050421000391 |
| Provider Name | David W Debus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013024744 PECOS PAC ID: 0648219048 Enrollment ID: I20050426000503 |
| Provider Name | Ali Redjaian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568524429 PECOS PAC ID: 4284678699 Enrollment ID: I20050616000583 |
| Provider Name | Shawn Hersevoort |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518013317 PECOS PAC ID: 3779519582 Enrollment ID: I20050713000447 |
| Provider Name | Michael M Ferguson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770586851 PECOS PAC ID: 7416986609 Enrollment ID: I20050808001114 |
| Provider Name | Richard Julian Nunes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407986466 PECOS PAC ID: 3779479274 Enrollment ID: I20050811000890 |
| Provider Name | Janice M Green |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598771230 PECOS PAC ID: 1254351596 Enrollment ID: I20051130000963 |
| Provider Name | Deborah B Raphael |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205819935 PECOS PAC ID: 8527089846 Enrollment ID: I20051214000877 |
| Provider Name | Ronnie R Cummings |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255537940 PECOS PAC ID: 1355363938 Enrollment ID: I20051222000722 |
| Provider Name | Che a Leseur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821027566 PECOS PAC ID: 3375550296 Enrollment ID: I20060316000480 |
| Provider Name | Elizabeth a Murney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891837803 PECOS PAC ID: 9739197039 Enrollment ID: I20060328000752 |
| Provider Name | Christine E Calix |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740226331 PECOS PAC ID: 9133123615 Enrollment ID: I20060914000547 |
| Provider Name | Philip W Weck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063432698 PECOS PAC ID: 0547267478 Enrollment ID: I20061106000595 |
| Provider Name | Cortney Marisa Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750308532 PECOS PAC ID: 8921102807 Enrollment ID: I20070402000793 |
| Provider Name | Sharon M Boivin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083647689 PECOS PAC ID: 9436254083 Enrollment ID: I20070410000655 |
| Provider Name | Veronica Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467674176 PECOS PAC ID: 0840399192 Enrollment ID: I20070627000285 |
| Provider Name | Fee Sean Chin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679510465 PECOS PAC ID: 8022118017 Enrollment ID: I20070703000772 |
| Provider Name | Josefa B Licas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083650535 PECOS PAC ID: 8628178555 Enrollment ID: I20070706000604 |
| Provider Name | Stephen Anthony Morris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679547673 PECOS PAC ID: 6002916244 Enrollment ID: I20070717000353 |
| Provider Name | Arthur a Marsh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811928179 PECOS PAC ID: 2769583186 Enrollment ID: I20070728000161 |
| Provider Name | Alma Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427247295 PECOS PAC ID: 8022107069 Enrollment ID: I20071128000879 |
| Provider Name | Laquita Shanta Suggs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710010988 PECOS PAC ID: 8820187263 Enrollment ID: I20071207000491 |
| Provider Name | Joyce Cudanes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558490888 PECOS PAC ID: 6103999636 Enrollment ID: I20080716000863 |
| Provider Name | Muralikrishnan Parthasarathy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952569063 PECOS PAC ID: 0547325250 Enrollment ID: I20090212000493 |
| Provider Name | Rosa Cortizo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952316648 PECOS PAC ID: 0143386896 Enrollment ID: I20090304000251 |
| Provider Name | Yvonne R Love |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902812811 PECOS PAC ID: 1759431109 Enrollment ID: I20090605000606 |
| Provider Name | Pei-chen E Wu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699943142 PECOS PAC ID: 5294881496 Enrollment ID: I20090912000156 |
| Provider Name | Dale Anne Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477714095 PECOS PAC ID: 5395882088 Enrollment ID: I20091029000211 |
| Provider Name | Melissa a Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316108616 PECOS PAC ID: 1153480447 Enrollment ID: I20091207000582 |
| Provider Name | Andrew B Min |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134398233 PECOS PAC ID: 1254471824 Enrollment ID: I20091214000222 |
| Provider Name | Louella Ladia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881629814 PECOS PAC ID: 8527108091 Enrollment ID: I20091214000318 |
| Provider Name | Cecilia Lynn Iacoviello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003140336 PECOS PAC ID: 4385784495 Enrollment ID: I20091222000325 |
| Provider Name | Michael J Chindamo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245556000 PECOS PAC ID: 3375674716 Enrollment ID: I20100628001064 |
| Provider Name | Nancy Sue Fang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336275999 PECOS PAC ID: 9830384700 Enrollment ID: I20101117000956 |
| Provider Name | Lynne M Fiore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316157340 PECOS PAC ID: 6305035205 Enrollment ID: I20110107000445 |
| Provider Name | Esther B Crater |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588814974 PECOS PAC ID: 5890976708 Enrollment ID: I20110225000412 |
| Provider Name | Valerie Jean Christian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245533462 PECOS PAC ID: 1355523994 Enrollment ID: I20110303000367 |
| Provider Name | Jennifer L Koch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649501289 PECOS PAC ID: 3072795640 Enrollment ID: I20110303000768 |
| Provider Name | Morgan Cirket |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447373527 PECOS PAC ID: 8628250446 Enrollment ID: I20110315000385 |
| Provider Name | Lisa Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447553664 PECOS PAC ID: 7618150590 Enrollment ID: I20110330000922 |
| Provider Name | Anne C Watson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639214505 PECOS PAC ID: 2264619527 Enrollment ID: I20110614000432 |
| Provider Name | Heeyoung Kim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841406956 PECOS PAC ID: 2769653237 Enrollment ID: I20110914000544 |
| Provider Name | Michele Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942473442 PECOS PAC ID: 7012181183 Enrollment ID: I20111130000042 |
| Provider Name | Dora-linda Lau Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831110071 PECOS PAC ID: 7517059751 Enrollment ID: I20120913000658 |
| Provider Name | Marissa Mannina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790922532 PECOS PAC ID: 6901055052 Enrollment ID: I20121004000291 |
| Provider Name | Laura Dyann Tully |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710272687 PECOS PAC ID: 3173774221 Enrollment ID: I20121119000314 |
| Provider Name | Cynthia M Parkes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255560447 PECOS PAC ID: 0244483576 Enrollment ID: I20130116000384 |
| Provider Name | Deborah J Spandikow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164631297 PECOS PAC ID: 1254578032 Enrollment ID: I20130515000368 |
| Provider Name | Thao Phuong Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801118526 PECOS PAC ID: 6507003381 Enrollment ID: I20130515000405 |
| Provider Name | Matthew Foster Geromi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831450139 PECOS PAC ID: 9234370453 Enrollment ID: I20130730000532 |
| Provider Name | Cynthia L Angell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699969766 PECOS PAC ID: 6204061963 Enrollment ID: I20131105000797 |
| Provider Name | Chantal Maria Flanagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396032975 PECOS PAC ID: 9830329069 Enrollment ID: I20140403001259 |
| Provider Name | Phoebe Shinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952464133 PECOS PAC ID: 2365510161 Enrollment ID: I20140521000331 |
| Provider Name | Caroline Morin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386056240 PECOS PAC ID: 4880811751 Enrollment ID: I20140818000544 |
| Provider Name | Bridget Kathleen Cleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053691790 PECOS PAC ID: 4082832753 Enrollment ID: I20140822000761 |
| Provider Name | Sandra M Vought |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619000320 PECOS PAC ID: 2961622527 Enrollment ID: I20141002000000 |
| Provider Name | Nancy Lois Tokar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013254846 PECOS PAC ID: 4284957119 Enrollment ID: I20141230001642 |
| Provider Name | Janice Mcnamara |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477886638 PECOS PAC ID: 9032438825 Enrollment ID: I20150429000285 |
| Provider Name | Amy L Tackett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144642042 PECOS PAC ID: 2769702745 Enrollment ID: I20150514002863 |
| Provider Name | Jacqueline K Koppers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376688374 PECOS PAC ID: 4486974045 Enrollment ID: I20150521001236 |
| Provider Name | Asher Raphael Gorelik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902910649 PECOS PAC ID: 2567528318 Enrollment ID: I20150602000434 |
| Provider Name | Anjam Bahl |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609168343 PECOS PAC ID: 7012221229 Enrollment ID: I20150731016640 |
| Provider Name | Dara Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114119591 PECOS PAC ID: 1557678117 Enrollment ID: I20150914002921 |
| Provider Name | Arceli Oliva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659422533 PECOS PAC ID: 8325205677 Enrollment ID: I20151123002903 |
| Provider Name | Jennifer E. Blum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366820474 PECOS PAC ID: 6800196239 Enrollment ID: I20151230002702 |
| Provider Name | Jessica Rose Darling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851782718 PECOS PAC ID: 8921301466 Enrollment ID: I20160118000042 |
| Provider Name | Alison Megan Trexler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003104704 PECOS PAC ID: 0042514713 Enrollment ID: I20160201002560 |
| Provider Name | Cheryl a Pfent |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518003250 PECOS PAC ID: 4880998400 Enrollment ID: I20160202001586 |
| Provider Name | Darren a Lucas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053548784 PECOS PAC ID: 4082838107 Enrollment ID: I20160204002431 |
| Provider Name | Jennifer C.s Kwok |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285932426 PECOS PAC ID: 8123250941 Enrollment ID: I20160406001748 |
| Provider Name | Jasmine Hasmik Hajyan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720242613 PECOS PAC ID: 1254639214 Enrollment ID: I20160408000071 |
| Provider Name | Michael Gerard Golder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760455778 PECOS PAC ID: 4082663026 Enrollment ID: I20160511002780 |
| Provider Name | Kelsey Walorinta Salzberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407122146 PECOS PAC ID: 6901195098 Enrollment ID: I20160512001114 |
| Provider Name | Dmitry Primak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609860733 PECOS PAC ID: 6204951437 Enrollment ID: I20160729001088 |
| Provider Name | Eric S Grady |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659824399 PECOS PAC ID: 4587952726 Enrollment ID: I20161004001349 |
| Provider Name | Jamie Lacsina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699180265 PECOS PAC ID: 0840588414 Enrollment ID: I20161013002252 |
| Provider Name | Ryan W Blum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679839468 PECOS PAC ID: 2961729579 Enrollment ID: I20161026001011 |
| Provider Name | Tiffani Marie Ordonez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982073888 PECOS PAC ID: 6901188648 Enrollment ID: I20170112003237 |
| Provider Name | Kevin Scott Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285846741 PECOS PAC ID: 3476835950 Enrollment ID: I20170117002583 |
| Provider Name | Rachael Polokoff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942654777 PECOS PAC ID: 0941584551 Enrollment ID: I20170227002155 |
| Provider Name | Traci Time |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376879874 PECOS PAC ID: 8224313556 Enrollment ID: I20170328001925 |
| Provider Name | Gisela Ayub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932548633 PECOS PAC ID: 3870870702 Enrollment ID: I20170502002763 |
| Provider Name | Paula Harwood Mckenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700124971 PECOS PAC ID: 6709163090 Enrollment ID: I20170516001229 |
| Provider Name | Carly a Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821283979 PECOS PAC ID: 7911274261 Enrollment ID: I20170517001438 |
| Provider Name | Jeremy Michael Ernst |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821357161 PECOS PAC ID: 9032487236 Enrollment ID: I20170612002265 |
| Provider Name | Jennifer Haney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811331440 PECOS PAC ID: 4789953795 Enrollment ID: I20170707000588 |
| Provider Name | Alla F Sverdlik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578850707 PECOS PAC ID: 8729211453 Enrollment ID: I20170831003166 |
| Provider Name | Holly Bates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407147390 PECOS PAC ID: 6709151772 Enrollment ID: I20171002003115 |
| Provider Name | Belinda Radovich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124543061 PECOS PAC ID: 7214202654 Enrollment ID: I20171010003715 |
| Provider Name | Marcella Ruby Santamaria |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710281753 PECOS PAC ID: 4981960291 Enrollment ID: I20171101003589 |
| Provider Name | Mariam Parekh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619489697 PECOS PAC ID: 1951668094 Enrollment ID: I20171128003144 |
| Provider Name | Sharmalie Therese Sarvananda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508967019 PECOS PAC ID: 0345273793 Enrollment ID: I20171220003360 |
| Provider Name | Jamie E Picker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427185313 PECOS PAC ID: 6901166198 Enrollment ID: I20180208000734 |
| Provider Name | Simone Heron-carmignani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023420742 PECOS PAC ID: 8628339876 Enrollment ID: I20180302001263 |
