| Rebalance Psychiatry, Pllc | |
|
4824 E Baseline Rd Ste 124 Mesa AZ 85206-4679 | |
| (602) 388-1530 | |
| (800) 396-9423 |
| Full Name | Rebalance Psychiatry, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4824 E Baseline Rd Ste 124, Mesa, Arizona |
| Authorized Official Name and Position | Irene Martin (OWNERPSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 6023881530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebalance Psychiatry, Pllc Po Box 1010 Laveen AZ 85339-0769 Ph: (602) 388-1530 | Rebalance Psychiatry, Pllc 4824 E Baseline Rd Ste 124 Mesa AZ 85206-4679 Ph: (602) 388-1530 |
| NPI Number | 1982490264 |
|---|---|
| Provider Enumeration Date | 04/15/2025 |
| Last Update Date | 04/15/2025 |
| Certification Date | 04/15/2025 |
| Medicare PECOS PAC ID | 0840709028 |
|---|---|
| Medicare Enrollment ID | O20250530000683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982490264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Irene Frances Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417634486 PECOS PAC ID: 0749641090 Enrollment ID: I20230802002746 |
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