SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC. (NPI# 1205163938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205163938 |
Entity Type | Organization |
Organization Name | SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC. |
Practice Address |
600 W Gurley St Fl 2 Prescott AZ 86305-3655 |
Mailing Address |
3450 N 3rd St Phoenix AZ 85012-2331 |
Practice Telephone | 9287171800 |
Practice Fax Number | 9287171818 |
Enumeration Date | 2009-11-18 |
Last Update Date | 2009-11-18 |
Authorized Official Name | JEFF JORDE (PRESIDENT/CEO) |
Authorized Official Telephone | 6022579339 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
BH-3407 | AZ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | ARIZONA DEPT OF HEALTH SERVICES, OBHL | BH-3467 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922517655 | Southwest Behavioral Health Services, Inc. | Specialist | 11221 N 28th Dr Bldg E, Phoenix, AZ 85029-5615 | 2017-09-26 |
1023556339 | Southwest Behavioral Health Services, Inc. | Psychiatric Residential Treatment Facility | 1301 W Beale St, Kingman, AZ 86401-5434 | 2017-02-07 |
1407139413 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 1845 Mcculloch Blvd N Ste B1, Lake Havasu City, AZ 86403-6774 | 2011-09-26 |
1578844726 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 7763 E Florentine Rd, Prescott Valley, AZ 86314-2289 | 2011-09-01 |
1386932523 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 809 Hancock Rd, Suite 1, Bullhead City, AZ 86442-5045 | 2011-07-20 |
1477841534 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 7600 E Florentine Rd Ste 101, Ste 101, Prescott Valley, AZ 86314-1295 | 2011-07-11 |
1770888646 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 1601 W Desert Cove Ave, Phoenix, AZ 85029-5023 | 2011-01-24 |
1558682914 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 653 W Guadalupe Rd Unit 1018, Mesa, AZ 85210-7772 | 2010-06-18 |
1023339926 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 8135 N 35th Ave Apt 1032, Phoenix, AZ 85051-5872 | 2010-06-15 |
1700106135 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 1708 E Harvard St Ofc 1, Phoenix, AZ 85006-1857 | 2010-06-08 |
Street Address |
600 W GURLEY ST FL 2 |
City | PRESCOTT |
State | AZ |
Zip Code | 86305-3655 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
Find all providers in zip 86305 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1821454505 | Prescott Healthcare Solutions LLC | Clinic/Center | 743 Miller Valley Rd, Prescott, AZ 86301-1813 | 2016-01-11 |
1861892101 | True Accountability, LLC | Clinic/Center | 637 W Hillside Ave, Suite A, Prescott, AZ 86301-1909 | 2014-08-22 |
1104185966 | Tba Texarkana LLC | Clinic/Center | 1484 W 1st St N, Prescott, AR 71857-3339 | 2012-05-14 |
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1164036935 | Carmen L. Lucia Psyd LLC | Clinic/Center | 15215 S 48th St Ste 154, Phoenix, AZ 85044-9139 | 2020-08-31 |
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1811507379 | Aptitude Mental Health Pllc | Clinic/Center | 5025 S Ash Ave Ste 12, Tempe, AZ 85282-6885 | 2020-08-08 |
1730798562 | Healthier Ever After LLC | Clinic/Center | 65 S Sycamore Ste 2, Mesa, AZ 85202-1143 | 2020-07-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.