| Provider Name | Marina Vladimirovna Podlubnaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093261448 PECOS PAC ID: 8729342795 Enrollment ID: I20180430001340 |
| Provider Name | Dorothy James Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871014530 PECOS PAC ID: 6901161819 Enrollment ID: I20180524001018 |
| Provider Name | Sarah Jacobs-paul |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598047086 PECOS PAC ID: 0648528885 Enrollment ID: I20180806000829 |
| Provider Name | Annie Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053549774 PECOS PAC ID: 0244588333 Enrollment ID: I20180806003487 |
| Provider Name | Andrea Montoya Brackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457802068 PECOS PAC ID: 9335497007 Enrollment ID: I20180813002337 |
| Provider Name | Patricia R Tinglin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871026526 PECOS PAC ID: 5597018226 Enrollment ID: I20181026001747 |
| Provider Name | Yana Drukin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407331739 PECOS PAC ID: 2062766306 Enrollment ID: I20181126002079 |
| Provider Name | Kimberly a Kazaryants |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841691284 PECOS PAC ID: 3779827027 Enrollment ID: I20181128000202 |
| Provider Name | Samantha Marie Sutfin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912255720 PECOS PAC ID: 7416292503 Enrollment ID: I20181218001764 |
| Provider Name | Sean Patrick Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518458165 PECOS PAC ID: 7214291731 Enrollment ID: I20190102001084 |
| Provider Name | Christine Rene Jarka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255758314 PECOS PAC ID: 1557608155 Enrollment ID: I20190121000111 |
| Provider Name | Hila Raen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124251723 PECOS PAC ID: 1254679160 Enrollment ID: I20190218002616 |
| Provider Name | Geoffrey Patrick Okoth Odhiambo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124520341 PECOS PAC ID: 3678814480 Enrollment ID: I20190404000941 |
| Provider Name | Tara C Mauro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962508903 PECOS PAC ID: 5193950384 Enrollment ID: I20190506000480 |
| Provider Name | Shannon a O'connor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235531294 PECOS PAC ID: 7113260183 Enrollment ID: I20190514001728 |
| Provider Name | Dusti Dawn Romans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306209523 PECOS PAC ID: 2264765148 Enrollment ID: I20190607001300 |
| Provider Name | Susan Kam Mah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710117189 PECOS PAC ID: 5991038838 Enrollment ID: I20190610001305 |
| Provider Name | Marlene Pamela Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194264945 PECOS PAC ID: 5799018495 Enrollment ID: I20190612001965 |
| Provider Name | Elyse Ann Galles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356790232 PECOS PAC ID: 7214263375 Enrollment ID: I20190726001002 |
| Provider Name | Cynthia M Nakoski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649638925 PECOS PAC ID: 4688949894 Enrollment ID: I20190726002097 |
| Provider Name | Susan Magorno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750826962 PECOS PAC ID: 0244566172 Enrollment ID: I20190730001721 |
| Provider Name | Maisha Michelle Correia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831417757 PECOS PAC ID: 3577877547 Enrollment ID: I20190807001648 |
| Provider Name | Michelle Pappalardi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780243907 PECOS PAC ID: 6406185099 Enrollment ID: I20190906002040 |
| Provider Name | Caroline G Cretti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639433477 PECOS PAC ID: 2961733845 Enrollment ID: I20191007002940 |
| Provider Name | Diana Shipley-miltenburg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861641813 PECOS PAC ID: 2567894322 Enrollment ID: I20191115001679 |
| Provider Name | Matthew M White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649825696 PECOS PAC ID: 4082047170 Enrollment ID: I20191203002525 |
| Provider Name | Pamela Sachs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801981659 PECOS PAC ID: 6002241833 Enrollment ID: I20200123002961 |
| Provider Name | Elizabeth Ann Hinchman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669690517 PECOS PAC ID: 2668809161 Enrollment ID: I20200221002408 |
| Provider Name | Grant Whitfield Meredith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952755969 PECOS PAC ID: 0042504250 Enrollment ID: I20200309002367 |
| Provider Name | Jillian Anne Bace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497236400 PECOS PAC ID: 8729417159 Enrollment ID: I20200406000907 |
| Provider Name | Audrey Boggs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932235256 PECOS PAC ID: 6800225103 Enrollment ID: I20200408001917 |
| Provider Name | Laura J Steder-myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245776186 PECOS PAC ID: 8022448422 Enrollment ID: I20200427002307 |
| Provider Name | Caleb J Bragg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710336565 PECOS PAC ID: 0648563882 Enrollment ID: I20200505002186 |
| Provider Name | Hannah Tikvah Levin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780092841 PECOS PAC ID: 2961826045 Enrollment ID: I20200730002614 |
| Provider Name | Laura Kelley Cavarretta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871748798 PECOS PAC ID: 1355768920 Enrollment ID: I20200804001348 |
| Provider Name | Ana Martinez De Andino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215549613 PECOS PAC ID: 0143648642 Enrollment ID: I20200915003744 |
| Provider Name | Samuel D Sanders |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558725143 PECOS PAC ID: 8224448477 Enrollment ID: I20201029001922 |
| Provider Name | Samuel Booth Viglietta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679937759 PECOS PAC ID: 6103163142 Enrollment ID: I20201103001943 |
| Provider Name | Julia C Reece |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780020743 PECOS PAC ID: 8325458797 Enrollment ID: I20201113001954 |
| Provider Name | Sawndra Lynnette Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104431329 PECOS PAC ID: 6204247083 Enrollment ID: I20201130001987 |
| Provider Name | Frederick Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669671699 PECOS PAC ID: 5991116436 Enrollment ID: I20201204001027 |
| Provider Name | Terri King |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619354321 PECOS PAC ID: 5597176040 Enrollment ID: I20201204001643 |
| Provider Name | Emilia Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205345733 PECOS PAC ID: 1254744642 Enrollment ID: I20201231001829 |
| Provider Name | Suzanne M Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245733450 PECOS PAC ID: 1850705922 Enrollment ID: I20210201001991 |
| Provider Name | Jennie Miranda Buss-gregory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811529019 PECOS PAC ID: 8325453053 Enrollment ID: I20210210002597 |
| Provider Name | Eunice Hope Kim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265740724 PECOS PAC ID: 7618382987 Enrollment ID: I20210218001505 |
| Provider Name | Maryam Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396916169 PECOS PAC ID: 4688089980 Enrollment ID: I20210218002551 |
| Provider Name | Amber M Cation |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629446646 PECOS PAC ID: 4284040403 Enrollment ID: I20210311002883 |
| Provider Name | Terri Lynne Kisselovich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841386885 PECOS PAC ID: 8325455280 Enrollment ID: I20210322001578 |
| Provider Name | Kimberly Yano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457839508 PECOS PAC ID: 5597171009 Enrollment ID: I20210330000726 |
| Provider Name | Phyllis Elliott Dworsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053461822 PECOS PAC ID: 8022426956 Enrollment ID: I20210414001386 |
| Provider Name | Onyekwere C Anyanwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114336070 PECOS PAC ID: 6800295825 Enrollment ID: I20210525001258 |
| Provider Name | Cindy Ann Bolter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245459544 PECOS PAC ID: 7618376526 Enrollment ID: I20210526001589 |
| Provider Name | Cynthia M Speakman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942460621 PECOS PAC ID: 1456751718 Enrollment ID: I20210609000413 |
| Provider Name | James Dylan Whisenhunt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871987156 PECOS PAC ID: 8921408840 Enrollment ID: I20210615001967 |
| Provider Name | John Earl Xiong-chapman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467797431 PECOS PAC ID: 8426450131 Enrollment ID: I20210716001054 |
| Provider Name | Suragbhai B Gohel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477908549 PECOS PAC ID: 7012310105 Enrollment ID: I20210727002945 |
| Provider Name | Al Alam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174700678 PECOS PAC ID: 9133290760 Enrollment ID: I20210816002289 |
| Provider Name | Varun Mohan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952756397 PECOS PAC ID: 0345587861 Enrollment ID: I20210816002744 |
| Provider Name | Danielle Emi-lani Sumida |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972056836 PECOS PAC ID: 8325445331 Enrollment ID: I20210917001263 |
| Provider Name | Mary Wyman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043882244 PECOS PAC ID: 3072911221 Enrollment ID: I20211001002723 |
| Provider Name | Maria G Ruelas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346505906 PECOS PAC ID: 1557769619 Enrollment ID: I20211005001057 |
| Provider Name | Robyn D Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174962930 PECOS PAC ID: 0143618322 Enrollment ID: I20211020000914 |
| Provider Name | Sharlene Famisan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245571314 PECOS PAC ID: 7214328392 Enrollment ID: I20211228001153 |
| Provider Name | Elena Dobbs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013244409 PECOS PAC ID: 6204226160 Enrollment ID: I20211229001600 |
| Provider Name | Shanna Darling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114474350 PECOS PAC ID: 8527450675 Enrollment ID: I20220121001244 |
| Provider Name | Jinghan Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245841774 PECOS PAC ID: 5193133213 Enrollment ID: I20220127001707 |
| Provider Name | Ronit Yael Lyon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689056293 PECOS PAC ID: 0840602421 Enrollment ID: I20220217002081 |
| Provider Name | Tammy Nicole Torres |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568950624 PECOS PAC ID: 7618363144 Enrollment ID: I20220408000372 |
| Provider Name | Emily Suzanne Econie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295327112 PECOS PAC ID: 5294122743 Enrollment ID: I20220502000310 |
| Provider Name | Nicolas Dario Canon Salazar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306045281 PECOS PAC ID: 1052798121 Enrollment ID: I20220510002200 |
| Provider Name | Moremi Abeni Gravesandy Vassall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407350663 PECOS PAC ID: 2264785351 Enrollment ID: I20220829002596 |
| Provider Name | Chinenye N Umunnakwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023754314 PECOS PAC ID: 2567839228 Enrollment ID: I20221109001326 |
| Provider Name | J Juliano Innocenti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306258314 PECOS PAC ID: 0446628333 Enrollment ID: I20221128000981 |
| Provider Name | Marilou Marasigan Cabusao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700514957 PECOS PAC ID: 1052789781 Enrollment ID: I20221130000655 |
| Provider Name | Dean Lim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942878665 PECOS PAC ID: 2668843715 Enrollment ID: I20230127000925 |
| Provider Name | Kathryn a Weaver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992187686 PECOS PAC ID: 3870898638 Enrollment ID: I20230202002919 |
| Provider Name | Labiba Anis Radwan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932256351 PECOS PAC ID: 5294968418 Enrollment ID: I20230213000954 |
| Provider Name | Jasvinder K Mann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699491365 PECOS PAC ID: 1355716556 Enrollment ID: I20230330002548 |
| Provider Name | Migdalia Villafane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104044452 PECOS PAC ID: 6305201500 Enrollment ID: I20230421001994 |
| Provider Name | Jacqueline Jiaqi Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740988120 PECOS PAC ID: 1658730585 Enrollment ID: I20230821003857 |
| Provider Name | Christopher Go |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083221568 PECOS PAC ID: 1052775095 Enrollment ID: I20230911000484 |
| Provider Name | Brian Kenneth Lempa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891228144 PECOS PAC ID: 3072886589 Enrollment ID: I20230919003697 |
| Provider Name | Negar Haghighi Mehmandari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144710336 PECOS PAC ID: 6305227356 Enrollment ID: I20230922003651 |
| Provider Name | Taylor Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609478148 PECOS PAC ID: 6608220488 Enrollment ID: I20230927003143 |
| Provider Name | Shanshan Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841998242 PECOS PAC ID: 6608221114 Enrollment ID: I20231018000700 |
| Provider Name | Azeen Nafisi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235625211 PECOS PAC ID: 6204281751 Enrollment ID: I20231018002349 |
| Provider Name | Tonya King |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831749498 PECOS PAC ID: 0547611550 Enrollment ID: I20240103003975 |
| Provider Name | Derrick Fian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417734658 PECOS PAC ID: 8820449432 Enrollment ID: I20240108006246 |
| Provider Name | Zubin S Zehtab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699369579 PECOS PAC ID: 8628420700 Enrollment ID: I20240115001634 |
| Provider Name | Jessica Wynn Wilson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699418285 PECOS PAC ID: 5799137691 Enrollment ID: I20240116003766 |
| Provider Name | Crystin Roufaeil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437630357 PECOS PAC ID: 3779935903 Enrollment ID: I20240123003656 |
