| Intensive Treatment Systems Llc | |
|
19401 N Cave Creek Rd 18 Its North Clinic Phoenix AZ 85024-1825 | |
| (602) 996-0099 | |
| (602) 996-1915 |
| Full Name | Intensive Treatment Systems Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 19401 N Cave Creek Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Janelle Lever (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6029960110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intensive Treatment Systems Llc 19401 N Cave Creek Rd 18 Administrative Office Phoenix AZ 85024-1825 Ph: (602) 996-0105 | Intensive Treatment Systems Llc 19401 N Cave Creek Rd 18 Its North Clinic Phoenix AZ 85024-1825 Ph: (602) 996-0099 |
| NPI Number | 1811073059 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 09/18/2025 |
| Medicare PECOS PAC ID | 6800220757 |
|---|---|
| Medicare Enrollment ID | O20191231000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811073059 | NPI | - | NPPES |
| AZ10081M | Other | AZ | FDA |
| 955023 | Other | AZ | AHCCCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | BH 2623 (Arizona) | Primary |
| Provider Name | Michael J Ahmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720245806 PECOS PAC ID: 9335217033 Enrollment ID: I20081008000386 |
| Provider Name | Cicili Arockiaraj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730567801 PECOS PAC ID: 9537421706 Enrollment ID: I20180328000996 |
| Provider Name | Tirsit Gebresenbet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790204600 PECOS PAC ID: 2769816453 Enrollment ID: I20200106002483 |
| Provider Name | Ashley Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497309330 PECOS PAC ID: 8921455072 Enrollment ID: I20231110000458 |
| Provider Name | Vito Tonazzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780300574 PECOS PAC ID: 2264966266 Enrollment ID: I20241113003827 |
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