Rachel Bonvillain Josefchuk, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

229134 Issued in AZ

Practice address

1515 E Cedar Ave Ste B-4
Flagstaff, AZ 86004-1645

Phone

(928) 779-4550

NPI assigned

Jul 17, 2019

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southwest Behavioral Health Services Inc

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1144384389

  AZ

  Medicare reassignment Care Compare group NPD
• Southwest Behavioral Health Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Flagstaff, AZ
  • NPI 1316170368
  Care Compare group NPD (past)
• Southwest Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1225043755
  NPD
• Southwest Behavioral Health Services, Inc.

  • Psychiatric Residential Treatment Facility
  • Kingman, AZ
  • NPI 1023556339
  NPD
• Equality Medical Group LLC

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1770148322
  NPD (past)
• Southwest Behavioral Health

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1023023603
  NPD (past)
• Southwest Behavioral Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Prescott Valley, AZ
  • NPI 1578844726
  NPD (past)
• Equality Health at Home Inc

  • Internal Medicine Physician
  • Frisco, TX
  • NPI 1730936329
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Southwest Behavioral Health Services Inc 49 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 22, 2020.

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1215580469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 N MONTE VISTA DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041940",
            "telephone_number": "928-707-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E CEDAR AVE STE B-4",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041645",
            "telephone_number": "928-779-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEFCHUK",
        "first_name": "RACHEL",
        "middle_name": "BONVILLAIN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "229134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "556723",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z245748",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn Jones, FNP
• Steven B Jones, MD
• Valerie Jean Jones
• Zoie M Jones, PT, DPT
• Timeri Jordan, MD
• Abigail Athalia Joseph, LCSW
• Judith Stratton, P.T., L.L.C.
• Paul Juhl
• Carol Chorebanian Julien, M.S., CCC-SLP
• Kristine Ann Kack, RDH, OMT

• All providers in Flagstaff, AZ
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.