| Provider Name | Lubna Bashir Waraich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609458140 PECOS PAC ID: 2062864218 Enrollment ID: I20240123004362 |
| Provider Name | Marian Thuy Trang Cao |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922578772 PECOS PAC ID: 8426401746 Enrollment ID: I20240201004226 |
| Provider Name | Moorea Pugliese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972195386 PECOS PAC ID: 0840643128 Enrollment ID: I20240202001665 |
| Provider Name | Jonathan Kendall |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124754551 PECOS PAC ID: 3375986870 Enrollment ID: I20240212004345 |
| Provider Name | Pooja Sharma |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073998472 PECOS PAC ID: 7517302185 Enrollment ID: I20240305003350 |
| Provider Name | Traci a Chamberlain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891357380 PECOS PAC ID: 8820434541 Enrollment ID: I20240315001466 |
| Provider Name | Mayra Lizette Zavalza |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295977833 PECOS PAC ID: 3476990334 Enrollment ID: I20240327001800 |
| Provider Name | Claudio Marcelo Demb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730174921 PECOS PAC ID: 3072544469 Enrollment ID: I20240329002300 |
| Provider Name | Edith Larios |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336904515 PECOS PAC ID: 5991143042 Enrollment ID: I20240409001260 |
| Provider Name | Emily Naughton Lindley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467509265 PECOS PAC ID: 9335589365 Enrollment ID: I20240424002872 |
| Provider Name | Amber Marie Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649787284 PECOS PAC ID: 8921448705 Enrollment ID: I20240426000969 |
| Provider Name | Theresa D Bui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144576414 PECOS PAC ID: 7214253962 Enrollment ID: I20240426001201 |
| Provider Name | Helena Dano Dow |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992807168 PECOS PAC ID: 4082054812 Enrollment ID: I20240426002765 |
| Provider Name | Eric Michael David |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053822577 PECOS PAC ID: 5395185136 Enrollment ID: I20240426003021 |
| Provider Name | Dumka Biragbara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457137705 PECOS PAC ID: 7618317397 Enrollment ID: I20240429000787 |
| Provider Name | Janetta Sue Stephen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932175312 PECOS PAC ID: 0143660837 Enrollment ID: I20240429001294 |
| Provider Name | Michele E Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699148650 PECOS PAC ID: 1456791169 Enrollment ID: I20240429002031 |
| Provider Name | Naomi R Midura |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699199893 PECOS PAC ID: 2264872837 Enrollment ID: I20240430000814 |
| Provider Name | Kyle M Royce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144994310 PECOS PAC ID: 0345680914 Enrollment ID: I20240430000832 |
| Provider Name | Karen Stein |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649338401 PECOS PAC ID: 6406296094 Enrollment ID: I20240430001778 |
| Provider Name | Brianna Marie Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861084097 PECOS PAC ID: 0143660688 Enrollment ID: I20240430003956 |
| Provider Name | Juan Carlos Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619446796 PECOS PAC ID: 8527408004 Enrollment ID: I20240501001002 |
| Provider Name | Brittany Batton Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417515347 PECOS PAC ID: 3476888470 Enrollment ID: I20240501001130 |
| Provider Name | William Merrit Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083893143 PECOS PAC ID: 3678913183 Enrollment ID: I20240501002196 |
| Provider Name | Deborah Kimberly Bryk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306213509 PECOS PAC ID: 5991145625 Enrollment ID: I20240501002980 |
| Provider Name | Kathy Eliassian |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497883813 PECOS PAC ID: 0941640478 Enrollment ID: I20240501002995 |
| Provider Name | Emma Jane Tecca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770299042 PECOS PAC ID: 2961842208 Enrollment ID: I20240502003514 |
| Provider Name | Kirsten Marie Molina |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497971253 PECOS PAC ID: 2769822063 Enrollment ID: I20240503001384 |
| Provider Name | Marissa Emrich Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700553260 PECOS PAC ID: 3779923909 Enrollment ID: I20240503003018 |
| Provider Name | Kristin Duering Mcdonald |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760611859 PECOS PAC ID: 4183064330 Enrollment ID: I20240503003480 |
| Provider Name | Ernesto Cruz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013522390 PECOS PAC ID: 3971943077 Enrollment ID: I20240506001459 |
| Provider Name | Diane Katherine Dameron |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1710294707 PECOS PAC ID: 5991145013 Enrollment ID: I20240506003360 |
| Provider Name | David Alin Kohanyi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730459546 PECOS PAC ID: 6709226822 Enrollment ID: I20240506003398 |
| Provider Name | Alex Aguinaldo Recepcion |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083126130 PECOS PAC ID: 4688014715 Enrollment ID: I20240506003934 |
| Provider Name | Megan Lee Urquidi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821512435 PECOS PAC ID: 6103266242 Enrollment ID: I20240506004058 |
| Provider Name | Lea M Basler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528577186 PECOS PAC ID: 3971943010 Enrollment ID: I20240506004265 |
| Provider Name | Romelia Alicia Gomez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750754081 PECOS PAC ID: 6901246099 Enrollment ID: I20240507001576 |
| Provider Name | Amy Christina Horne |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326347642 PECOS PAC ID: 1153762257 Enrollment ID: I20240507002117 |
| Provider Name | Karyn Marie Donado |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669582615 PECOS PAC ID: 8628419744 Enrollment ID: I20240507002872 |
| Provider Name | Brittany Paige Campbell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922768233 PECOS PAC ID: 3274974316 Enrollment ID: I20240507003698 |
| Provider Name | Josephine Chu |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689018111 PECOS PAC ID: 1254772254 Enrollment ID: I20240508001427 |
| Provider Name | Cherrelle Brown |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194275966 PECOS PAC ID: 2163863648 Enrollment ID: I20240515001519 |
| Provider Name | Jamie Lianne Freier |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942641634 PECOS PAC ID: 7214378504 Enrollment ID: I20240517001230 |
| Provider Name | Susan Rae Miller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336115492 PECOS PAC ID: 3779924972 Enrollment ID: I20240517002089 |
| Provider Name | Desiree Besas Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669973129 PECOS PAC ID: 4981045127 Enrollment ID: I20240517003786 |
| Provider Name | Whitney E Dominguez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841846730 PECOS PAC ID: 4981045416 Enrollment ID: I20240520003389 |
| Provider Name | Bradley Lewis Wolf |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083192801 PECOS PAC ID: 8123460276 Enrollment ID: I20240521003937 |
| Provider Name | Brittany Ciera Hoegberg |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689368755 PECOS PAC ID: 0547602609 Enrollment ID: I20240522000008 |
| Provider Name | Limor H Watson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831794510 PECOS PAC ID: 8527400522 Enrollment ID: I20240522001820 |
| Provider Name | Danielle Marie Bell-dunnam |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194491654 PECOS PAC ID: 5496197105 Enrollment ID: I20240528000633 |
| Provider Name | Christopher Mckinney Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790153807 PECOS PAC ID: 9335581040 Enrollment ID: I20240528000907 |
| Provider Name | Sylvana a Elali |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114379922 PECOS PAC ID: 1759723398 Enrollment ID: I20240528002093 |
| Provider Name | Mandy Kay Sun |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205403516 PECOS PAC ID: 3577905124 Enrollment ID: I20240528002521 |
| Provider Name | Ronald W. Pilato |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386887057 PECOS PAC ID: 7618319294 Enrollment ID: I20240528003647 |
| Provider Name | Brittany Marie Ramirez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023500279 PECOS PAC ID: 1052753506 Enrollment ID: I20240529002544 |
| Provider Name | Heba Hilou |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962254391 PECOS PAC ID: 3779925250 Enrollment ID: I20240529003335 |
| Provider Name | Ileane G Lew |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386946093 PECOS PAC ID: 2365884855 Enrollment ID: I20240529003888 |
| Provider Name | Eugene Hightower |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447314182 PECOS PAC ID: 4587006978 Enrollment ID: I20240530003530 |
| Provider Name | Danielle Mitock |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902228000 PECOS PAC ID: 9537501853 Enrollment ID: I20240531000771 |
| Provider Name | Kenya Lashey Taylor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063557049 PECOS PAC ID: 1557703808 Enrollment ID: I20240531001767 |
| Provider Name | Dora Gilbert |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558492504 PECOS PAC ID: 0345782678 Enrollment ID: I20240603000651 |
| Provider Name | Richard Paul Benfante |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114092384 PECOS PAC ID: 9931641271 Enrollment ID: I20240603000843 |
| Provider Name | Lori Ellen Baber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184242158 PECOS PAC ID: 5092257345 Enrollment ID: I20240603001431 |
| Provider Name | Diane E Carota |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427261981 PECOS PAC ID: 0143762492 Enrollment ID: I20240603001540 |
| Provider Name | Brenda Lissett Duarte |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164784906 PECOS PAC ID: 1951843135 Enrollment ID: I20240603003047 |
| Provider Name | Vivian Stein |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669746947 PECOS PAC ID: 8426590621 Enrollment ID: I20240603003710 |
| Provider Name | Becky Lynn Grenfell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780994251 PECOS PAC ID: 8628510880 Enrollment ID: I20240604001861 |
| Provider Name | Amauni Paula Baker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093216145 PECOS PAC ID: 2961944921 Enrollment ID: I20240605001603 |
| Provider Name | Sudheera Ranaweera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700427507 PECOS PAC ID: 0244772226 Enrollment ID: I20240605002351 |
| Provider Name | Melanie Jane Nicholls |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922767581 PECOS PAC ID: 7618419664 Enrollment ID: I20240606000801 |
| Provider Name | Sandra Orozco Loza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104116250 PECOS PAC ID: 0941742993 Enrollment ID: I20240606000920 |
| Provider Name | Damian Saul Sandoval |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255706263 PECOS PAC ID: 5193267862 Enrollment ID: I20240610001487 |
| Provider Name | William E Claude |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790533560 PECOS PAC ID: 0840732442 Enrollment ID: I20240611002630 |
| Provider Name | Karissa Nichole Chisum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558042101 PECOS PAC ID: 1456893064 Enrollment ID: I20240611003143 |
| Provider Name | Susana Elizabeth Villalpando |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508478769 PECOS PAC ID: 4082156534 Enrollment ID: I20240612000390 |
| Provider Name | Vivian Wing-yiu Luong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760255061 PECOS PAC ID: 7517409006 Enrollment ID: I20240612001748 |
| Provider Name | Adrianne Ruth Averbukh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992219695 PECOS PAC ID: 6901349307 Enrollment ID: I20240613001727 |
| Provider Name | Michelle Marie Paulsen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801281936 PECOS PAC ID: 0143763599 Enrollment ID: I20240613004035 |
| Provider Name | Christine J Choi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891981205 PECOS PAC ID: 7214470574 Enrollment ID: I20240614003854 |
| Provider Name | Huong Ly Butel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376382176 PECOS PAC ID: 3476096553 Enrollment ID: I20240618000000 |
| Provider Name | Jonathan Goode |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235872847 PECOS PAC ID: 4880137546 Enrollment ID: I20240621003475 |
| Provider Name | Linda Lee Gertson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821136433 PECOS PAC ID: 9830632470 Enrollment ID: I20240624001642 |
| Provider Name | James Lee Rounds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952181125 PECOS PAC ID: 5092259580 Enrollment ID: I20240625003701 |
| Provider Name | Daniel Grindeman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639168610 PECOS PAC ID: 6305380718 Enrollment ID: I20240626003355 |
| Provider Name | Christiana Katherina Hargrave |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295216927 PECOS PAC ID: 3678017043 Enrollment ID: I20240627000765 |
| Provider Name | Erin Laura Haven |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053551713 PECOS PAC ID: 2365986676 Enrollment ID: I20240627002354 |
| Provider Name | Sarah Anne Tobin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437999414 PECOS PAC ID: 6406390632 Enrollment ID: I20240628002421 |
| Provider Name | Elizabeth Renee Michaud |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255784807 PECOS PAC ID: 0648714626 Enrollment ID: I20240701003736 |
| Provider Name | Martin L Carey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851959373 PECOS PAC ID: 8224572979 Enrollment ID: I20240705000474 |
| Provider Name | Melody J James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134460603 PECOS PAC ID: 1759671993 Enrollment ID: I20240708001065 |
| Provider Name | Nicole a Hermann-metzger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942353578 PECOS PAC ID: 1658816111 Enrollment ID: I20240709004252 |
