| Transitions Center PLLC | |
|
1030 E Guadalupe Rd Tempe AZ 85283-3044 | |
| (480) 491-1898 | |
| Not Available |
| Full Name | Transitions Center PLLC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1030 E Guadalupe Rd, Tempe, Arizona |
| Authorized Official Name and Position | Tariq Ghafoor (CEO) |
| Authorized Official Contact | 4804911898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitions Center PLLC 1030 E Guadalupe Rd Tempe AZ 85283-3044 Ph: (480) 491-1898 | Transitions Center PLLC 1030 E Guadalupe Rd Tempe AZ 85283-3044 Ph: (480) 491-1898 |
| NPI Number | 1821485954 |
|---|---|
| Provider Enumeration Date | 04/15/2015 |
| Last Update Date | 10/31/2019 |
| Medicare PECOS PAC ID | 6507132016 |
|---|---|
| Medicare Enrollment ID | O20171030000289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821485954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (NU) | Primary |
| Provider Name | Pervaiz Akhter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326184292 PECOS PAC ID: 6507759966 Enrollment ID: I20040209000050 |
| Provider Name | Tariq M Ghafoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750422945 PECOS PAC ID: 2163603705 Enrollment ID: I20110302000155 |
| Provider Name | Mani Murugesan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548505175 PECOS PAC ID: 7911203005 Enrollment ID: I20160316001072 |
| Provider Name | Elizabeth K Suprak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710496146 PECOS PAC ID: 6103183165 Enrollment ID: I20171129001024 |
| Provider Name | Bethany a Fetzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902332315 PECOS PAC ID: 1951662618 Enrollment ID: I20180221001658 |
| Provider Name | Ryan M Neff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528329992 PECOS PAC ID: 4486946506 Enrollment ID: I20180329001751 |
| Provider Name | Khalid Salim Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821452418 PECOS PAC ID: 1153696653 Enrollment ID: I20190820001834 |
| Provider Name | Dormico Latashia Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841892593 PECOS PAC ID: 3375954480 Enrollment ID: I20201120002265 |
| Provider Name | Paulette D Winsor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568054195 PECOS PAC ID: 7012324817 Enrollment ID: I20210323001094 |
| Provider Name | Delaney Herper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235736794 PECOS PAC ID: 6901215268 Enrollment ID: I20211220002574 |
| Provider Name | Ethan Pham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144954488 PECOS PAC ID: 5092165753 Enrollment ID: I20231221002630 |
| Provider Name | Rowan Nasser Imran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417779299 PECOS PAC ID: 4284162918 Enrollment ID: I20250109000659 |
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