Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt.,...

21
Revised 9/15/2020 Fee for Service Preferred Providers (Behavioral Health, Northern Arizona) This list includes providers who have confirmed they serve FFS members, which includes members of the American Indian Health Program (AIHP), Tribal Regional Behavioral Health Authorities (TRBHA) and Tribal ALTCS members. Its purpose is to aid in referral pathways for Fee for Service members. For more information, visit the FFS section of our website, at: www.azahcccs.gov/FFS. FFS members may choose any AHCCCS registered provider. To locate AHCCCS registered providers, go to: https://www.azahcccs.gov/Members/ProgramsAndCoveredServices/ProviderListin gs/ If you are an AHCCCS registered provider who wishes to be included on the Preferred Provider list, please contact the Provider Training Team, at: [email protected] Behavioral Health Residential Facilities (PT B8) Community Bridges, Inc. Albert Long Residential Treatment Center 993 Hermosa Dr., Area B Holbrook, AZ. 86025 (928) 524-1151 803 W. Main Street Payson, AZ. 85541 (928) 468-0022 Exclusive Certified Residential Care 3744 Martingale Dr. Kingman, AZ. 86409 (928) 255-1747 Mingus Mountain Estate Residential Center, Inc. 100 Dewey Road Dewey, AZ. 86327 (928) 335-2000 (928) 772-4131 x: 221

Transcript of Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt.,...

Page 1: Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation. Community Bridges, Inc. Winslow

Revised 9/15/2020

Fee for Service Preferred Providers (Behavioral Health, Northern Arizona)

This list includes providers who have confirmed they serve FFS members, which includes members of the American Indian Health Program (AIHP), Tribal Regional Behavioral Health Authorities (TRBHA) and Tribal ALTCS members. Its purpose is to aid in referral pathways for Fee for Service members. For more information, visit the FFS section of our website, at: www.azahcccs.gov/FFS.

FFS members may choose any AHCCCS registered provider. To locate AHCCCS registered providers, go to: https://www.azahcccs.gov/Members/ProgramsAndCoveredServices/ProviderListings/

If you are an AHCCCS registered provider who wishes to be included on the Preferred Provider list, please contact the Provider Training Team, at: [email protected]

Behavioral Health Residential Facilities (PT B8)

Community Bridges, Inc. Albert Long Residential Treatment Center 993 Hermosa Dr., Area B Holbrook, AZ. 86025 (928) 524-1151

803 W. Main Street Payson, AZ. 85541 (928) 468-0022

Exclusive Certified Residential Care 3744 Martingale Dr. Kingman, AZ. 86409 (928) 255-1747

Mingus Mountain Estate Residential Center, Inc. 100 Dewey Road Dewey, AZ. 86327 (928) 335-2000 (928) 772-4131 x: 221

Page 2: Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation. Community Bridges, Inc. Winslow

Revised 9/15/2020

15801 E. Don Carlos Drive Prescott Valley, AZ. 86315 (928) 335-2000

3801 Robert Rd. Prescott Valley, AZ. 86314 (928) 335-2000 *Residential treatment center for emotionally and behaviorally at-risk adolescent girls, therapeutic group home.

Mohave Mental Health

1091 Calumet Ave. Kingman, AZ. 86409 (928) 757-8111

1080 Sheldon Ave. Kingman, AZ. 86409 (928) 692-7701

Native American Connections Administration 4520 N. Central Ave, Suite 600 Phoenix, AZ. 85012 (602) 424-2060 Intake Contact: Daniel Gonzalez [email protected] *Serves members statewide

Sequelcare of Arizona Administration 3170 Stillwater Drive Prescott, AZ. 86305 (928) 777-3280

4001 N. Catherine Drive Prescott Valley, AZ. 86314 (928) 777-3280

3160 N. Pine View Drive Prescott Valley, AZ. 86314 (928) 775-0369

9435 Smoki Trail Dewey, AZ. 86327 (928) 777-3280

Page 3: Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation. Community Bridges, Inc. Winslow

Revised 9/15/2020

14410 E. Blue Ridge Rd. Dewey, AZ. 86327 (928) 632-8078

3240 Hualapai Mountain Rd. Kingman, AZ. 86401 (928) 753-2665

6070 N. Treadway Trail Flagstaff, AZ. 86004 (928) 526-1499

8800 N. Marys Drive Flagstaff, AZ. 86004

(928) 777-3280

4558 N. Miner Rd. Prescott, AZ. 86314 (928) 777-3280 *BHRF, outpatient therapy and psychiatric services, counseling, psych evals for COE/COT services, sexually maladaptive group homes, therapeutic foster care, outpatient autism behavioral mgmt, telepsychiatry, med mgmt.