| Provider Name | Alexandria Evaleen Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073042735 PECOS PAC ID: 7618412909 Enrollment ID: I20240710005064 |
| Provider Name | Razan Rayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750044228 PECOS PAC ID: 2769927060 Enrollment ID: I20240711000294 |
| Provider Name | Danielle Nuss Hetrick |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700342409 PECOS PAC ID: 6103361449 Enrollment ID: I20240711001412 |
| Provider Name | Jo Christine Rodriguez Pattugalan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528534930 PECOS PAC ID: 8022553114 Enrollment ID: I20240712002748 |
| Provider Name | Magdalene Yuk Choo Insdorf |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679792170 PECOS PAC ID: 8820533920 Enrollment ID: I20240712003127 |
| Provider Name | Kim Marie Owens |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821243874 PECOS PAC ID: 3072058189 Enrollment ID: I20240712003707 |
| Provider Name | Sunum Khatiba Jamall |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609306331 PECOS PAC ID: 2668917782 Enrollment ID: I20240712003914 |
| Provider Name | Katherine Beaumonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801588181 PECOS PAC ID: 6204371339 Enrollment ID: I20240713000196 |
| Provider Name | Yuri Rassovsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285160671 PECOS PAC ID: 5294270229 Enrollment ID: I20240713000537 |
| Provider Name | Paul Van Zeumeren |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871961342 PECOS PAC ID: 7517402589 Enrollment ID: I20240715001114 |
| Provider Name | Sulaiman Iqbal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518586197 PECOS PAC ID: 1850717729 Enrollment ID: I20240715001958 |
| Provider Name | Mina Heydari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992275762 PECOS PAC ID: 5890230890 Enrollment ID: I20240715002215 |
| Provider Name | Christopher Khachik Khoshoryan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659995280 PECOS PAC ID: 4385189398 Enrollment ID: I20240715002506 |
| Provider Name | Elizabeth Bernal |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891344784 PECOS PAC ID: 7113462961 Enrollment ID: I20240716004011 |
| Provider Name | Michael David Skibba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033586581 PECOS PAC ID: 3476098112 Enrollment ID: I20240717002566 |
| Provider Name | Rosangela Dardon |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528531803 PECOS PAC ID: 6204371958 Enrollment ID: I20240717002927 |
| Provider Name | Jerrica Tranell Calvillo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033312988 PECOS PAC ID: 2567907249 Enrollment ID: I20240717004295 |
| Provider Name | Kristine N Ibrahimi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467898270 PECOS PAC ID: 7911443635 Enrollment ID: I20240718000914 |
| Provider Name | Amy Lee Huang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164882940 PECOS PAC ID: 8123564846 Enrollment ID: I20240718001167 |
| Provider Name | Gilberto Esteban Garcia-torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578646873 PECOS PAC ID: 7517403165 Enrollment ID: I20240719001526 |
| Provider Name | Lori Daniell Ford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275651143 PECOS PAC ID: 3870039449 Enrollment ID: I20240719002023 |
| Provider Name | Jessica Elizabeth Hammond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881118842 PECOS PAC ID: 5597201038 Enrollment ID: I20240722000383 |
| Provider Name | Angelica Vanessa Fuentes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841694866 PECOS PAC ID: 7416493895 Enrollment ID: I20240722002180 |
| Provider Name | Helen Mettu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073856381 PECOS PAC ID: 8820534118 Enrollment ID: I20240723002131 |
| Provider Name | Michael Steven Nelson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669970638 PECOS PAC ID: 6901342039 Enrollment ID: I20240724003547 |
| Provider Name | Heidi Margaret Jackson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528596392 PECOS PAC ID: 9931645025 Enrollment ID: I20240725000667 |
| Provider Name | Raizah Soria Saville |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508303389 PECOS PAC ID: 4981140092 Enrollment ID: I20240725001696 |
| Provider Name | Andrea Kathleen Peca |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619363603 PECOS PAC ID: 9032655071 Enrollment ID: I20240725003140 |
| Provider Name | Rhonda M Duncan Higgs |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144348491 PECOS PAC ID: 1759827702 Enrollment ID: I20240725003688 |
| Provider Name | Janell Susan Makaipo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114450640 PECOS PAC ID: 5991241960 Enrollment ID: I20240725004296 |
| Provider Name | Melyssa Ann Depaolo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730429945 PECOS PAC ID: 6800332875 Enrollment ID: I20240725004297 |
| Provider Name | Richard W Herberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932392206 PECOS PAC ID: 8921544909 Enrollment ID: I20240725004653 |
| Provider Name | Sinthia Lizethe Serrato |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457721102 PECOS PAC ID: 7214473222 Enrollment ID: I20240726000872 |
| Provider Name | Destiny Lynn James |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023291267 PECOS PAC ID: 8426594334 Enrollment ID: I20240726001163 |
| Provider Name | Eishita Manjrekar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922562552 PECOS PAC ID: 4981140852 Enrollment ID: I20240726003798 |
| Provider Name | Monica Oropeza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801096060 PECOS PAC ID: 0840737631 Enrollment ID: I20240729004079 |
| Provider Name | Christina Marin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275936817 PECOS PAC ID: 5395282180 Enrollment ID: I20240729004092 |
| Provider Name | Merima-misirca Jurici |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225289226 PECOS PAC ID: 6002042132 Enrollment ID: I20240730000841 |
| Provider Name | Amy Lynn Belanger |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578931465 PECOS PAC ID: 0244777837 Enrollment ID: I20240731003303 |
| Provider Name | Catherine O Maddox |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609354687 PECOS PAC ID: 1153868740 Enrollment ID: I20240731003307 |
| Provider Name | Shana Ebanks-butler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336384163 PECOS PAC ID: 0345787800 Enrollment ID: I20240801001425 |
| Provider Name | Jungwon Kim |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649609447 PECOS PAC ID: 0042757536 Enrollment ID: I20240801002634 |
| Provider Name | Devin E Kowalczyk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316474026 PECOS PAC ID: 1850838376 Enrollment ID: I20240801003511 |
| Provider Name | Richard W Bladh |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174945570 PECOS PAC ID: 5294272720 Enrollment ID: I20240801003993 |
| Provider Name | Janet Loraine Clark |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316196223 PECOS PAC ID: 2365989894 Enrollment ID: I20240801004041 |
| Provider Name | Katerina Echegaray |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396938676 PECOS PAC ID: 5991242372 Enrollment ID: I20240802001407 |
| Provider Name | Cynthia Florido |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306220231 PECOS PAC ID: 4880131275 Enrollment ID: I20240802001966 |
| Provider Name | Penelope Cadigan Libeu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477970614 PECOS PAC ID: 2062717614 Enrollment ID: I20240804000000 |
| Provider Name | Teresa Lowe |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548525488 PECOS PAC ID: 7416494745 Enrollment ID: I20240805003076 |
| Provider Name | Jonathan Martin Llamas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578104568 PECOS PAC ID: 6406393693 Enrollment ID: I20240806001566 |
| Provider Name | Sarah E Appleton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386830602 PECOS PAC ID: 0941747950 Enrollment ID: I20240807002915 |
| Provider Name | Martha Lilian Castillo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699962761 PECOS PAC ID: 2466999487 Enrollment ID: I20240807003490 |
| Provider Name | Maria Del Mar Rubio Gutierrez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871044750 PECOS PAC ID: 1850838889 Enrollment ID: I20240807003774 |
| Provider Name | Athena Vu Dao |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487386066 PECOS PAC ID: 1153868195 Enrollment ID: I20240807004179 |
| Provider Name | Rebecca Rose |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801138474 PECOS PAC ID: 3476090382 Enrollment ID: I20240808002672 |
| Provider Name | Raylene Elaine Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760739056 PECOS PAC ID: 6002353927 Enrollment ID: I20240808002760 |
| Provider Name | Jennifer Elizabeth Flores |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750909909 PECOS PAC ID: 1951848878 Enrollment ID: I20240808003003 |
| Provider Name | Jodi Kaye Bruce |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073031563 PECOS PAC ID: 8022555978 Enrollment ID: I20240808004081 |
| Provider Name | Laura Cisneros |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255606646 PECOS PAC ID: 1254878135 Enrollment ID: I20240809000773 |
| Provider Name | Annelise Gabrielle Labrenz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225629314 PECOS PAC ID: 0042758930 Enrollment ID: I20240809001365 |
| Provider Name | Joanne B Royer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285989566 PECOS PAC ID: 3476091299 Enrollment ID: I20240812002405 |
| Provider Name | Carmen Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437465713 PECOS PAC ID: 4981142601 Enrollment ID: I20240813002607 |
| Provider Name | Caroline Huey Chow |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063176105 PECOS PAC ID: 9931647666 Enrollment ID: I20240813002890 |
| Provider Name | Jean Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982762647 PECOS PAC ID: 1153869813 Enrollment ID: I20240813004051 |
| Provider Name | Naomi De La Mora |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669937686 PECOS PAC ID: 3072051564 Enrollment ID: I20240815000486 |
| Provider Name | Jessica Marie Jacob |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558994475 PECOS PAC ID: 1254879778 Enrollment ID: I20240815001785 |
| Provider Name | Bonnie Jane Hegna |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205967320 PECOS PAC ID: 6103364542 Enrollment ID: I20240815002955 |
| Provider Name | Melissa Anne Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518502319 PECOS PAC ID: 7517394083 Enrollment ID: I20240816001705 |
| Provider Name | Pascal Daniel Stirnimann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336736875 PECOS PAC ID: 9436528692 Enrollment ID: I20240816003362 |
| Provider Name | Jonathan Shey-sen Ni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104446236 PECOS PAC ID: 7810382785 Enrollment ID: I20240819000134 |
| Provider Name | Michael D Evans-zepeda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477191716 PECOS PAC ID: 3779021092 Enrollment ID: I20240819001313 |
| Provider Name | Katya Webber Mills |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467698605 PECOS PAC ID: 8022556349 Enrollment ID: I20240819001367 |
| Provider Name | Chanda Denee Kizer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508401092 PECOS PAC ID: 3577001791 Enrollment ID: I20240819001824 |
| Provider Name | Ryan David Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811120025 PECOS PAC ID: 4284172438 Enrollment ID: I20240819002752 |
| Provider Name | Kelsey Jean Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609229210 PECOS PAC ID: 2769920917 Enrollment ID: I20240819003038 |
| Provider Name | David C.D. Oh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730764192 PECOS PAC ID: 0547708687 Enrollment ID: I20240820002255 |
| Provider Name | Matthew Douglas Pfeiffer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326326158 PECOS PAC ID: 6406394576 Enrollment ID: I20240820003511 |
| Provider Name | Randi-marie Clare Owens |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528330727 PECOS PAC ID: 5092253161 Enrollment ID: I20240820003740 |
| Provider Name | Ayaka Kanemaru Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245468933 PECOS PAC ID: 7416495502 Enrollment ID: I20240820004360 |
| Provider Name | Laura Jean Simmons |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790159473 PECOS PAC ID: 0042758054 Enrollment ID: I20240821001039 |
| Provider Name | Bryan Keith Ritchey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366673782 PECOS PAC ID: 6709324734 Enrollment ID: I20240821001725 |
| Provider Name | Jennifer Shotwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790192136 PECOS PAC ID: 2567900517 Enrollment ID: I20240821002433 |
| Provider Name | Jana Rydlova |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821527300 PECOS PAC ID: 4789122763 Enrollment ID: I20240821003766 |
| Provider Name | Kalyan Naraharisetty Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598922957 PECOS PAC ID: 3577708973 Enrollment ID: I20240822001991 |
| Provider Name | Contessa Strother |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144751009 PECOS PAC ID: 8628517687 Enrollment ID: I20240822002347 |
| Provider Name | Jennifer Kristin Tapia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457915100 PECOS PAC ID: 6204375140 Enrollment ID: I20240823001037 |
| Provider Name | Stephanie Lynne Danial |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164937454 PECOS PAC ID: 0648719500 Enrollment ID: I20240823001859 |
| Provider Name | Marina Elena Ventura |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396962783 PECOS PAC ID: 8527507482 Enrollment ID: I20240823001989 |
| Provider Name | Anastasia Titova |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891143186 PECOS PAC ID: 1355739632 Enrollment ID: I20240823003921 |
| Provider Name | Laura Christina Perez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619341823 PECOS PAC ID: 8123567880 Enrollment ID: I20240826002059 |
