| Spectrum Healthcare Group, Inc. | |
|
8 E Cottonwood St Bldg A Cottonwood AZ 86326-6237 | |
| (877) 634-7333 | |
| (866) 984-3891 |
| Full Name | Spectrum Healthcare Group, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 8 E Cottonwood St Bldg A, Cottonwood, Arizona |
| Authorized Official Name and Position | Corinne Bailey (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9286342236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Healthcare Group, Inc. 8 E Cottonwood St Cottonwood AZ 86326-4382 Ph: (928) 634-2236 | Spectrum Healthcare Group, Inc. 8 E Cottonwood St Bldg A Cottonwood AZ 86326-6237 Ph: (877) 634-7333 |
| NPI Number | 1487635389 |
|---|---|
| Provider Enumeration Date | 11/08/2005 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Medicare PECOS PAC ID | 3072411388 |
|---|---|
| Medicare Enrollment ID | O20031223000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487635389 | NPI | - | NPPES |
| 057952 | Medicaid | AZ | |
| ZWMBQF | Other | AZ | MEDICARE ID# |
| Provider Name | Carol D Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386680916 PECOS PAC ID: 9537194402 Enrollment ID: I20050929000033 |
| Provider Name | William E Merrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942339254 PECOS PAC ID: 4183642101 Enrollment ID: I20051109000008 |
| Provider Name | Ellen V Lorenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760444509 PECOS PAC ID: 9335167014 Enrollment ID: I20051110000912 |
| Provider Name | Laura A Fellows |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164597654 PECOS PAC ID: 7416977061 Enrollment ID: I20051129000269 |
| Provider Name | Kathleen L Conrad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912944380 PECOS PAC ID: 7618982638 Enrollment ID: I20060213000655 |
| Provider Name | Stephen D Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346277431 PECOS PAC ID: 8628083235 Enrollment ID: I20060217000126 |
| Provider Name | Robert Shuch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265473086 PECOS PAC ID: 5799733432 Enrollment ID: I20090424000506 |
| Provider Name | Mary Grace Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295978799 PECOS PAC ID: 8921131855 Enrollment ID: I20100729000399 |
| Provider Name | Nicole Friece Knust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538492053 PECOS PAC ID: 7416133301 Enrollment ID: I20110510000485 |
| Provider Name | Carissa Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265456156 PECOS PAC ID: 0749450484 Enrollment ID: I20110907000926 |
| Provider Name | Carrie C Goodrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063634475 PECOS PAC ID: 3375716350 Enrollment ID: I20111108000486 |
| Provider Name | Arash Zamanian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184924904 PECOS PAC ID: 7911174107 Enrollment ID: I20120111000167 |
| Provider Name | Christhine Nuez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326277948 PECOS PAC ID: 0244474443 Enrollment ID: I20130909000699 |
| Provider Name | Claudia Converse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659776169 PECOS PAC ID: 0143545624 Enrollment ID: I20150203001955 |
| Provider Name | Elizabeth L Huggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932571692 PECOS PAC ID: 1759685985 Enrollment ID: I20160209002421 |
| Provider Name | Dena R Wampler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952688483 PECOS PAC ID: 4486821345 Enrollment ID: I20170724002759 |
| Provider Name | Sharline S Mashack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205262326 PECOS PAC ID: 0648409003 Enrollment ID: I20170725003248 |
| Provider Name | Scott J Kerr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265856991 PECOS PAC ID: 6305117912 Enrollment ID: I20170731003748 |
| Provider Name | Lynette K Figg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912422452 PECOS PAC ID: 0749556488 Enrollment ID: I20171024001996 |
| Provider Name | Esther R Kparyea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194235259 PECOS PAC ID: 2668738402 Enrollment ID: I20171109003281 |
| Provider Name | Mark J Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174063861 PECOS PAC ID: 0840557906 Enrollment ID: I20171127002897 |
| Provider Name | Eve Grinnell Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659887297 PECOS PAC ID: 2163781741 Enrollment ID: I20180108000921 |
| Provider Name | Andrea L Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427239011 PECOS PAC ID: 2264793736 Enrollment ID: I20180416002758 |
| Provider Name | Kristin Leigh Serrato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063914398 PECOS PAC ID: 1850654278 Enrollment ID: I20180418001248 |
| Provider Name | Fawad Rast |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275920035 PECOS PAC ID: 6800147356 Enrollment ID: I20180921000607 |
| Provider Name | Jason J Rusoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427413913 PECOS PAC ID: 9830491844 Enrollment ID: I20190517002120 |
| Provider Name | Lena Embry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073179370 PECOS PAC ID: 6800129313 Enrollment ID: I20190613003353 |
| Provider Name | Justine Winchester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922653344 PECOS PAC ID: 2769713205 Enrollment ID: I20191014002666 |
| Provider Name | Kristin Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235688227 PECOS PAC ID: 6103250071 Enrollment ID: I20191231000862 |
| Provider Name | Gracie Adkisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063799856 PECOS PAC ID: 6002107257 Enrollment ID: I20200130000246 |
| Provider Name | Rebecca S Molden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811392368 PECOS PAC ID: 2769763911 Enrollment ID: I20200130001363 |
| Provider Name | Susan A Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275757734 PECOS PAC ID: 4284767757 Enrollment ID: I20200625002328 |
| Provider Name | Todd A Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013514421 PECOS PAC ID: 8123430360 Enrollment ID: I20201214000304 |
| Provider Name | Gwendolyn C Mathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194183137 PECOS PAC ID: 0143529677 Enrollment ID: I20210129001123 |
