| Aurora Behavioral Health Systems, Llc | |
|
6015 W Peoria Ave Glendale AZ 85302-1207 | |
| (623) 344-4400 | |
| (623) 344-4450 |
| Full Name | Aurora Behavioral Health Systems, Llc |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 6015 W Peoria Ave, Glendale, Arizona |
| Authorized Official Name and Position | Soon K Kim (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2489055091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Behavioral Health Systems, Llc 6015 W Peoria Ave Glendale AZ 85302-1207 Ph: (623) 344-4400 | Aurora Behavioral Health Systems, Llc 6015 W Peoria Ave Glendale AZ 85302-1207 Ph: (623) 344-4400 |
| NPI Number | 1730388349 |
|---|---|
| Provider Enumeration Date | 07/13/2007 |
| Last Update Date | 11/04/2020 |
| Certification Date | 11/04/2020 |
| Medicare PECOS PAC ID | 5698772887 |
|---|---|
| Medicare Enrollment ID | O20071219000478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730388349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Primary |
| Provider Name | Michael J Fermo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740256361 PECOS PAC ID: 4082601000 Enrollment ID: I20040429001181 |
| Provider Name | Satinder S Purewal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528161908 PECOS PAC ID: 6002864691 Enrollment ID: I20050111000246 |
| Provider Name | Bill G Sbiliris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710017355 PECOS PAC ID: 9931147964 Enrollment ID: I20050420001047 |
| Provider Name | Letty Tan-fermo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710097225 PECOS PAC ID: 6800811787 Enrollment ID: I20051010000853 |
| Provider Name | Antonio L Carr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801818349 PECOS PAC ID: 3476577289 Enrollment ID: I20060119000676 |
| Provider Name | Luna Viva Ananda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043415839 PECOS PAC ID: 1153418611 Enrollment ID: I20071030000568 |
| Provider Name | Jose Reyes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417923707 PECOS PAC ID: 5890898498 Enrollment ID: I20110215000250 |
| Provider Name | Pedram Amani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174814594 PECOS PAC ID: 6002199072 Enrollment ID: I20170217000551 |
| Provider Name | Ryan M Neff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528329992 PECOS PAC ID: 4486946506 Enrollment ID: I20180329001751 |
| Provider Name | Meera Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952788143 PECOS PAC ID: 6204140593 Enrollment ID: I20190329000971 |
| Provider Name | Reena Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588082606 PECOS PAC ID: 8527358399 Enrollment ID: I20200529003006 |
| Provider Name | Joshua L Nead |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548616766 PECOS PAC ID: 2062834211 Enrollment ID: I20200617001725 |
| Provider Name | David Koven |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780189639 PECOS PAC ID: 4385049006 Enrollment ID: I20210818003084 |
| Provider Name | Gurmehr Kaur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417452913 PECOS PAC ID: 4284031683 Enrollment ID: I20210928002619 |
| Provider Name | Amira Perviz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548889405 PECOS PAC ID: 2668847617 Enrollment ID: I20230405002061 |
| Provider Name | Jasper Puracan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598345027 PECOS PAC ID: 9436554888 Enrollment ID: I20231212003744 |
| Provider Name | Shawn Matthews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265965453 PECOS PAC ID: 1850772377 Enrollment ID: I20240124003220 |
| Provider Name | Andrew G Alix |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396326005 PECOS PAC ID: 7315342870 Enrollment ID: I20240306004124 |
| Provider Name | Saiswathi Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013477249 PECOS PAC ID: 4486188596 Enrollment ID: I20241112004001 |
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