| Provider Name | Krystin Ruth Erickson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124479233 PECOS PAC ID: 4284173949 Enrollment ID: I20240826002281 |
| Provider Name | Kristen a Switaj |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750636023 PECOS PAC ID: 1658810346 Enrollment ID: I20240826003037 |
| Provider Name | Sheena Mari Backer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215691332 PECOS PAC ID: 1658712534 Enrollment ID: I20240826003586 |
| Provider Name | Breeanne Elyse Woods |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194281642 PECOS PAC ID: 6305385055 Enrollment ID: I20240827001217 |
| Provider Name | Paul Warren Eastman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093349938 PECOS PAC ID: 0042759474 Enrollment ID: I20240828004879 |
| Provider Name | Sara J Ullom |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154664795 PECOS PAC ID: 7911446364 Enrollment ID: I20240829000000 |
| Provider Name | Yingxiang Li |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548098940 PECOS PAC ID: 1254870579 Enrollment ID: I20240829002911 |
| Provider Name | Jeremy Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689978439 PECOS PAC ID: 4880133107 Enrollment ID: I20240829002932 |
| Provider Name | Jennifer Villar |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598127318 PECOS PAC ID: 1456890680 Enrollment ID: I20240830002937 |
| Provider Name | Mary J Bosker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295902906 PECOS PAC ID: 0244412971 Enrollment ID: I20240902000324 |
| Provider Name | Samantha Holbrook Shields |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245405091 PECOS PAC ID: 1557800661 Enrollment ID: I20240903001733 |
| Provider Name | Victoria Ellen Velasquez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740782341 PECOS PAC ID: 7315486446 Enrollment ID: I20240903002419 |
| Provider Name | Kelley M Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265515548 PECOS PAC ID: 4385183474 Enrollment ID: I20240904000251 |
| Provider Name | Jennifer Carolina Fuentes Benitez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447959234 PECOS PAC ID: 4789124884 Enrollment ID: I20240904000958 |
| Provider Name | Julie Christine Valiquette |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649770900 PECOS PAC ID: 8729528831 Enrollment ID: I20240904001236 |
| Provider Name | Veronica Zarate |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124370887 PECOS PAC ID: 2961942719 Enrollment ID: I20240909001013 |
| Provider Name | Rosanne Zapp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669191607 PECOS PAC ID: 5395285142 Enrollment ID: I20240909001127 |
| Provider Name | Jessica Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528588555 PECOS PAC ID: 9335476225 Enrollment ID: I20240909002436 |
| Provider Name | Ahndrea Elyse Weiner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679783906 PECOS PAC ID: 4688114366 Enrollment ID: I20240909002760 |
| Provider Name | Alexandra E Wike |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891158937 PECOS PAC ID: 1456891175 Enrollment ID: I20240909004394 |
| Provider Name | Anmol Arora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487283339 PECOS PAC ID: 7214353325 Enrollment ID: I20240910003024 |
| Provider Name | Kimberly Marie Thurman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457693103 PECOS PAC ID: 6800336413 Enrollment ID: I20240910003545 |
| Provider Name | Pamela Susan Giacalone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932441060 PECOS PAC ID: 9638302623 Enrollment ID: I20240910004121 |
| Provider Name | Daneicia Marie Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245666841 PECOS PAC ID: 1951841485 Enrollment ID: I20240910004443 |
| Provider Name | Patrina Anacker Wheat |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962698548 PECOS PAC ID: 5890235337 Enrollment ID: I20240910004769 |
| Provider Name | Amber Nicole Allen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861739658 PECOS PAC ID: 5395285837 Enrollment ID: I20240910004964 |
| Provider Name | Robert James Fitzgerald |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023683448 PECOS PAC ID: 0648710129 Enrollment ID: I20240911001103 |
| Provider Name | Brett Lawrence Green |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225862808 PECOS PAC ID: 8628518115 Enrollment ID: I20240911001608 |
| Provider Name | Rae L. Hadley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164587291 PECOS PAC ID: 5193265510 Enrollment ID: I20240911003252 |
| Provider Name | Matthew Douglas Miguel Dunn |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588730568 PECOS PAC ID: 1759821192 Enrollment ID: I20240911003940 |
| Provider Name | Gina Kim in |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861759672 PECOS PAC ID: 1658652938 Enrollment ID: I20240912000078 |
| Provider Name | Eitan Kadosh |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013439884 PECOS PAC ID: 8426598830 Enrollment ID: I20240912001351 |
| Provider Name | Kelsey Jeanne Gavin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275087249 PECOS PAC ID: 8325588635 Enrollment ID: I20240912001796 |
| Provider Name | Colleen Sue Prentice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841714698 PECOS PAC ID: 5496295735 Enrollment ID: I20240912003141 |
| Provider Name | Mojan Saberi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356933220 PECOS PAC ID: 2668913732 Enrollment ID: I20240917003935 |
| Provider Name | Emily Alicia Majano |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023772928 PECOS PAC ID: 3971044918 Enrollment ID: I20240918002201 |
| Provider Name | Corina Lozano Manzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669087326 PECOS PAC ID: 4688115546 Enrollment ID: I20240918003032 |
| Provider Name | Melanie R Dawson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538538582 PECOS PAC ID: 2769923689 Enrollment ID: I20240919000326 |
| Provider Name | Erica Renee Assenti |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730662032 PECOS PAC ID: 6204377062 Enrollment ID: I20240919002548 |
| Provider Name | Maria Consuelo Woodland |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619001096 PECOS PAC ID: 3870034648 Enrollment ID: I20240919002816 |
| Provider Name | Karyn Anne Anderson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912039777 PECOS PAC ID: 0345781167 Enrollment ID: I20240920000643 |
| Provider Name | Magda Arango-davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720718703 PECOS PAC ID: 0042751711 Enrollment ID: I20240920002926 |
| Provider Name | Quinn Miller-bedell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649732132 PECOS PAC ID: 3173983525 Enrollment ID: I20240920003255 |
| Provider Name | Rina Susan Varughese |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669815460 PECOS PAC ID: 8224579909 Enrollment ID: I20240920003410 |
| Provider Name | Natalie a Pigliucci |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821308495 PECOS PAC ID: 4385185073 Enrollment ID: I20240920003683 |
| Provider Name | Rose Marie Valero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770063422 PECOS PAC ID: 5092256651 Enrollment ID: I20240923002224 |
| Provider Name | Katherine Anne Milano |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033428503 PECOS PAC ID: 1254872815 Enrollment ID: I20240923002319 |
| Provider Name | Richard Harold Mesco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083849475 PECOS PAC ID: 4587105168 Enrollment ID: I20240923003005 |
| Provider Name | Lilia Buitron Sandoval |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457660631 PECOS PAC ID: 1658812185 Enrollment ID: I20240924001670 |
| Provider Name | Daniel James Myer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326242280 PECOS PAC ID: 5799226247 Enrollment ID: I20240924002264 |
| Provider Name | Rafael Carlos Angulo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811513187 PECOS PAC ID: 2668913013 Enrollment ID: I20240925001795 |
| Provider Name | Steven Traylor Keightley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528268646 PECOS PAC ID: 9537600853 Enrollment ID: I20240926000178 |
| Provider Name | Brenda Louise Mosley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851848527 PECOS PAC ID: 9638600802 Enrollment ID: I20240930002544 |
| Provider Name | Sanjeev Kumar Rally |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700152378 PECOS PAC ID: 7618271362 Enrollment ID: I20241002000594 |
| Provider Name | Spencer Elizabeth Silva |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033952940 PECOS PAC ID: 7416488317 Enrollment ID: I20241002003549 |
| Provider Name | Margarita Velosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679992309 PECOS PAC ID: 8022451814 Enrollment ID: I20241003000932 |
| Provider Name | Brian Lam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588023931 PECOS PAC ID: 5496048258 Enrollment ID: I20241004003221 |
| Provider Name | Curran Mark Commerford |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1528375847 PECOS PAC ID: 3577094283 Enrollment ID: I20241007000000 |
| Provider Name | Ari Garrett Kestenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114448743 PECOS PAC ID: 0042583627 Enrollment ID: I20241007002632 |
| Provider Name | Daniel W Cronin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700258860 PECOS PAC ID: 6204367758 Enrollment ID: I20241008001920 |
| Provider Name | Alicia Marie Hutton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780238691 PECOS PAC ID: 6103277355 Enrollment ID: I20241008002227 |
| Provider Name | Andrea S Voehl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003176728 PECOS PAC ID: 0749712198 Enrollment ID: I20241010001877 |
| Provider Name | Gabrielle Damisa Gomez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497361547 PECOS PAC ID: 9234661604 Enrollment ID: I20241010002538 |
| Provider Name | Alexandra Monrroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821740010 PECOS PAC ID: 2466984794 Enrollment ID: I20241011001543 |
| Provider Name | Kayeley Elisabeth Lyons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376000190 PECOS PAC ID: 6103358270 Enrollment ID: I20241014003586 |
| Provider Name | Tarrah Ashley Oktavec |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801139365 PECOS PAC ID: 8022540111 Enrollment ID: I20241014004407 |
| Provider Name | Kelly Jane Maher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710667217 PECOS PAC ID: 2062944101 Enrollment ID: I20241015001117 |
| Provider Name | Shelly Marie Messenger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689323875 PECOS PAC ID: 0244463321 Enrollment ID: I20241015001494 |
| Provider Name | Rima Jean Salem |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982864674 PECOS PAC ID: 0345772489 Enrollment ID: I20241015001510 |
| Provider Name | Sara Elizabeth Pickard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780927350 PECOS PAC ID: 2264722990 Enrollment ID: I20241015002602 |
| Provider Name | Michelle Alisa Bucholtz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255455515 PECOS PAC ID: 3870025885 Enrollment ID: I20241016000329 |
| Provider Name | Namju Seong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174907158 PECOS PAC ID: 6800328741 Enrollment ID: I20241016001634 |
| Provider Name | Deborah Agnes Andorka |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508374281 PECOS PAC ID: 8820520711 Enrollment ID: I20241016003782 |
| Provider Name | Kathryn Hannah Smith |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447508411 PECOS PAC ID: 5991237810 Enrollment ID: I20241017000309 |
| Provider Name | Jennifer Silva Pentz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790046167 PECOS PAC ID: 6709318538 Enrollment ID: I20241017000750 |
| Provider Name | Leanne Spagnola |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679923312 PECOS PAC ID: 6800328667 Enrollment ID: I20241017002129 |
| Provider Name | Heather D Helmke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124213681 PECOS PAC ID: 3678005436 Enrollment ID: I20241017002356 |
| Provider Name | Christine Grace Posadas-mcgonnigal |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629313689 PECOS PAC ID: 8820520695 Enrollment ID: I20241017002495 |
| Provider Name | Jun Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780172734 PECOS PAC ID: 7517499387 Enrollment ID: I20241017002663 |
| Provider Name | Cheron Zekavat |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497888135 PECOS PAC ID: 4688106453 Enrollment ID: I20241017002770 |
| Provider Name | Faezeh Nassry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922462274 PECOS PAC ID: 3274065909 Enrollment ID: I20241018000650 |
| Provider Name | Cheryl Lynn Elmer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861522856 PECOS PAC ID: 5193257830 Enrollment ID: I20241018001082 |
| Provider Name | Ryann Janelle Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861156747 PECOS PAC ID: 9537691274 Enrollment ID: I20241018001158 |
| Provider Name | Niosha Sarfallah |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750972741 PECOS PAC ID: 5799217436 Enrollment ID: I20241018001259 |
| Provider Name | Ashley Marie Hoeck Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689029886 PECOS PAC ID: 3678822426 Enrollment ID: I20241018002243 |
| Provider Name | Keren Friedman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730531658 PECOS PAC ID: 1355873928 Enrollment ID: I20241021002907 |
| Provider Name | Victoria Abigail Taylor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871949560 PECOS PAC ID: 3173055688 Enrollment ID: I20241022000556 |
| Provider Name | Regina Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679012231 PECOS PAC ID: 3577095033 Enrollment ID: I20241022002787 |
| Provider Name | Maureen Elisabeth Finn |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043839178 PECOS PAC ID: 0244762714 Enrollment ID: I20241022003528 |
| Provider Name | Julia Ann Martinez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982155479 PECOS PAC ID: 1557893039 Enrollment ID: I20241022003816 |
| Provider Name | Alyssa Basulto |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376096255 PECOS PAC ID: 2163954645 Enrollment ID: I20241022003932 |
