NPIMap

Psa Behavioral Health Agency

A Medicare group practice based in Phoenix, AZ: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6305017245), with 13 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6305017245The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
AZ
Enrollments
1
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20110926000247 AZ Part B Supplier - Clinic/Group Practice 1285150896

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 13

Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (6).

Sources for this page