Residential Treatment Center-Secure, 17+Beds, IMD, (PT B1)

Mingus Mountain Estate Residential Center, Inc. 15801 E. Don Carlos Drive Prescott Valley, AZ. 86315 (928) 335-2000 *Residential treatment center for emotionally and behaviorally at-risk adolescent girls.

Behavioral Health Therapeutic Home (PT A5)

Marla Hubka Subcontractor for Sequel Care of Arizona 4032 Cross Four Avenue Kingman, AZ. 86401 (928) 279-5324

Certified Independent Social Worker (PT 85)

Mary Begay, CISW Shemaine Benally,

Page 4: Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation. Community Bridges, Inc. Winslow

Revised 9/15/2020

CISW Samantha Lee, CISW Leonard Shirley, Jr., CISW Fort Defiance Indian Hospital Board Corner of Rt. N12 and N7 Fort Defiance, AZ. 86504 (928) 729-8000

Jettie Blanton, CISW Beverly Sailors, CISW Jennifer Staggs, CISW Mohave Mental Health - Administration 3707 Stockton Hill Rd. Kingman, AZ. 86409 (928) 757-8111

Cynthia Chaney, CISW Scott Kerr, CISW Patricia Miner, CISW Andrea Snyder, CISW Spectrum Healthcare Group 8 E. Cottonwood Street Cottonwood, AZ. 85326 (928) 634-2236

Marie Corbin, CISW Shawn Hatch, CISW West Yavapai Guidance Clinic 3345 N. Windsong Drive Prescott Valley, AZ. 86314 (928) 445-5211

Licensed Professional Counselor (PT 87)

Delores Crawford, LPC Crawford Counseling Services 1930 Mesquite Ave. Lake Havasu City, AZ. 86403 (928) 600-5497

Gretchen Herndon, LPC Changepoint Integrated Healthcare - Administrative Office 1801 W. Deuce of Clubs, Suite 100 Show Low, AZ. 85901

Page 5: Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation. Community Bridges, Inc. Winslow

Revised 9/15/2020

(928) 537-5315

Curtis Randolph, LPC The Guidance Center 2695 E. Industrial Drive Flagstaff, AZ. 86004 (928) 527-1899

Dawn Kufeld, LPC Gerald Szymanski, LPC, LISAC Mohave Mental Health - Administration 3707 Stockton Hill Rd. Kingman, AZ. 86409 (928) 757-8111

Ralitsa G. Wierson, LPC Southwest Behavioral Health Services 2215 Hualapai Mountain Rd., #H Kingman, AZ. 86401 (928) 753-9387

Alexis Baca-Spry, LPC Susan Jacobs, LPC Austin Obika, LPC Catherine Rosick, LPC Spectrum Healthcare Group 8 E. Cottonwood Street Cottonwood, AZ. 85326 (928) 634-2236

Ronald MacDonald, LPC, LISAC Westwinds Counseling 1678 Oaklawn Drive, #A Prescott, AZ. 86305 (928) 708-0108

West Winds Counseling 1000 Willow Creek Road Prescott, AZ. 86301 (928) 708-0108 *West Winds Counseling is a group biller, and provides marriage and family counseling.

