MEDICARE: IMUA CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103TP2701X	Group Psychotherapy Psychologist
2	101YM0800X	Mental Health Counselor
3	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1790570919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMUA CENTER, LLC

Provider Business Mailing Address
First Line	:	9221 E BASELINE RD STE 109-248
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85209-8310
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9221 E BASELINE RD STE 109-248
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85209-8310
Country	:	US
Telephone Number	:	727-416-1642
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SAMANTHA KALILIKANE
Credential	:	PSY.D.
Telephone Number	:	727-416-1642

Provider Enumeration Date	:	04/09/2025
Last Update Date	:	04/01/2026

Similar Medicare Providers

1427752476 — DR. SAMANTHA KALILIKANE PSY.D.
Practice Location Address:

9221 E BASELINE RD STE 109-248
MESA, AZ
85209-8310

Practice Phone: 727-416-1642
Practice Fax:

1598924557 — DR. JOHN PETER RUKAVENA PHARMD
Practice Location Address:

9221 E BASELINE RD , A109255
MESA, AZ
85209-8310

Practice Phone: 315-542-2121
Practice Fax:

1104237593 — JORDAN POND DMD
Practice Location Address:

9221 E BASELINE RD
MESA, AZ
85209-8310

Practice Phone: 480-357-7759
Practice Fax:

1336524636 — BRAMWELL DENTISTRY
Practice Location Address:

9221 E BASELINE RD , 111
MESA, AZ
85209-8310

Practice Phone: 480-357-7759
Practice Fax: 480-422-7391

1477043255 — ABA SCHOOLHOUSE
Practice Location Address:

9221 E BASELINE RD STE 109NO242
MESA, AZ
85209-8310

Practice Phone: 805-325-1421
Practice Fax: 480-939-3596

1396612867 — VITAL TURN LLC
Practice Location Address:

9221 E BASELINE RD # 440
MESA, AZ
85209-8310

Practice Phone: 480-799-3443
Practice Fax:

Directions to “IMUA CENTER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.