| Provider Name | Anne Marie Caulley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588126064 PECOS PAC ID: 5092248591 Enrollment ID: I20241022004856 |
| Provider Name | Bailey Elizabeth Carver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629754247 PECOS PAC ID: 4688107188 Enrollment ID: I20241022005059 |
| Provider Name | Jerrell Lee Mitchell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104280825 PECOS PAC ID: 8628341237 Enrollment ID: I20241023001557 |
| Provider Name | Peter a Balderas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619095825 PECOS PAC ID: 7517490998 Enrollment ID: I20241023002864 |
| Provider Name | Isaac Guillermo Pro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962183350 PECOS PAC ID: 0345773735 Enrollment ID: I20241023003252 |
| Provider Name | Yolanda Merari Batres-espinoza |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922585330 PECOS PAC ID: 2466985866 Enrollment ID: I20241023003610 |
| Provider Name | Karla Ann Barnett |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033491592 PECOS PAC ID: 7517490923 Enrollment ID: I20241023004269 |
| Provider Name | Sairanet Anayansi Oliveros |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588110308 PECOS PAC ID: 9537692983 Enrollment ID: I20241024001019 |
| Provider Name | Janet Kristine Lee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386012516 PECOS PAC ID: 4789117060 Enrollment ID: I20241024002694 |
| Provider Name | Aldo Ulises Sarellano |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164784484 PECOS PAC ID: 8820521123 Enrollment ID: I20241024003528 |
| Provider Name | Kelsey Ernestine Stevens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376078006 PECOS PAC ID: 4789954330 Enrollment ID: I20241025002009 |
| Provider Name | Victoria Leamer Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154066355 PECOS PAC ID: 7810420072 Enrollment ID: I20241025002142 |
| Provider Name | Meenal Jog |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962015693 PECOS PAC ID: 3274066451 Enrollment ID: I20241025002674 |
| Provider Name | Linh Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285280685 PECOS PAC ID: 5496166837 Enrollment ID: I20241025002845 |
| Provider Name | Leah Silver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861023616 PECOS PAC ID: 2961935010 Enrollment ID: I20241028001614 |
| Provider Name | Joseph Johnny Koudsi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649557232 PECOS PAC ID: 6608309760 Enrollment ID: I20241028002074 |
| Provider Name | Amal Elia Sigrist |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730551961 PECOS PAC ID: 9830622919 Enrollment ID: I20241028002879 |
| Provider Name | Lisa Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285339986 PECOS PAC ID: 4587197660 Enrollment ID: I20241028003229 |
| Provider Name | Paulette Michelle Rosette |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780150334 PECOS PAC ID: 9335672427 Enrollment ID: I20241028003597 |
| Provider Name | Lucy Ndego Jite-ogbuehi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225197338 PECOS PAC ID: 1355874470 Enrollment ID: I20241029000869 |
| Provider Name | Allyson Nicole Bushnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205525698 PECOS PAC ID: 1052844024 Enrollment ID: I20241029003327 |
| Provider Name | Patricia Ann Beal |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841513660 PECOS PAC ID: 9931632908 Enrollment ID: I20241029003457 |
| Provider Name | Jessica De Leon Gabard |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821514308 PECOS PAC ID: 0345773339 Enrollment ID: I20241029004145 |
| Provider Name | Sherry Ann Norris |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386276889 PECOS PAC ID: 9537692546 Enrollment ID: I20241030000325 |
| Provider Name | Pedro Palafox |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558617977 PECOS PAC ID: 0244763258 Enrollment ID: I20241030000400 |
| Provider Name | Tamela Lynn Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083480628 PECOS PAC ID: 0648715995 Enrollment ID: I20241031003970 |
| Provider Name | Gina Woltman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548380389 PECOS PAC ID: 0446783138 Enrollment ID: I20241104000293 |
| Provider Name | Rachel Garfinkle Zioulas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780800862 PECOS PAC ID: 6901034735 Enrollment ID: I20241106001182 |
| Provider Name | Elizabeth De La Torre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073088670 PECOS PAC ID: 6709310022 Enrollment ID: I20241108003490 |
| Provider Name | Sarah E Rahrouh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487326419 PECOS PAC ID: 3577097302 Enrollment ID: I20241115000587 |
| Provider Name | Oscar a Donoso |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801025879 PECOS PAC ID: 9335674027 Enrollment ID: I20241118002980 |
| Provider Name | Miranda Alayne Rich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053952622 PECOS PAC ID: 8325573801 Enrollment ID: I20241120002515 |
| Provider Name | Vanessa Munoz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740722354 PECOS PAC ID: 4880129238 Enrollment ID: I20241122000970 |
| Provider Name | Sophia Elisabeth Norheim |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316320013 PECOS PAC ID: 7719412089 Enrollment ID: I20241122002331 |
| Provider Name | Jennifer Leon Salinas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225533623 PECOS PAC ID: 9830624105 Enrollment ID: I20241122002647 |
| Provider Name | Azad Matari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154929289 PECOS PAC ID: 5890103899 Enrollment ID: I20241125001704 |
| Provider Name | Sean Traynor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275011637 PECOS PAC ID: 2860927027 Enrollment ID: I20241125001743 |
| Provider Name | Dhwani Wier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063245629 PECOS PAC ID: 8123553005 Enrollment ID: I20241202002048 |
| Provider Name | Kayli Cover |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265027411 PECOS PAC ID: 7719412519 Enrollment ID: I20241202003190 |
| Provider Name | Tiffany Morales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538943691 PECOS PAC ID: 1850827643 Enrollment ID: I20241203003518 |
| Provider Name | Rebecca Shuo-huey Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396567376 PECOS PAC ID: 3476089277 Enrollment ID: I20241203004165 |
| Provider Name | Gayla Monice Huley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235417361 PECOS PAC ID: 0446786917 Enrollment ID: I20241206001608 |
| Provider Name | Efren Emilio Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245056670 PECOS PAC ID: 9335676626 Enrollment ID: I20241227001446 |
| Provider Name | Casey Cortes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003649963 PECOS PAC ID: 5991232167 Enrollment ID: I20241230001893 |
| Provider Name | Daniela Michel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407384811 PECOS PAC ID: 3870021546 Enrollment ID: I20250108002258 |
| Provider Name | Christina Jiyoon Kam |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770171837 PECOS PAC ID: 5395274401 Enrollment ID: I20250117001994 |
| Provider Name | Julia Maria Lundeberg |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346455938 PECOS PAC ID: 2062941289 Enrollment ID: I20250131002797 |
| Provider Name | Julianna Navarro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437840618 PECOS PAC ID: 4183076490 Enrollment ID: I20250131002845 |
| Provider Name | Lorrayna Isabel Angel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194386052 PECOS PAC ID: 0143759373 Enrollment ID: I20250131003354 |
| Provider Name | Kathryn Carlson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861147936 PECOS PAC ID: 2466981634 Enrollment ID: I20250203001056 |
| Provider Name | Colleen Marie Cunniff |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548701659 PECOS PAC ID: 8527597707 Enrollment ID: I20250203001572 |
| Provider Name | Nicole Randall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205456647 PECOS PAC ID: 2062942261 Enrollment ID: I20250203002671 |
| Provider Name | Jerel Lamar Lee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336494202 PECOS PAC ID: 0244760858 Enrollment ID: I20250212001484 |
| Provider Name | Princess Dione Gutierrez Cortez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962116426 PECOS PAC ID: 2365972833 Enrollment ID: I20250213000229 |
| Provider Name | Michelle Marie Reardon |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215603097 PECOS PAC ID: 6406386762 Enrollment ID: I20250217000456 |
| Provider Name | Sylvia Alida Nelson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245355007 PECOS PAC ID: 6901326289 Enrollment ID: I20250218001940 |
| Provider Name | Sharna Thelma-anna Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124544598 PECOS PAC ID: 8820518905 Enrollment ID: I20250219002267 |
| Provider Name | Preet K Joneja |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053635789 PECOS PAC ID: 5890215933 Enrollment ID: I20250220000509 |
| Provider Name | Lisa Ayn Tange |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043032691 PECOS PAC ID: 7012437171 Enrollment ID: I20250220001107 |
| Provider Name | Stephen Mark Lovejoy |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700917804 PECOS PAC ID: 3577083542 Enrollment ID: I20250220001722 |
| Provider Name | Trevor Jonathan Paul |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740416007 PECOS PAC ID: 9436679446 Enrollment ID: I20250220003118 |
| Provider Name | Jamilla Lightner-cedeno |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992563399 PECOS PAC ID: 7618497637 Enrollment ID: I20250220003524 |
| Provider Name | Diva P Clair |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659525186 PECOS PAC ID: 1153841028 Enrollment ID: I20250221001839 |
| Provider Name | Victoria Lynn Fye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235393075 PECOS PAC ID: 4587184486 Enrollment ID: I20250221002966 |
| Provider Name | Lisa Marie Sienkiewicz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154850873 PECOS PAC ID: 4385164136 Enrollment ID: I20250224001243 |
| Provider Name | Tanya Cornwell Dorocak |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316023468 PECOS PAC ID: 6901326784 Enrollment ID: I20250224002094 |
| Provider Name | Bertrand Vulcain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134681018 PECOS PAC ID: 6204290257 Enrollment ID: I20250225001430 |
| Provider Name | Joel Andres Siria |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417474677 PECOS PAC ID: 2668992330 Enrollment ID: I20250225001749 |
| Provider Name | Janeen Rose Reid |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588863443 PECOS PAC ID: 6204356975 Enrollment ID: I20250225001767 |
| Provider Name | Anna Nairi Muradyan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336763747 PECOS PAC ID: 8820518590 Enrollment ID: I20250225001812 |
| Provider Name | Alejandra Amezcua Macedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518408509 PECOS PAC ID: 8729508411 Enrollment ID: I20250225002439 |
| Provider Name | Luke Allen Meier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992113807 PECOS PAC ID: 7315467024 Enrollment ID: I20250225002959 |
| Provider Name | Nathan Samuel Harris |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104267285 PECOS PAC ID: 7517487119 Enrollment ID: I20250226002258 |
| Provider Name | Tamara Michelle Noriega |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205021375 PECOS PAC ID: 4981124401 Enrollment ID: I20250226003684 |
| Provider Name | Megan Gotiangco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366092215 PECOS PAC ID: 0648790105 Enrollment ID: I20250227001003 |
| Provider Name | Nora Lopez Escobedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679287262 PECOS PAC ID: 4688194160 Enrollment ID: I20250227001637 |
| Provider Name | Robin James Pekin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245795665 PECOS PAC ID: 6002336427 Enrollment ID: I20250227003318 |
| Provider Name | Walker Gregory De Witt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578604732 PECOS PAC ID: 1355861774 Enrollment ID: I20250227003381 |
| Provider Name | Shayan Rad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770946402 PECOS PAC ID: 2567982952 Enrollment ID: I20250228002442 |
| Provider Name | Mariia Sen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598204117 PECOS PAC ID: 2163943457 Enrollment ID: I20250303002236 |
| Provider Name | Janis Ann Mellinger |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942781687 PECOS PAC ID: 1355862699 Enrollment ID: I20250304000749 |
| Provider Name | Eva Lilian Ramirez-holbrook |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740925478 PECOS PAC ID: 0941721112 Enrollment ID: I20250304001934 |
| Provider Name | Ellen L Griffin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245434471 PECOS PAC ID: 1951822014 Enrollment ID: I20250305001271 |
| Provider Name | Dayla Patrice Patterson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013041128 PECOS PAC ID: 6901327915 Enrollment ID: I20250306002644 |
| Provider Name | Marcus Sean Mcrae |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417442831 PECOS PAC ID: 0941721989 Enrollment ID: I20250306003536 |
| Provider Name | Tinh Ngo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730735176 PECOS PAC ID: 7911352844 Enrollment ID: I20250307000382 |
| Provider Name | Mary J Tichacek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841836244 PECOS PAC ID: 0648791442 Enrollment ID: I20250310002287 |
| Provider Name | Anum Rathor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952106841 PECOS PAC ID: 9032630645 Enrollment ID: I20250311002026 |
| Provider Name | Jamal Cameron |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134593551 PECOS PAC ID: 1153843461 Enrollment ID: I20250317001175 |
| Provider Name | Jaime Antonio Doradea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235336215 PECOS PAC ID: 6800318999 Enrollment ID: I20250318002806 |
| Provider Name | Lisa Marie Padilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225527567 PECOS PAC ID: 8224368402 Enrollment ID: I20250318003045 |
