Teen Out Reach Services
NPI 1982289062ActiveOrganization· Psychologist· Mesa, AZ
Psychologist in Mesa, Arizona, registered in NPPES in March 2021, part of Banner Health. The authorized official on file is Amanda Reane Johnson, MD, Director.
Overview
| NPI | 1982289062 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Banner Health |
| NPI issued | Mar 10, 2021 |
| Last updated in NPPES | Jun 3, 2021 |
| Certified by provider | Jun 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
| General Acute Care Hospital, Critical Access | 282NC0060X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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