MIND 247 PRACTICE LLC
NPI: 1811613417
· PHOENIX, AZ 85051
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 10/14/2022
$363.43
Total Medicaid Paid
Provider Details
| Authorized Official | DEPRIEST, AISHA (DIRECTOR OF CREDENTIALING) |
| NPI Enumeration Date | 10/14/2022 |
Related Entities
Other providers sharing the same authorized official: DEPRIEST, AISHA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
12 |
$363.43 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$363.43 |