| Provider Name | Sylvia Marie Brown |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376986158 PECOS PAC ID: 0143742262 Enrollment ID: I20250318003549 |
| Provider Name | Amy Marie Rea |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770610032 PECOS PAC ID: 7214459254 Enrollment ID: I20250319000833 |
| Provider Name | Phuong Thao Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538870787 PECOS PAC ID: 0547611105 Enrollment ID: I20250319003420 |
| Provider Name | Judy Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902452394 PECOS PAC ID: 5991227811 Enrollment ID: I20250320002122 |
| Provider Name | Lashay Beatrice Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356955702 PECOS PAC ID: 9537681390 Enrollment ID: I20250320003779 |
| Provider Name | Keren Arlene Dietz Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487319786 PECOS PAC ID: 0042732794 Enrollment ID: I20250321002906 |
| Provider Name | Julio Alberto Quijada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639588817 PECOS PAC ID: 4183146889 Enrollment ID: I20250324000445 |
| Provider Name | Elliot Pohlmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407233208 PECOS PAC ID: 0143534099 Enrollment ID: I20250327001860 |
| Provider Name | Lillie Avetisyan-harvey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427628247 PECOS PAC ID: 7315460359 Enrollment ID: I20250331001455 |
| Provider Name | Elizabeth Poulsen Wiegand |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992147680 PECOS PAC ID: 7810410800 Enrollment ID: I20250331002776 |
| Provider Name | Lana Celine Talampas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245037209 PECOS PAC ID: 2466975487 Enrollment ID: I20250401000639 |
| Provider Name | Monica New |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730780495 PECOS PAC ID: 3375067713 Enrollment ID: I20250408000862 |
| Provider Name | Lyssette Marie Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184118119 PECOS PAC ID: 0941724173 Enrollment ID: I20250409003357 |
| Provider Name | Maria Linda Valencia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215585898 PECOS PAC ID: 4880118942 Enrollment ID: I20250410000591 |
| Provider Name | Abigail Elizabeth Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770771719 PECOS PAC ID: 6204350390 Enrollment ID: I20250410001245 |
| Provider Name | Aaron Matthew Fett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932352424 PECOS PAC ID: 8729502810 Enrollment ID: I20250410001292 |
| Provider Name | Ingrid E. Murrle |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811014871 PECOS PAC ID: 0547784662 Enrollment ID: I20250410002339 |
| Provider Name | Alicia R Audino |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063995587 PECOS PAC ID: 2769906791 Enrollment ID: I20250410003042 |
| Provider Name | Anna Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457156101 PECOS PAC ID: 0749704518 Enrollment ID: I20250414002583 |
| Provider Name | Laura Elaine Easler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528645827 PECOS PAC ID: 7517491806 Enrollment ID: I20250415002773 |
| Provider Name | Jenna Terese O'donnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134769011 PECOS PAC ID: 0648795377 Enrollment ID: I20250415003773 |
| Provider Name | Maria P Gutierrez-daniels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417088568 PECOS PAC ID: 7618492224 Enrollment ID: I20250416001373 |
| Provider Name | Lisa K. Sloan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467725390 PECOS PAC ID: 3173048634 Enrollment ID: I20250416003199 |
| Provider Name | Richard Haddock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518517374 PECOS PAC ID: 1557886025 Enrollment ID: I20250416003538 |
| Provider Name | Meshawn Ayers |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871938985 PECOS PAC ID: 0345765731 Enrollment ID: I20250417003017 |
| Provider Name | Michelle Renee Ibrahimi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427579614 PECOS PAC ID: 3274058540 Enrollment ID: I20250418001356 |
| Provider Name | Jeanne Frances Quilling |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225466873 PECOS PAC ID: 6901321272 Enrollment ID: I20250418001366 |
| Provider Name | Whitney M Keilman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962853887 PECOS PAC ID: 2668997941 Enrollment ID: I20250418001648 |
| Provider Name | Gabriela L Jerez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568075760 PECOS PAC ID: 4486179777 Enrollment ID: I20250418002051 |
| Provider Name | Miles Eben Hedgpeth |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548639438 PECOS PAC ID: 3072038249 Enrollment ID: I20250421001319 |
| Provider Name | Justine Nicole Adelman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043684368 PECOS PAC ID: 4486179660 Enrollment ID: I20250421001500 |
| Provider Name | Deena Jamal Esmeirat |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851904585 PECOS PAC ID: 6204351398 Enrollment ID: I20250422001457 |
| Provider Name | Roshini Ruth Kumar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396126132 PECOS PAC ID: 0941725923 Enrollment ID: I20250422003820 |
| Provider Name | Arezou Yashoua |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1720546997 PECOS PAC ID: 4082139068 Enrollment ID: I20250423000188 |
| Provider Name | Micahel C Kang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104280726 PECOS PAC ID: 8426341777 Enrollment ID: I20250423002030 |
| Provider Name | Danielle Leigh Dawidowicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912733395 PECOS PAC ID: 2567988348 Enrollment ID: I20250424001357 |
| Provider Name | Carrie S Simmons |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528636933 PECOS PAC ID: 7012433659 Enrollment ID: I20250428001921 |
| Provider Name | Lisa D. Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558589655 PECOS PAC ID: 8729504238 Enrollment ID: I20250428003798 |
| Provider Name | Kelly Sue Pacheco- Gagner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437661402 PECOS PAC ID: 2264958347 Enrollment ID: I20250501001937 |
| Provider Name | Kristen Renee Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679128755 PECOS PAC ID: 7810414927 Enrollment ID: I20250512001316 |
| Provider Name | Desirae Leann Yoder |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376946996 PECOS PAC ID: 7315464427 Enrollment ID: I20250512001467 |
| Provider Name | Chalon Sanora Murphy |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699906685 PECOS PAC ID: 5799203832 Enrollment ID: I20250513002215 |
| Provider Name | Gina Biagini-french |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245405331 PECOS PAC ID: 8325566474 Enrollment ID: I20250513002642 |
| Provider Name | Shreesh Keshava Prasad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225566102 PECOS PAC ID: 7911369152 Enrollment ID: I20250515002226 |
| Provider Name | Jennifer Choi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780471011 PECOS PAC ID: 6507384849 Enrollment ID: I20250520001416 |
| Provider Name | Vaneza Alvarado |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033520895 PECOS PAC ID: 3870012172 Enrollment ID: I20250529001359 |
| Provider Name | Kyle Frederick Hausheer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811627151 PECOS PAC ID: 5193234482 Enrollment ID: I20250529003104 |
| Provider Name | Blair Kayne Paez-wong |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063057099 PECOS PAC ID: 7517476070 Enrollment ID: I20250604004315 |
| Provider Name | Whitney Layne Willis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043736952 PECOS PAC ID: 6305356668 Enrollment ID: I20250606001494 |
| Provider Name | Sarah Mufeed Amin Anton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891437067 PECOS PAC ID: 7416467071 Enrollment ID: I20250611003664 |
| Provider Name | Carolyn Phillips |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891166369 PECOS PAC ID: 6608387162 Enrollment ID: I20250612003702 |
| Provider Name | Alisha Nicole Mcgovern |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891495271 PECOS PAC ID: 8224549951 Enrollment ID: I20250618002528 |
| Provider Name | Alejandra Ramirez Hernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528681632 PECOS PAC ID: 7719499029 Enrollment ID: I20250623003507 |
| Provider Name | Olivia Levi Knott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063826667 PECOS PAC ID: 6901023951 Enrollment ID: I20250623003753 |
| Provider Name | Candice Marie Mccray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528729308 PECOS PAC ID: 5092108019 Enrollment ID: I20250624003702 |
| Provider Name | Cocise Antranette Grace |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114405057 PECOS PAC ID: 1254777337 Enrollment ID: I20250627003517 |
| Provider Name | Gemma Alma Bernes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790414720 PECOS PAC ID: 7719491513 Enrollment ID: I20250703002519 |
| Provider Name | Fedra Hassanpour |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750493912 PECOS PAC ID: 1355856337 Enrollment ID: I20250717002199 |
| Provider Name | Jolanta Urszula Budnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104375005 PECOS PAC ID: 1254847601 Enrollment ID: I20250722003122 |
| Provider Name | Kandice Timmons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093246266 PECOS PAC ID: 7911415021 Enrollment ID: I20250731003007 |
| Provider Name | Laura Eleanor Worthen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902433287 PECOS PAC ID: 2668868936 Enrollment ID: I20250731003242 |
| Provider Name | Jade Ja'nee Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306691043 PECOS PAC ID: 6901314913 Enrollment ID: I20250801000912 |
| Provider Name | Christopher Everett Levy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184200925 PECOS PAC ID: 0648788505 Enrollment ID: I20250801002689 |
| Provider Name | Tiffany Jeehae Son |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487223384 PECOS PAC ID: 5991108052 Enrollment ID: I20250801003028 |
| Provider Name | Aneesa Elizabeth Vaez-iravani |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861165342 PECOS PAC ID: 7618475617 Enrollment ID: I20250808003216 |
| Provider Name | Adam D'sa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134699903 PECOS PAC ID: 2860892072 Enrollment ID: I20250811003598 |
| Provider Name | Laura K Seibert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164694774 PECOS PAC ID: 4385788157 Enrollment ID: I20250813004212 |
| Provider Name | Karen Vellini Alvarenga |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1720608516 PECOS PAC ID: 9537668835 Enrollment ID: I20250814003432 |
| Provider Name | Lisa Gunderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174327720 PECOS PAC ID: 4082113121 Enrollment ID: I20250815004222 |
| Provider Name | Carrie Anne Cooper |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760603823 PECOS PAC ID: 5294235412 Enrollment ID: I20250822001144 |
| Provider Name | Nadine M Bouz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669254553 PECOS PAC ID: 5193225969 Enrollment ID: I20250826000843 |
| Provider Name | Kelly Correa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427948157 PECOS PAC ID: 6800396425 Enrollment ID: I20250826004525 |
| Provider Name | Megan Marie-uriarte Howes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225786544 PECOS PAC ID: 8921509100 Enrollment ID: I20250828004642 |
| Provider Name | Cynthia Evelyn Gonzalez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366087397 PECOS PAC ID: 9739680406 Enrollment ID: I20250903001287 |
| Provider Name | Ryan Truman Wong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457068892 PECOS PAC ID: 2668904160 Enrollment ID: I20250909002202 |
| Provider Name | Brandon M Morrison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992244339 PECOS PAC ID: 6507360088 Enrollment ID: I20250917004597 |
| Provider Name | Yewande Noah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508510546 PECOS PAC ID: 3375996523 Enrollment ID: I20250925001816 |
| Provider Name | Malia Rabatin-aguilar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689150302 PECOS PAC ID: 9234634650 Enrollment ID: I20250926000188 |
| Provider Name | Nnenna Caroline Iheaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326648924 PECOS PAC ID: 8224533468 Enrollment ID: I20250926002570 |
| Provider Name | Manuel Paul Leiva |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457794620 PECOS PAC ID: 4587160452 Enrollment ID: I20250930002233 |
| Provider Name | Jeanette E Francis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316297518 PECOS PAC ID: 6204332679 Enrollment ID: I20251003002125 |
| Provider Name | Ana C Lesquives |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467011981 PECOS PAC ID: 0345746657 Enrollment ID: I20251003003306 |
| Provider Name | Connor Anthony Berk |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104697796 PECOS PAC ID: 9436655768 Enrollment ID: I20251003003829 |
| Provider Name | Allison Borel Kleponis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427936996 PECOS PAC ID: 3577069707 Enrollment ID: I20251006001503 |
| Provider Name | James Morgan Rogers |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275298416 PECOS PAC ID: 9739686429 Enrollment ID: I20251008002966 |
| Provider Name | Raymond David Nagey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912659327 PECOS PAC ID: 9830696558 Enrollment ID: I20251008003681 |
| Provider Name | Vivienne Marie Hickey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134742463 PECOS PAC ID: 1052818382 Enrollment ID: I20251010002730 |
| Provider Name | Karen Eiko Siegel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700437340 PECOS PAC ID: 8224525027 Enrollment ID: I20251015001895 |
| Provider Name | Charles Ray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518752336 PECOS PAC ID: 4981191632 Enrollment ID: I20251015004045 |
| Provider Name | Misha Milani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912885823 PECOS PAC ID: 1153819495 Enrollment ID: I20251020002139 |
| Provider Name | Jedd P Alejandro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437707510 PECOS PAC ID: 2062900103 Enrollment ID: I20251021004522 |
