| Virtuhealth | |
|
1500 N Priest Drive 109 Tempe AZ 85288-1213 | |
| (702) 589-4871 | |
| (702) 589-4872 |
| Full Name | Virtuhealth |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1500 N Priest Drive, Tempe, Arizona |
| Authorized Official Name and Position | Krista Huey (DIRECTOR OF CCRCM) |
| Authorized Official Contact | 7025289947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virtuhealth 1500 N Priest Dr # 109 Tempe AZ 85288-1213 Ph: (480) 590-0612 | Virtuhealth 1500 N Priest Drive 109 Tempe AZ 85288-1213 Ph: (702) 589-4871 |
| NPI Number | 1932560729 |
|---|---|
| Provider Enumeration Date | 03/08/2016 |
| Last Update Date | 11/19/2025 |
| Certification Date | 11/19/2025 |
| Medicare PECOS PAC ID | 9335430693 |
|---|---|
| Medicare Enrollment ID | O20160617000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932560729 | NPI | - | NPPES |
| 143931 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (NU) | Primary |
| Provider Name | Michelle C James |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841702743 PECOS PAC ID: 8921366535 Enrollment ID: I20180102002535 |
| Provider Name | Aminu Zakari |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851862791 PECOS PAC ID: 9133469547 Enrollment ID: I20190321002288 |
| Provider Name | Kimberlee V Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306134929 PECOS PAC ID: 3678890563 Enrollment ID: I20200921001540 |
| Provider Name | Tiffany Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518444041 PECOS PAC ID: 7012259708 Enrollment ID: I20210517001219 |
| Provider Name | Anthony Quinn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558621151 PECOS PAC ID: 0547489619 Enrollment ID: I20210527001939 |
| Provider Name | Renee Maria Lujan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518624246 PECOS PAC ID: 9234525239 Enrollment ID: I20220330002542 |
| Provider Name | Meredith Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578286431 PECOS PAC ID: 8123496890 Enrollment ID: I20221130002238 |
| Provider Name | Marie Grace De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942990593 PECOS PAC ID: 0042676801 Enrollment ID: I20230520000044 |
| Provider Name | Martin Ngu Kwale Pong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245935204 PECOS PAC ID: 3476911942 Enrollment ID: I20230615002989 |
| Provider Name | Bernice Ohene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073007126 PECOS PAC ID: 1951642644 Enrollment ID: I20230707003187 |
| Provider Name | Rachael Ashley Rezzonico |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114708344 PECOS PAC ID: 2769830900 Enrollment ID: I20231128002221 |
| Provider Name | Megan C Segraves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396410304 PECOS PAC ID: 1557714995 Enrollment ID: I20240215002140 |
| Provider Name | Adrienne Horne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194170183 PECOS PAC ID: 2668817248 Enrollment ID: I20240305003556 |
| Provider Name | Carrianne Connors |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760848485 PECOS PAC ID: 7012440100 Enrollment ID: I20241028003316 |
| Provider Name | Ginno Paolo De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528895182 PECOS PAC ID: 6204361140 Enrollment ID: I20241202000825 |
| Provider Name | Julia Marie Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437970183 PECOS PAC ID: 4789110636 Enrollment ID: I20241216001761 |
| Provider Name | Yue Zong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124447180 PECOS PAC ID: 4587915293 Enrollment ID: I20250326001494 |
| Provider Name | Heather Kate Larimore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649653627 PECOS PAC ID: 7416462130 Enrollment ID: I20250711003857 |
| Provider Name | Elizabeth Andronic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255058566 PECOS PAC ID: 1557879442 Enrollment ID: I20250801003310 |
| Provider Name | Raul Dinamling Cappleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063219954 PECOS PAC ID: 4981105905 Enrollment ID: I20250831000277 |
| Provider Name | Christiana Archibong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093364622 PECOS PAC ID: 7719310457 Enrollment ID: I20251006003062 |
| Provider Name | Berinyuy Rita Ngwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619767944 PECOS PAC ID: 7113417254 Enrollment ID: I20251106003579 |
| Provider Name | Victoria Kay Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336965417 PECOS PAC ID: 6507358470 Enrollment ID: I20251126003816 |
| Provider Name | Matthew Emerson Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689547432 PECOS PAC ID: 3173017399 Enrollment ID: I20251215001116 |
| Provider Name | Christina Reade |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538704556 PECOS PAC ID: 4880173707 Enrollment ID: I20260210002558 |
| Provider Name | Nange Olivacce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467382580 PECOS PAC ID: 2062985351 Enrollment ID: I20260627000446 |
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