| Provider Name | Jessica Laurel Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912581034 PECOS PAC ID: 7719386531 Enrollment ID: I20210527003096 |
| Provider Name | Mario Lippy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750453106 PECOS PAC ID: 2668876210 Enrollment ID: I20210804003130 |
| Provider Name | Myra J Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609150275 PECOS PAC ID: 9638346182 Enrollment ID: I20210811000542 |
| Provider Name | Stephen Aiello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740852532 PECOS PAC ID: 3870999071 Enrollment ID: I20210914002302 |
| Provider Name | Colin Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215488879 PECOS PAC ID: 2365721172 Enrollment ID: I20211026000593 |
| Provider Name | Mispa Ewube Nkongho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083389662 PECOS PAC ID: 3274922497 Enrollment ID: I20211109003392 |
| Provider Name | Melissa Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053073163 PECOS PAC ID: 8820487937 Enrollment ID: I20211111000570 |
| Provider Name | Amina Hussein Aden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407424039 PECOS PAC ID: 2769875822 Enrollment ID: I20220214000524 |
| Provider Name | Paige Leforte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932850880 PECOS PAC ID: 6204222763 Enrollment ID: I20220408002042 |
| Provider Name | Nicole Marie Bradbury |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366119927 PECOS PAC ID: 3678950912 Enrollment ID: I20220506001206 |
| Provider Name | Veneta Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205299666 PECOS PAC ID: 3476847286 Enrollment ID: I20220830003897 |
| Provider Name | Serena Lynn Brawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255068318 PECOS PAC ID: 1951786243 Enrollment ID: I20220922003093 |
| Provider Name | Kindra Ochoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831816370 PECOS PAC ID: 4082083050 Enrollment ID: I20221214000281 |
| Provider Name | Denise Brennan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548961048 PECOS PAC ID: 3173997301 Enrollment ID: I20230329002306 |
| Provider Name | Rebecca Nabosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558078220 PECOS PAC ID: 2466818521 Enrollment ID: I20230515002827 |
| Provider Name | Marcos David Prado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609571223 PECOS PAC ID: 9032577614 Enrollment ID: I20230614003205 |
| Provider Name | Colleen Lynn Fornear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962120774 PECOS PAC ID: 1355797663 Enrollment ID: I20231023002893 |
| Provider Name | Lisa Mae Diane Graveline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801559984 PECOS PAC ID: 4082060058 Enrollment ID: I20231026003607 |
| Provider Name | Marwa Abdikarim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487388757 PECOS PAC ID: 9234513433 Enrollment ID: I20231129001765 |
| Provider Name | Isabel Goel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528667847 PECOS PAC ID: 3577976299 Enrollment ID: I20231204001649 |
| Provider Name | Jessica Leane Jarrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871182089 PECOS PAC ID: 1052760543 Enrollment ID: I20231208002517 |
| Provider Name | Janet Elizabeth Shannon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346599123 PECOS PAC ID: 3678923638 Enrollment ID: I20240103001958 |
| Provider Name | Christopher Nicholas Hout |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689319212 PECOS PAC ID: 8820449853 Enrollment ID: I20240103004809 |
| Provider Name | Nancey Payne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598400160 PECOS PAC ID: 4486005857 Enrollment ID: I20240110002266 |
| Provider Name | Yamile Daher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649679267 PECOS PAC ID: 4183075443 Enrollment ID: I20240110005272 |
| Provider Name | Jena Mcbride |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235850520 PECOS PAC ID: 5890146096 Enrollment ID: I20240112000405 |
| Provider Name | Victoria Ann Meier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366929002 PECOS PAC ID: 6901258045 Enrollment ID: I20240115000326 |
| Provider Name | Robert Louis Koehl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336880590 PECOS PAC ID: 1254783152 Enrollment ID: I20240116003731 |
| Provider Name | Mary Angela Apthorpe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124270459 PECOS PAC ID: 1759733660 Enrollment ID: I20240116003917 |
| Provider Name | Briana Lujan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811627466 PECOS PAC ID: 6507218286 Enrollment ID: I20240118000903 |
| Provider Name | Lindsay Catherine Radcliffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033858261 PECOS PAC ID: 3971948019 Enrollment ID: I20240228004718 |
| Provider Name | Michelle Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568784999 PECOS PAC ID: 0345379509 Enrollment ID: I20240307002588 |
| Provider Name | Shannon Gamache |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851583843 PECOS PAC ID: 9537505805 Enrollment ID: I20240308000919 |
| Provider Name | Yvonne Noemi Mata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649043498 PECOS PAC ID: 9032555354 Enrollment ID: I20240308002928 |
Verde Valley Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-779-3366 | |
Spectrum Healthcare Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 E Cottonwood St, Cottonwood, AZ 86326 Phone: 928-634-2236 Fax: 928-634-8960 | |
Debra Logan Lcsw Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 101 S Main St Ste D, Cottonwood, AZ 86326 Phone: 928-202-9054 | |
Red Rock Family Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 707 E Mingus Ave Ste 400, Cottonwood, AZ 86326 Phone: 928-649-0447 Fax: 928-350-6417 | |
Sedona Equine Assisted Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 723 Cove Pkwy, Cottonwood, AZ 86326 Phone: 928-254-0113 | |
White Pearl Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 723 Cove Pkwy, Suite C, Cottonwood, AZ 86326 Phone: 928-284-8675 | |
Donald J Curran Do Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 S Calvary Way, Suite B, Cottonwood, AZ 86326 Phone: 843-651-2624 Fax: 843-491-4023 |