Mark E. Branson, LPC

Page 6: Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation. Community Bridges, Inc. Winslow

Revised 9/15/2020

Susan B. Armstrong, LPC Kathleen Cormier, LPC, LISAC Diane Delp, LPC Sean Derry, LPC Kent Mattern, LPC Kara Schumann, LPC

West Yavapai Guidance Clinic 3345 N. Windsong Drive Prescott Valley, AZ. 86314 (928) 445-5211

Hospital (PT 02) with Inpatient Psychiatric

Flagstaff Medical Center 1215 N. Beaver Street Flagstaff, AZ. 86001 (928) 213-6415 Summit Healthcare Association 2200 E Show Low Lake Rd Show Low, AZ. 85901 (928) 537-6318 Cara Quade, PMHNP Bahar Golestan, MD Sandra Nichols, PMHNP 2051 E Evergreen Lane #B Show Low, AZ. 85901 (928) 537-6318

Indian Health Centers (IHS/638 facilities)

Chinle Comprehensive Health Care Hwy 191 and Hospital Road P.O. Box "PH" Chinle, AZ. 86503 (928) 674-7001 (928) 674-7372

Page 7: Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation. Community Bridges, Inc. Winslow

Revised 9/15/2020

*American Indian Medical Home (AIMH), ER, PCP, internists, pediatrics, general surgery, OB/GYN, obstetrics, anesthesiology, psychiatry

Fort Defiance Indian Hospital Corner of Rt. N12 and N7 Fort Defiance, AZ. 86504 (928) 729-8000 *ER, behavioral health, pharmacy, radiology, mobile health clinic, wellness center, dental, optometry, PCP, rehab services, podiatry.

Hualapai Behavioral Health 960 Rodeo Way Peach Springs, AZ. 86434 (928) 769-2207 *Counseling

Pinon Health Center Behavioral Health 2175 State Road 4 Pinon, AZ. 86510 (928) 725-9500 *Primary care, women's health, counseling, dental, dietary and community nutrition, health promotions, lab, x-ray, native medicine, optometry, pharmacy, physical therapy, speech therapy, podiatry and public health nursing

Sage Memorial Hospital Behavioral Health Clinic US 91 & SR 264 Ganado, AZ. 86505 (928) 755-4500 *General mental health, counseling, anxiety, depression, parenting issues, domestic violence, SUD tx, medication management

Tsaile Health Center Navajo Route 64 & 12 Tsaile, AZ. 86556 (928) 724-3600 (928) 724-3005 fax *Unspecified – ambulatory care center, behavioral health

Tuba City Regional Health Care 167 N. Main Street Tuba City, AZ. 86045 (866) 976-5941 main (928) 283-2831 mental health services

Page 8: Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation. Community Bridges, Inc. Winslow

Revised 9/15/2020

White Mountain Apache Behavioral Health 249 W. Ponderosa Whiteriver, AZ. 85941 (928) 338-4811 *TRBHA clinic

Whiteriver Indian Hospital 200 W. Hospital Drive Whiteriver, AZ. 85941 (928) 338-4911 (928) 338-3522 fax *American Indian Medical Home (AIMH) general medical, pediatrics, alcohol treatment, mental health, obstetric services and ambulatory surgery.

Whiteriver IHS - Cibecue Health Center P.O. Box 80039 Cibecue, AZ. 85911 (928) 332-2560 (928) 332-2418 fax *Outpatient, urgent care, optometry and dental services to the communities of Cibecue and Carrizo

Winslow Indian Health Center 500 N. Indiana Avenue Winslow, AZ. 86047 (928) 289-4646

Winslow IHS – Leupp Leupp Schools Road Leupp, AZ. 86035 (928) 686-6550

Winslow IHS – Dilkon Dilkon Community School Dilkon, AZ. 86047 (928) 657-3800 *Behavioral Health, dental, wellness programs, disease prevention, optometry, prenatal care, women’s health, pharmacy, physical therapy, transportation, traditional medicine.

Integrated Clinics and Outpatient Clinics (PT IC, 77)

Behavioral Consultation Services 345 S. River Run Rd., Ste. 200

Page 9: Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation. Community Bridges, Inc. Winslow

Revised 9/15/2020

Flagstaff, AZ. 86001 (928) 522-3780 *ABA therapy, behavioral consultation, dialectical and cognitive therapy.

Canyonlands Community Healthcare - Lake Powell Medical Center 827 Vista Ave Page, AZ. 86040 (928) 645-9675 (928) 645-2626 fax *DUI, Domestic Violence Offender treatment.

