| Recovia Llc | |
|
337 E Coronado Rd Ste 201 Phoenix AZ 85004-1583 | |
| (480) 219-7178 | |
| (480) 219-7138 |
| Full Name | Recovia Llc |
|---|---|
| Speciality | Specialist |
| Location | 337 E Coronado Rd Ste 201, Phoenix, Arizona |
| Authorized Official Name and Position | Cindy Proffitt (BILLING DIRECTOR) |
| Authorized Official Contact | 4802197178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovia Llc Po Box 20216 Phoenix AZ 85036-0216 Ph: (480) 219-7178 | Recovia Llc 337 E Coronado Rd Ste 201 Phoenix AZ 85004-1583 Ph: (480) 219-7178 |
| NPI Number | 1427421098 |
|---|---|
| Provider Enumeration Date | 11/04/2015 |
| Last Update Date | 10/12/2022 |
| Certification Date | 10/12/2022 |
| Medicare PECOS PAC ID | 1456629211 |
|---|---|
| Medicare Enrollment ID | O20170620000742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427421098 | NPI | - | NPPES |
| Provider Name | Scott A Havens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679682785 PECOS PAC ID: 0143284844 Enrollment ID: I20041115000412 |
| Provider Name | Jonell M Conn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982176301 PECOS PAC ID: 7517208762 Enrollment ID: I20190416002158 |
| Provider Name | Evan Espinosa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134633498 PECOS PAC ID: 6901167659 Enrollment ID: I20190822002910 |
| Provider Name | Brooke Linda Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396391769 PECOS PAC ID: 3274864293 Enrollment ID: I20191004003158 |
| Provider Name | Wesley Sassaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992194427 PECOS PAC ID: 6103146279 Enrollment ID: I20200901001631 |
| Provider Name | Cynthia R Regardie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730202151 PECOS PAC ID: 9234542994 Enrollment ID: I20210119002862 |
| Provider Name | Jacqueline M Pinlac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811410715 PECOS PAC ID: 1951718998 Enrollment ID: I20210318001947 |
| Provider Name | Elizabeth Lapioli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619500089 PECOS PAC ID: 6608275664 Enrollment ID: I20210524001434 |
| Provider Name | Melissa Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053073163 PECOS PAC ID: 8820487937 Enrollment ID: I20211111000570 |
| Provider Name | Michael Ferguson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255781902 PECOS PAC ID: 1759633282 Enrollment ID: I20220406002611 |
| Provider Name | Maria C Suarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932352168 PECOS PAC ID: 4183091747 Enrollment ID: I20221110002180 |
| Provider Name | Annette Kenyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750637518 PECOS PAC ID: 0840441671 Enrollment ID: I20230116000257 |
| Provider Name | Brem Meredith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124799010 PECOS PAC ID: 9931588167 Enrollment ID: I20230223001028 |
| Provider Name | Sara Elizabeth Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548973894 PECOS PAC ID: 3577936137 Enrollment ID: I20230301001052 |
| Provider Name | Haveen Qarini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144931379 PECOS PAC ID: 3375904170 Enrollment ID: I20230726001611 |
| Provider Name | James Boddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891310827 PECOS PAC ID: 0840648127 Enrollment ID: I20231127003117 |
| Provider Name | Doug Novak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013794148 PECOS PAC ID: 3870942048 Enrollment ID: I20231213001724 |
| Provider Name | Nisim Yadiel Estrada |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831962968 PECOS PAC ID: 7911347141 Enrollment ID: I20240503002804 |
| Provider Name | Wael Shadid |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205518453 PECOS PAC ID: 1951741362 Enrollment ID: I20240506001061 |
| Provider Name | Gina Breaux |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255039699 PECOS PAC ID: 1658712633 Enrollment ID: I20240508000848 |
| Provider Name | Gregory Iiames |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598463663 PECOS PAC ID: 9234570268 Enrollment ID: I20240508002780 |
| Provider Name | Anna Paulette Halpine |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902010960 PECOS PAC ID: 3870934219 Enrollment ID: I20240515004307 |
| Provider Name | Thomas Clouse |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568034635 PECOS PAC ID: 6709227036 Enrollment ID: I20240516003428 |
| Provider Name | Linda Susan Anson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750769519 PECOS PAC ID: 3577842624 Enrollment ID: I20240521003905 |
| Provider Name | Rosalie Real Herrera |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285487462 PECOS PAC ID: 5395187371 Enrollment ID: I20240522001181 |
| Provider Name | Branden Haws |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730944463 PECOS PAC ID: 0941642615 Enrollment ID: I20240527000166 |
| Provider Name | Shalimar Sinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982352050 PECOS PAC ID: 1759723430 Enrollment ID: I20240527000237 |
| Provider Name | Kaila Suzanne Moles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497228654 PECOS PAC ID: 6103268131 Enrollment ID: I20240528002356 |
| Provider Name | Desiree Kamau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225885569 PECOS PAC ID: 0345782751 Enrollment ID: I20240612002819 |
| Provider Name | Patrycja Monika Furga-ngako |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154197218 PECOS PAC ID: 9032659677 Enrollment ID: I20240910000699 |
| Provider Name | Lydia Chesley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588420897 PECOS PAC ID: 0840723003 Enrollment ID: I20241025002065 |
| Provider Name | Cindy Renee Schmitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487402392 PECOS PAC ID: 9234665332 Enrollment ID: I20241212002915 |
| Provider Name | Michael Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316780638 PECOS PAC ID: 7315474590 Enrollment ID: I20241230002045 |
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