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Emmanuel Ade Epie

Physician β€’ Phoenix, AZ

Active NPI 1487932893 Individual Practitioner Male Practitioner
Practice location in NPPES

7204 W Pueblo Ave
Phoenix, AZ 850432037

Call 6234407423 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

7204 W Pueblo Ave

Phoenix, AZ 850432037

Telephone 6234407423
Organization at the Same NPPES Address or Phone
Goodheart Home Care Facility NPI 1699077164

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Phoenix, AZ. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Psychiatric Residential Treatment Facility Primary Specialty

NUCC Taxonomy Code: 323P00000X

License # reported to NPPES AZ BH3872

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Psychiatric Residential Treatment Facility

NUCC Taxonomy Code: 323P00000X

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Psychiatric Residential Treatment Facility

NUCC Taxonomy Code: 323P00000X

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Secondary Practice Locations

1638 E Greenway Rd

Phoenix, AZ 850425788

Phone: 6024819789

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location September 30, 2019

Registered at 7204 W PUEBLO AVE, PHOENIX, AZ 850432037 (Tel: 6234407423)

πŸ“
Updated Business Mailing Address September 30, 2019

Registered at 1638 E GREENWAY RD, PHOENIX, AZ 850425788 (Tel: 6024819789)

🏒
Secondary Practice Location Registered September 30, 2019

Additional practice office at 1638 E Greenway Rd, Phoenix, AZ 850425788

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2019

Psychiatric Residential Treatment Facility

βœ…
NPI Profile Active August 02, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 02, 2011

Registered at 1638 E GREENWAY RD, PHOENIX, AZ 850425788 (Tel: 6024819789)

πŸ“
Business Mailing Address (Initial Record) August 02, 2011

Registered at 7725 W WOOD ST, PHOENIX, AZ 850431421 (Tel: 6024819789)

πŸ‘€
Provider Name / Credentials (Initial Record) August 02, 2011

Recorded as EMMANUEL EPIE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2011

Psychiatric Residential Treatment Facility (license number reported to NPPES: AZ BH3872)

🟒
Initial NPI Registration & Enumeration August 02, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1487932893
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2011
Last Update: September 30, 2019
Sole Proprietor: Yes

Mailing Address

1638 E Greenway Rd

Phoenix, AZ 850425788

Phone: 6024819789

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.