Canyonlands Community Healthcare – Beaver Dam 3272 East Rio Virgin Road Littlefield, AZ. 86432 (928) 347-5971 (928) 347-5793 fax

Changepoint Integrated Healthcare Administrative Office 1801 W. Deuce of Clubs, Suite 100 Show Low, AZ. 85901 (928) 537-5315 (928) 892-5828 fax Contact: Pam Raabe

103 N. 1st Avenue Holbrook, AZ. 86025 (928) 524-6126 (928) 524-6090 fax Office Manager: Vanessa Serna

2500 E. Show Low Lake Rd. Show Low, AZ. 85901 (928) 537-2951 (928) 537-4841 fax Office Manager: Lou Belobraydic 423 S. Main Street Snowflake, AZ. 85937 (928) 536-6869 (928) 536-4788 fax Office Manager: Jessica Talley

1015 E. Second St. Winslow, AZ. 86047 (928) 289-4658 (928) 289-3775

Page 10: Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation. Community Bridges, Inc. Winslow

Revised 9/15/2020

Office Manager: Delores Gomez *16 Bed psychiatric hospital, counseling services, psychiatry and medical services, medication assessments and monitoring, nursing evaluations, crisis, SUD tx, Title 36 screening and COT, SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation.

Community Bridges, Inc. Winslow Outpatient Services Center 110 E. Second Street Winslow, AZ. 86047 (928) 289-1222 *Patient centered health home (physical and mental health)

Family Involvement Center 8766 E State Route 69, Suite G Prescott Valley, AZ. 86314 (928) 379-5960 *Peer to peer, respite, CFT, living skills for children, "Parent Support Now" program through Yavapai Co Court, for assistance to families going through DCS procedures; families offered services at initial removal hearing.

Mohave Mental Health Clinic, Inc. Administration 3707 Stockton Hill Rd. Kingman, AZ. 86409 (928) 757-8111

3505-A Western Avenue Kingman, AZ. 86409 (928) 757-8111

915 Airway Avenue Kingman, AZ. 86409 (928) 718-4800

1145 Marina Blvd. Bullhead City, AZ. 86442 (928) 758-5905 2580 Hwy 95, Suite 209 Bullhead City, AZ. 86442 (928) 757-8111 *Crisis, inpatient and outpatient services - assessments, therapy, CFT, ACT, SMI, counseling, medication, residential programs, case mgmt, vocational services, skills training.

Page 11: Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation. Community Bridges, Inc. Winslow

Revised 9/15/2020

Nazcare- Eaton Center for Joyful Health 8128 E. State Route 69, Ste. 201 Prescott Valley, AZ. 86314 (928) 442-9205 x: 3002 * Counseling, medical mgmt.

PSA Behavioral Health, dba Resilient Health 1308 Stockton Hill Rd., Ste. D Kingman, AZ. 86401 (928) 529-5022

2580 Hwy 95, Ste. 116 Bullhead City, AZ. 86442 (877) 779-2470 *Counseling, SUD tx, mental and physical health, family, sexual and gender identity issues.

Southwest Behavioral and Health Services 1515 E. Cedar Avenue, #B-4 Flagstaff, AZ. 86004 (928) 779-4550

2580 Highway 95, #119 Bullhead City, AZ. 86442 (928) 763-7776

302 W. Aero Rd. Payson, AZ. 85541 (928) 474-2668

2215 Hualapai Mountain Rd., #H Kingman, AZ. 86401 (928) 753-9387

7763 E. Florentine Road Prescott Valley, AZ. 86314 (928) 772-1610 *Inpatient crisis, outpatient, case mgmt., nursing, psychiatric evaluations, opioid tx and MAT, counseling, Level II and Level III residential tx, prevention programs, skills training, day treatment, Southwest Autism Center for Excellence.

