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BANNER ALZHEIMER'S INSTITUTE
NPI 1013966712
Psychiatry & Neurology - Psychiatry in Phoenix, AZ

Active since May 09, 2006CLIA Certified · 2 labs
2901 N CENTRAL AVE STE 106, PHOENIX, AZ 85012(602) 747-4000 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2025, Feb 20, 2025, Dec 28, 2021 and 1 more (4 updates tracked since 2019).

About Banner Alzheimer's Institute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANNER ALZHEIMER'S INSTITUTE (NPI 1013966712) is a healthcare organization registered as a psychiatry in Phoenix, Arizona and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates, maintains 5 additional practice locations, and lists Eric Reiman, Ceo/cso, as its authorized official.

NPPES Registry Identity

NPI1013966712
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameBANNER ALZHEIMER'S INSTITUTE
Location Address2901 N CENTRAL AVE STE 106Phoenix, AZ 85012-2700
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(602) 747-4000
Organization SubpartYesParent: Banner Health
Authorized OfficialEric ReimanCeo/cso · (602) 747-4000
Enumeration DateMay 9, 2006
Last NPPES UpdateSeptember 2, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1013966712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X
2901 N CENTRAL AVE STE 106, Phoenix, AZ 85012
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1901 E Willetta St Fl 1Phoenix, AZ 85006-2516 · Phone (602) 839-6901 · Fax (602) 839-6253
Location 210515 W Santa Fe Dr, Bldg B 1st FlSun City, AZ 85351-3020 · Phone (623) 832-6530 · Fax (623) 832-6504
Location 31900 N Higley RdGilbert, AZ 85234-1604 · Phone (602) 839-6901 · Fax (602) 839-6253
Location 4901 E Willetta St Fl 3Phoenix, AZ 85006-2528 · Phone (602) 839-6901 · Fax (602) 839-6253
Location 51111 E McDowell RdPhoenix, AZ 85006-2612 · Phone (602) 839-2000 · Fax (602) 839-3749

Other Identifiers 1

Medicaid092207AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Banner Alzheimer's Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

38

Medicare enrollment records show 38 clinicians reassign Medicare billing to Banner Alzheimer's Institute, which bills Medicare for the services they deliver. Of these, 13 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Neurology10
Nurse Practitioner10
Clinical Social Worker7
Clinical Psychologist3
Internal Medicine2
Diagnostic Radiology1
Geriatric Medicine1
Interventional Radiology1
3 other specialties3

Nearest to this location (20)