| Provider Name | Candida N Osias |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861010902 PECOS PAC ID: 9234627175 Enrollment ID: I20251022002444 |
| Provider Name | Ana Urrutia Martinez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952852626 PECOS PAC ID: 5890283477 Enrollment ID: I20251024001438 |
| Provider Name | Melissa Geddis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831802396 PECOS PAC ID: 1153819628 Enrollment ID: I20251024003666 |
| Provider Name | Johanna Elena Ortez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124799796 PECOS PAC ID: 8820586308 Enrollment ID: I20251024004018 |
| Provider Name | Mariel Gervacio Abisaab |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609339530 PECOS PAC ID: 7214426717 Enrollment ID: I20251026000287 |
| Provider Name | Patti Lyn Dilliner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104945161 PECOS PAC ID: 1658861182 Enrollment ID: I20251104002341 |
| Provider Name | Hilda Ann Williamson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265089312 PECOS PAC ID: 6709376189 Enrollment ID: I20251104004383 |
| Provider Name | Kimberly Crystal Markley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184481046 PECOS PAC ID: 1052801370 Enrollment ID: I20251105003524 |
| Provider Name | Leyla Mallak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780452417 PECOS PAC ID: 7012408602 Enrollment ID: I20251111003500 |
| Provider Name | Corina Cervantes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730494956 PECOS PAC ID: 3274024518 Enrollment ID: I20251114002619 |
| Provider Name | Emily E Masi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437881265 PECOS PAC ID: 4981196524 Enrollment ID: I20251121002291 |
| Provider Name | Kara Faith Heeyoung Park |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093607863 PECOS PAC ID: 8820580327 Enrollment ID: I20251121003882 |
| Provider Name | Deborah Vazquez Pirv |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518342591 PECOS PAC ID: 7113419458 Enrollment ID: I20251124002376 |
| Provider Name | Caitlyn N Francis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699403162 PECOS PAC ID: 3678065927 Enrollment ID: I20251124002607 |
| Provider Name | Bradley Scott Hewitt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326766650 PECOS PAC ID: 4082106042 Enrollment ID: I20251126000933 |
| Provider Name | Jessica Jung-eun Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215391768 PECOS PAC ID: 1456606458 Enrollment ID: I20251126001466 |
| Provider Name | Barbara Gloria-escobedo Nunley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346910312 PECOS PAC ID: 9537651427 Enrollment ID: I20251128000749 |
| Provider Name | Rita Marie Rafi Costanian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366951444 PECOS PAC ID: 0648763490 Enrollment ID: I20251202000047 |
| Provider Name | Kirin Sidhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609768530 PECOS PAC ID: 4587158480 Enrollment ID: I20251209001622 |
| Provider Name | Matthew Kevin Masolini |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639741820 PECOS PAC ID: 0143715235 Enrollment ID: I20251216002884 |
| Provider Name | Erika Angeline Clever |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184391971 PECOS PAC ID: 5395230437 Enrollment ID: I20251216004752 |
| Provider Name | Christine Karen Lewis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356829287 PECOS PAC ID: 1052806569 Enrollment ID: I20251222003387 |
| Provider Name | Marva Danielle Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750739330 PECOS PAC ID: 8224524376 Enrollment ID: I20251229001613 |
| Provider Name | Elena Maria Cacace |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245378181 PECOS PAC ID: 6204322894 Enrollment ID: I20260102003610 |
| Provider Name | Krissiane Irao Takakura |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669333282 PECOS PAC ID: 3870089329 Enrollment ID: I20260105001692 |
| Provider Name | Patricia Morales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467650689 PECOS PAC ID: 7012403496 Enrollment ID: I20260106001943 |
| Provider Name | Katherine Margaret Mattea |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841965290 PECOS PAC ID: 3274019435 Enrollment ID: I20260108000540 |
| Provider Name | Christina Lynn Darling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306710587 PECOS PAC ID: 9830675669 Enrollment ID: I20260112002540 |
| Provider Name | Janah L Mitchell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205700580 PECOS PAC ID: 0042796781 Enrollment ID: I20260112003350 |
| Provider Name | Victoria Lee Belmonte |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093839045 PECOS PAC ID: 9638655269 Enrollment ID: I20260113002483 |
| Provider Name | Mario Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386469427 PECOS PAC ID: 7416433057 Enrollment ID: I20260113002926 |
| Provider Name | Melissa L Gallardo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942777396 PECOS PAC ID: 7113403759 Enrollment ID: I20260113003049 |
| Provider Name | Hayley Nicole Ghizas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760133375 PECOS PAC ID: 9739665183 Enrollment ID: I20260115001851 |
| Provider Name | Agne Sluckaite |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861539017 PECOS PAC ID: 4880171149 Enrollment ID: I20260117000270 |
| Provider Name | Ashley Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861996563 PECOS PAC ID: 0648757872 Enrollment ID: I20260120001399 |
| Provider Name | Chantal Anahi Gilkey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811601024 PECOS PAC ID: 0547747628 Enrollment ID: I20260120003220 |
| Provider Name | Edgar O Ruano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205343282 PECOS PAC ID: 2961989835 Enrollment ID: I20260122001030 |
| Provider Name | David Phak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366169849 PECOS PAC ID: 3678051471 Enrollment ID: I20260203000706 |
| Provider Name | Thomas Lee Andrew Williams |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962989285 PECOS PAC ID: 5496233298 Enrollment ID: I20260203000707 |
| Provider Name | Alexandra Morgan Wucetich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215359500 PECOS PAC ID: 3476033341 Enrollment ID: I20260218003037 |
| Provider Name | Alisa Kimberly Salvador Monicayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831965474 PECOS PAC ID: 5991286528 Enrollment ID: I20260223001013 |
| Provider Name | Larry Dean Crawford |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679021752 PECOS PAC ID: 3971084526 Enrollment ID: I20260223001341 |
| Provider Name | Abigail Ruth Forni |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073462727 PECOS PAC ID: 5890276356 Enrollment ID: I20260223002045 |
| Provider Name | Lela B Hernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952016347 PECOS PAC ID: 4183105000 Enrollment ID: I20260227001525 |
| Provider Name | Brandon Alexis Sandate Rodriguez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730844143 PECOS PAC ID: 7315428257 Enrollment ID: I20260227002474 |
| Provider Name | Emma Janet Leighton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184215451 PECOS PAC ID: 8820570146 Enrollment ID: I20260305002864 |
| Provider Name | Arcelito Aggabao Glorioso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134855018 PECOS PAC ID: 8527540772 Enrollment ID: I20260305003410 |
| Provider Name | Michael Robert Hodson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427907617 PECOS PAC ID: 4587146584 Enrollment ID: I20260306002996 |
| Provider Name | Julie Chung |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649123431 PECOS PAC ID: 9436633419 Enrollment ID: I20260318000756 |
| Provider Name | Stephanie Rocha |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306604277 PECOS PAC ID: 4587148432 Enrollment ID: I20260319000814 |
| Provider Name | Emily Dawn Hoegberg |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891039335 PECOS PAC ID: 2567996028 Enrollment ID: I20260319001545 |
| Provider Name | Kelli Shannon Nielsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780491662 PECOS PAC ID: 2567946338 Enrollment ID: I20260319001549 |
| Provider Name | Karen Moe Aung |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689081788 PECOS PAC ID: 8224512694 Enrollment ID: I20260324002434 |
| Provider Name | Emma Shea Stuck |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427884964 PECOS PAC ID: 5698259893 Enrollment ID: I20260325000700 |
| Provider Name | Vanessa Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053937037 PECOS PAC ID: 9638654684 Enrollment ID: I20260327003196 |
| Provider Name | Emanuel Villarreal-sandoval |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043802382 PECOS PAC ID: 9830674613 Enrollment ID: I20260330002581 |
| Provider Name | Samirah Alam |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891641783 PECOS PAC ID: 8123503927 Enrollment ID: I20260330003200 |
| Provider Name | Paloma Moran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699350405 PECOS PAC ID: 4284119991 Enrollment ID: I20260331002674 |
| Provider Name | Laura Lee Haas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760340681 PECOS PAC ID: 8426533852 Enrollment ID: I20260402001965 |
| Provider Name | Angela Marie Arellano |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548411739 PECOS PAC ID: 9638654981 Enrollment ID: I20260403001377 |
| Provider Name | Mark William Jacobs |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760954325 PECOS PAC ID: 0749755767 Enrollment ID: I20260407003951 |
| Provider Name | Khai Nguyen Hoang |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457098725 PECOS PAC ID: 4082189899 Enrollment ID: I20260409001593 |
| Provider Name | Mayra Heidi Aparicio Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215808407 PECOS PAC ID: 9335615228 Enrollment ID: I20260417002207 |
| Provider Name | Joshua Stefan Suri |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912854266 PECOS PAC ID: 5193292662 Enrollment ID: I20260422002200 |
| Provider Name | Alexis Noelia Leblanc |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114606373 PECOS PAC ID: 9133696610 Enrollment ID: I20260422002403 |
| Provider Name | Dustin Macdonald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528134525 PECOS PAC ID: 3971070301 Enrollment ID: I20260423000914 |
| Provider Name | Elizabeth M Landram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972268589 PECOS PAC ID: 9032686308 Enrollment ID: I20260423001834 |
| Provider Name | Lynda Susan Macbeath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841165677 PECOS PAC ID: 3375010564 Enrollment ID: I20260424001638 |
| Provider Name | Priscilla Elizabeth Beavers-silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073924957 PECOS PAC ID: 5395273445 Enrollment ID: I20260424002102 |
| Provider Name | Stephanie Jo Frigo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346960804 PECOS PAC ID: 1355818048 Enrollment ID: I20260430001828 |
| Provider Name | Anna Carolyn Oconnell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144711698 PECOS PAC ID: 1951878594 Enrollment ID: I20260430003217 |
| Provider Name | Pamela Michele Dyer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316580723 PECOS PAC ID: 7214405547 Enrollment ID: I20260505004479 |
| Provider Name | Brock L Pistel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225644487 PECOS PAC ID: 0345718342 Enrollment ID: I20260507003780 |
| Provider Name | Jana Kimberly Warner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629917760 PECOS PAC ID: 5890263735 Enrollment ID: I20260508000884 |
| Provider Name | Rachel M Martino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316409600 PECOS PAC ID: 1052779683 Enrollment ID: I20260508001338 |
| Provider Name | Maria Guadalupe Rodriguez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578063681 PECOS PAC ID: 5991273856 Enrollment ID: I20260508001422 |
| Provider Name | Tarsa Barnes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851811228 PECOS PAC ID: 5799253506 Enrollment ID: I20260508003360 |
| Provider Name | Pete Gilbert Duarte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013642669 PECOS PAC ID: 3971071663 Enrollment ID: I20260512000710 |
| Provider Name | Dilini Shanika Briggs |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568898096 PECOS PAC ID: 7315416559 Enrollment ID: I20260515003416 |
| Provider Name | Lita Munich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235435793 PECOS PAC ID: 6507337201 Enrollment ID: I20260603003178 |
| Provider Name | Dominique N Tarango |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841991080 PECOS PAC ID: 8022589639 Enrollment ID: I20260604002272 |
| Provider Name | Jed Michael Diaz Colcol |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689221566 PECOS PAC ID: 5890266035 Enrollment ID: I20260609000154 |
| Provider Name | Victoria Dominique Turner-slack |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316694987 PECOS PAC ID: 9032680160 Enrollment ID: I20260609002511 |
| Provider Name | Tiffany Cassandra Aceves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669154597 PECOS PAC ID: 8729550678 Enrollment ID: I20260611003697 |
| Provider Name | Wendy Michelle Towle |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285807750 PECOS PAC ID: 6204308588 Enrollment ID: I20260617003608 |
North Scottsdale Behavioral Health, P.C. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10229 N 92nd St, Suite 101, Scottsdale, AZ 85258 Phone: 480-285-8284 |
Sierra at Scottsdale Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8035 N 85th Way, Scottsdale, AZ 85258 Phone: 520-624-4000 |
Alternative Education Solutions LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13430 N Scottsdale Rd Ste 206, Scottsdale, AZ 85254 Phone: 480-809-6230 |
Family Mental Health Associates, Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7510 E 1st St, Scottsdale, AZ 85251 Phone: 480-941-4841 Fax: 480-994-7381 |
Vibrant Health Care, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4900 N Scottsdale Rd Ste 2400, Scottsdale, AZ 85251 Phone: 480-320-3004 Fax: 480-383-6540 |
Lighthouse Psychology LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5635 N Scottsdale Rd Ste 170, Scottsdale, AZ 85250 Phone: 480-383-3882 |