The Guidance Center 2695 E. Industrial Drive Flagstaff, AZ. 86004 (928) 527-1899

Page 12: Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation. Community Bridges, Inc. Winslow

Revised 9/15/2020

(877) 756-4090 *24 hour crisis hotline

Healthcare Connect Office 2187 N. Vickey Street Flagstaff, AZ. 86004 (928) 714-5322

220 W. Grant Street Williams, AZ. 86046 (928) 635-4272 *Integrated PH/BH, inpatient and outpatient psychiatric, CBT, ACT, SUD, crisis, therapy, counseling, care managers, case mgmt, peer support, vocational rehab

Spectrum Healthcare 8 E. Cottonwood Street Cottonwood, AZ. 86326 (928) 634-2236 (928) 634-8960 fax

651 W. Mingus Avenue Cottonwood, AZ. 86326 (928) 634-2236 (928) 634-8960 fax

3633 Crossings Dr. Prescott, AZ. 86305 (928) 778-0330

452 Finnie Flat Rd. Camp Verde, AZ. 86322 (928) 634-2236 (928) 634-8960 fax

2880 Hopi Drive Sedona, AZ. 86336 (928) 634-2236 (928) 634-8960 fax *Integrated PH/BH, psychiatry, counseling, peer support, SUD, mobile crisis, medication mgmt., BHRF, vocational rehab, outpatient COT. West Yavapai Guidance Clinic 3345 N. Windsong Drive Prescott Valley, AZ. 86314 (928) 445-5211

Page 13: Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation. Community Bridges, Inc. Winslow

Revised 9/15/2020

*Inpatient, outpatient, psychiatry, psychiatric evaluation, family therapy, PCP, med mgmt, case management, counseling, telemedicine, SUD Tx, peer support

8655 E. Eastridge Drive Prescott Valley, AZ. 86314 *Walk in crisis location

Licensed Independent Substance Abuse Counselor (PT A4)

Ronald MacDonald, LPC, LISAC Westwinds Counseling 1678 Oaklawn Drive, #A Prescott, AZ. 86305 (928) 708-0108

Gerald Szymanski, LPC, LISAC Mohave Mental Health - Administration 3707 Stockton Hill Rd. Kingman, AZ. 86409 (928) 757-8111

Kathleen Cormier, LPC, LISAC Elizabeth Tilousi, LISAC West Yavapai Guidance Clinic 3345 N. Windsong Drive Prescott Valley, AZ. 86314 (928) 445-5211

Cynthia Thompson, LISAC Spectrum Healthcare Group 8 E. Cottonwood Street Cottonwood, AZ. 85326 (928) 634-2236

FQHC (PT C2)

Canyonlands Community Healthcare – Urgent Care 440 North Navajo Drive Page, Arizona 86040 (928) 645-1700 (928) 645-1701 Fax Canyonlands Community Healthcare – Chilchinbeto

Page 14: Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation. Community Bridges, Inc. Winslow

Revised 9/15/2020

Chilchinbeto Chapter House Complex E. Hwy 160 to Rt. 59 Kayenta, AZ. 86033 (928) 697-8154 (928) 697-8559 fax

Canyonlands Community Healthcare – Clifton 10-A Ward Canyon Rd. Clifton, AZ. 85533 (928) 865-2500 (928) 865-2504 Fax *Counseling, evaluations, SUD tx, medication management and psychotherapy.

Native Americans for Community Action (NACA) Family Health Center 1500 E. Cedar Ave., Ste. 26 Flagstaff, AZ. 86004 (928) 773-1245 *Variety of preventive wellness solutions ranging from chronic illness care to physicals, child wellness, women's wellness, STD/HIV screening, vaccinations, etc.

North Country Healthcare 2920 N. 4th Street Flagstaff, AZ. 86004 (928) 522-9400

1120 W. University Ave. Suite 101 Flagstaff, AZ. 86001 (928) 522-1300

112 Park Ave. Ash Fork, AZ. 86320 (928) 637-2305

2585 Miracle Mile Bullhead City, AZ. 86442 (928) 704-1221

1 Clinic Road Grand Canyon, AZ. 86023 (928) 638-2551

2109 Navajo Blvd Holbrook, AZ. 86025 (928) 524-2851

Page 15: Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation. Community Bridges, Inc. Winslow