See all 38
Lauren Blake, PSYD
Clinical Psychologist
NPI 1912640046
222 W THOMAS RD STE 401
Phoenix, AZ 85013
(602) 406-3473
✔ PECOS✔ Accepts Medicare0.2 mi
Michele Grigaitis-Reyes, NP
Nurse Practitioner
NPI 1497862379
2910 N 3RD AVE
Phoenix, AZ 85013
(602) 406-4856
✔ PECOS0.3 mi
Gerrie Jakobs, LCSW
Clinical Social Worker
NPI 1942946322
901 E WILLETTA ST
Phoenix, AZ 85006
(602) 839-6900
✔ PECOS✔ Accepts Medicare1.4 mi
Allison Perrin, MD
Geriatric Medicine
NPI 1992929624
901 E WILLETTA ST
Phoenix, AZ 85006
(602) 839-6900
✔ PECOS✔ Accepts Medicare1.4 mi
Po-Heng Tsai, M.D.
Neurology
NPI 1952532475
901 E WILLETTA ST
Phoenix, AZ 85006
(602) 839-6900
✔ PECOS✔ Accepts Medicare1.4 mi
Molly Ament
Nurse Practitioner
NPI 1013752237
901 E WILLETTA ST
Phoenix, AZ 85006
(602) 839-6900
✔ PECOS✔ Accepts Medicare1.4 mi
Barbara Johnson, LCSW
Clinical Social Worker
NPI 1528474350
901 E WILLETTA ST
Phoenix, AZ 85006
(602) 839-6900
✔ PECOS✔ Accepts Medicare1.4 mi
Anthony Mosley, M.D.
Neurology
NPI 1457303760
901 E WILLETTA ST
Phoenix, AZ 85006
(602) 839-6900
✔ PECOS✔ Accepts Medicare1.4 mi
Pallavi Joshi
Neurology
NPI 1750765442
1111 E MCDOWELL RD
Phoenix, AZ 85006
(602) 839-2000
✔ PECOS✔ Accepts Medicare1.4 mi
Gamal Sidarous, MD
Nuclear Medicine
NPI 1699731802
1111 E MCDOWELL RD
Phoenix, AZ 85006
(602) 239-4601
✔ PECOS✔ Accepts Medicare1.4 mi
Meggan Sullivan, LCSW
Clinical Social Worker
NPI 1912338526
5050 N 8TH PL STE 8
Phoenix, AZ 85014
(602) 285-9696
✔ PECOS✔ Accepts Medicare2.1 mi
Walter Nieri, M.D.
Internal Medicine
NPI 1265488258
6510 N 27TH ST
Phoenix, AZ 85016
(602) 885-1988
✔ PECOS✔ Accepts Medicare4.6 mi
Renee Lydiard
Nurse Practitioner
NPI 1144987793
4213 E AVALON DR
Phoenix, AZ 85018
(602) 692-7810
✔ PECOS✔ Accepts Medicare4.8 mi
Vivian Fajardo, LCSW
Clinical Social Worker
NPI 1407471543
7865 W BELL RD # 1056
Peoria, AZ 85382
(602) 825-3925
✔ PECOS✔ Accepts Medicare14 mi
Lori Nisson, M.S.W
Clinical Social Worker
NPI 1255562385
9369 E DAVENPORT DR
Scottsdale, AZ 85260
(602) 570-6788
✔ PECOS✔ Accepts Medicare14 mi
Melissa Cardenas, FNP-C
Nurse Practitioner
NPI 1982103586
10515 W SANTA FE DR
Sun City, AZ 85351
(623) 832-6530
✔ PECOS✔ Accepts Medicare15 mi
Parichita Choudhury, MD
Neurology
NPI 1598318677
10515 W SANTA FE DR BLDG B
Sun City, AZ 85351
(623) 832-6530
✔ PECOS✔ Accepts Medicare15 mi
Juan Serrano Salcedo, PSYD
Psychologist Billing Independently
NPI 1588238380
10515 W SANTA FE DR
Sun City, AZ 85351
(623) 832-5328
✔ Accepts Medicare15 mi
Christine Belden, PSY.D.
Clinical Psychologist
NPI 1821297367
10615 W THUNDERBIRD BLVD
Sun City, AZ 85351
(623) 972-3001
✔ PECOS✔ Accepts Medicare15 mi
Rishi Gosalia, MD
Diagnostic Radiology
NPI 1174797286
13400 E SHEA BLVD
Scottsdale, AZ 85259
(480) 301-8000
✔ PECOS✔ Accepts Medicare18 mi
See all 38 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1088055

Banner Alzheimers Institute · Sun City, AZ
Active · expires Aug 14, 2028
CLIA Number03D1088055
Laboratory TypeOther
Certificate Effective DateAugust 15, 2026
Certificate Expiration DateAugust 14, 2028
Laboratory DirectorAlireza Atri
Laboratory Phone(623) 832-6530
Laboratory LocationBanner Alzheimers Institute10515 W Santa Fe Drive, Bldg B, 1st Floor, Sun City, AZ 85351
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2030410

Banner Alzheimer's Institute · Phoenix, AZ
Active · expires Sep 26, 2027
CLIA Number03D2030410
Laboratory TypeResearch
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorGanesh Gopalakrisha
Laboratory Phone(602) 839-6901
Laboratory LocationBanner Alzheimer's Institute901 E Willetta St 1st Floor, Phoenix, AZ 85006
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Banner Alzheimer's Institute's NPI number?

The NPI number for Banner Alzheimer's Institute is 1013966712. It was assigned to this organization in the NPPES registry on May 9, 2006.

Where is Banner Alzheimer's Institute located?

Banner Alzheimer's Institute is located at 2901 N Central Ave Ste 106, Phoenix, AZ 85012. The listed phone number is (602) 747-4000.

What is Banner Alzheimer's Institute's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Banner Alzheimer's Institute enrolled in Medicare?

Yes. Banner Alzheimer's Institute is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Banner Alzheimer's Institute?

According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 11 Medicare specialties reassign their Medicare billing to Banner Alzheimer's Institute. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Neurology (10), Nurse Practitioner (10) and Clinical Social Worker (7). Of these, 13 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Banner Alzheimer's Institute hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Banner Alzheimer's Institute accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Banner Alzheimer's Institute as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Banner Alzheimer's Institute was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.