Revised 9/15/2020

1510 Stockton Hill Rd Kingman, AZ. 86401 (928) 753-1177

2090 N. Smoketree Ave. Lake Havasu City, AZ. 86403 (928) 854-1800

126 E. Main Street Suite B Payson, AZ. 85541 (928) 468-8610

625 North 13th West Saint Johns, AZ. 85936 (928) 337-3705

22585 W. Oak Street Seligman, AZ .86337 (928) 422-4017

2650 E. Show Low Lake Rd.

Suite 1 Show Low, AZ. 85901 (928) 537-4300

488 S. Mountain Ave. Springerville, AZ. 85938 (928) 333-0127

301 S. 7th St. Williams, AZ. 86046 (928) 635-4441

620 West Lee Street Winslow, AZ. 86047 (928) 289-2000

*North Country Healthcare provides Licensed Psychologist (PT 11), Registered (Psychiatric) Nurse Practitioner (PT 19), Licensed Clinical Social Worker (PT 85), Licensed Marriage and Family Therapist (PT 86), Licensed Professional Counselor (PT 87), Psychiatry and Behaviorist services. They provide an average of six 30 minute sessions for adults struggling with physical health conditions such as treatment non-compliance, coping with a new diagnosis, or if patient presents

Page 16: Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation. Community Bridges, Inc. Winslow

Revised 9/15/2020

with a comorbid behavioral health issue like mood disorder. They use evidence-based counseling models to treat chronic pain or sleep disorders. They offer transitional services for a primary behavioral health condition when patient awaits external referral and can support with SBIRT assistance or substance use challenges.

Physician with Psychiatric Specialty (PT 08)

David Klebanoff, M.D. Roland Segal, M.D. ChangePoint Administrative Office 1801 W. Deuce of Clubs, Suite 100 Show Low, AZ. 85901 (928) 537-5315 *Multiple locations, also includes affiliated psychiatric hospital

John A. Martin, M.D. Donna Peace, M.D. Flagstaff and Sedona Family Care Clinic 710 N. Beaver Street Flagstaff, AZ. 86001 (928) 527-4325

1501 S. Yale St., Bldg 2, Ste. 150 Flagstaff, AZ. 86001 (928) 527-4325

1890 W. State Route 89A, Ste. D Sedona, AZ. 86336 (928) 527-4325

Jay H. Collier, M.D. Adam T. Graff, M.D. Johnny Blaine Henderson, M.D. Flagstaff Medical Center 1215 N. Beaver Street Flagstaff, AZ. 86001 (928) 213-6415

Linda Mullen, M.D. The Guidance Center 2695 E. Industrial Drive Flagstaff, AZ. 86004 (928) 527-1899 *Also includes affiliated psychiatric hospital

Page 17: Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation. Community Bridges, Inc. Winslow

Revised 9/15/2020

Gregory Carr, M.D. Caroline Koch, M.D. Frantz Muse, M.D. Laurence Seltzer, M.D. Narcedallia Zegarra, M.D. Mohave Mental Health - Administration 3707 Stockton Hill Rd. Kingman, AZ. 86409 (928) 757-8111

Vera Meier-Bennett, M.D. Pediatric Multicare West 4672 W. Maverick Ln. Lakeside, AZ. 85929 (928) 358-4620 *Autism and ADHD evaluations

Wenhui Cai, M.D. Spectrum Healthcare Group 8 E. Cottonwood Street Cottonwood, AZ. 85326 (928) 634-2236

Karen Chaney, M.D. Thomas Gazda, M.D. Gayle Gregory, M.D. Raquel Balderas, M.D. Barry Coe, M.D. Edward Kuhnley, M.D. John Garofalo, M.D. Ernest Harman, M.D. West Yavapai Guidance Clinic 3345 N. Windsong Drive Prescott Valley, AZ. 86314 (928) 445-5211

Robinder K. Bhangoo, M.D. Whiteriver Indian Hospital 200 W. Hospital Drive Whiteriver, AZ. 85941 (928) 338-4911 Ernest Harman, M.D.

Page 18: Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation. Community Bridges, Inc. Winslow

Revised 9/15/2020

Winslow Campus of Care 826 W Desmond Street Winslow, AZ. 86047 (928) 289-4678 *Skilled nursing with behavioral health psychiatric unit for members with dementia and Alzheimer’s, website states they serve Native Americans.

Frank Armao, M.D. Robert L.M. March, IV, M.D. Winslow IHS 500 N. Indiana Avenue Winslow, AZ. 86047 (928) 289-4646

Physician Osteopath (D.O., PT 31)

Mark Collins, D.O. Pronghorn Psychiatry 5940 E. Copper Hill Rd., Ste. B Prescott Valley, AZ. 86314 (928) 583-7799

Scott McCall, DO Southwest Behavioral and Health Services 2580 Highway 95, #119 Bullhead City, AZ. 86442 (928) 763-7776

Psychiatric Hospital (PT 71)

ChangePoint Psychiatric Hospital 1920 W. Commerce Drive Lakeside, AZ. 85929 (928) 368-4110 (928) 368-4112 fax Contact: Terriann Hargrave

The Guidance Center Inpatient Office 2187 N. Vickey Street Flagstaff, AZ. 86004 (928) 527-1899

Page 19: Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation. Community Bridges, Inc. Winslow

Revised 9/15/2020

West Yavapai Guidance Clinic - Windhaven Psychiatric Hospital

3347 N. Windsong Drive Prescott Valley, AZ. 86314 (928) 445-5211

Psychologist (PT 11)

Dr. Osvelia Deeds 930 N. Switzer Canyon Dr., Ste. 105 Flagstaff, AZ. 86001 (505) 850-5314

Dr. Lee Underwood Prescott Valley Outpatient Clinic (part of Sequel Care) 8603 E. Eastridge Dr., Ste. A Prescott Valley, AZ. 86314 (928) 777-3280

Registered Nurse Practitioner with Psychiatric Specialty (PT 19)

Ryan Dan Bingham, RNP 1515 E. Cedar Avenue, #B-4 Flagstaff, AZ. 86004 (928) 779-4550

Cara Quade, PMHNP

Elisa Stephens, PMHNP, RNP Changepoint Integrated Healthcare Administrative Office

1801 W. Deuce of Clubs, Suite 100 Show Low, AZ. 85901 (928) 537-5315 *Multiple locations

Jennifer Lobik, FNP-C, PMHNP-BC Family Medical Walk In Primary Care 12075 E. State Route 69 Dewey, AZ. 86327 (928) 772-1673

Page 20: Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation. Community Bridges, Inc. Winslow

Revised 9/15/2020

Ian Adams, RNP Matthew Barkman, RNP Carolyn Michele Norton, RNP Mohave Mental Health - Administration 3707 Stockton Hill Rd. Kingman, AZ. 86409 (928) 757-8111

Cristal Sampson, RNP Brent Whitley, RNP Spectrum Healthcare Group 8 E. Cottonwood Street Cottonwood, AZ. 85326 (928) 634-2236

Cherie Wilcher, FNP Susan Frost, DNP, MC, MS, FPMHNP-BC

Judith Johnson, FNP-C, MHNP-C, PMHS-C Patricia White, PMHNP Mirandine Fitchette, DNP, PMHNP Linda Bosse, DNP, PMHNP Jami Remien, NP

West Yavapai Guidance Clinic 3345 N. Windsong Drive Prescott Valley, AZ. 86314 (928) 445-5211

Brenda Vigue, RNP Winslow Indian Health Center

500 N. Indiana Avenue Winslow, AZ. 86047 (928) 289-4646

Rural Substance Use Disorder Transitional Agency (PT A6)

Community Bridges, Inc. Winslow Stabilization and Recovery Unit 105 N. Cottonwood Avenue Winslow, AZ. 86047 (928) 289-3151

Subacute Facility (PT B5)

Page 21: Fee for Service Preferred Providers Behavioral Health, Northern … · SMI/GMH housing, case mgmt., vocational rehab, peer support, transportation. Community Bridges, Inc. Winslow

Revised 9/15/2020

Mohave Mental Health 1741 Sycamore Ave. Kingman, AZ. 86409 (928) 757-8111

Pronghorn Psychiatry and Stoneridge Center for Brains 5940 E. Copper Hill Rd., Ste. B Prescott Valley, AZ. 86314 (928) 583-7799