SOUTHWEST BEHAVIORAL HEALTH SERVICES (NPI# 1346255791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346255791 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST BEHAVIORAL HEALTH SERVICES |
| Practice Address |
1255 W Baseline Rd Mesa AZ 85202-5820 |
| Mailing Address |
3450 N 3rd St Phoenix AZ 85012-2331 |
| Practice Telephone | 4808205422 |
| Practice Fax Number | 4807754938 |
| Mailing Telephone | 6022579339 |
| Mailing Fax Number | 6022658574 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-05-28 |
| Authorized Official Name | MR. JEFF JORDE (PRESIDENT / CEO) |
| Authorized Official Telephone | 6022854285 |
| 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-2032 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | SITE LICENSE | BH-2032 | 01 |
| AZ | 707010 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013422666 | Southwest Behavioral Health Services | Clinic/Center | 3430 E Flamingo Rd Ste 311, Las Vegas, NV 89121-5067 | 2017-12-05 |
| 1619982196 | Southwest Behavioral Health Services | Clinic/Center | 1424 S 7th Ave, Phoenix, AZ 85007-3902 | 2006-07-31 |
| 1275907511 | Southwest Behavioral Health Services | Nurse Practitioner | 7600 E Florentine Rd, Suite 201, Prescott Valley, AZ 86314-1295 | 2015-11-24 |
| 1972759397 | Southwest Behavioral Health Services | Clinic/Center | 404 W Aero Dr, Payson, AZ 85541-5407 | 2008-08-18 |
| 1255448833 | Southwest Behavioral Health Services | Psychiatric Residential Treatment Facility | 1424 S 7th Ave, Phoenix, AZ 85007-3902 | 2006-08-23 |
| 1598772568 | Southwest Behavioral Health Services | Clinic/Center | 4420 S 32nd St, Phoenix, AZ 85040-2804 | 2006-08-02 |
| 1225043755 | Southwest Behavioral Health Services | Clinic/Center | 10220 N 31st Ave, Phoenix, AZ 85051-9581 | 2006-07-31 |
| Street Address |
1255 W BASELINE RD |
| City | MESA |
| State | AZ |
| Zip Code | 85202-5820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831128016 | Catherine Sue Bradway | Registered Nurse | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2006-07-01 |
| 1538706635 | Rebecca Robinson | Physical Therapist | 1255 W Baseline Rd, Mesa, AZ 85202-5820 | 2019-12-08 |
| 1851781173 | Desanne Gonsalves | Physician Assistant | 1255 W Baseline Rd, Mesa, AZ 85202-5820 | 2015-01-26 |
| 1912329293 | Alyssa Palty | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2014-01-06 |
| 1538599949 | Meredith Moore | Counselor | 1255 W Baseline Rd, Mesa, AZ 85202-5820 | 2013-11-21 |
| 1295168763 | Sheila P Holly | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2013-08-19 |
| 1063845329 | Audrey Carol Hilmoe | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2013-08-09 |
| 1568808111 | Annia Salas | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2013-05-21 |
| 1366793978 | Aurelio Abraham Duarte-encinas | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2012-09-21 |
| 1346597853 | Guadalupe J Holguin | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2012-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544903 | Supreme Positive Innovation Services LLC | Clinic/Center | 1833 W Main St Ste 139-140, Mesa, AZ 85201-6922 | 2020-09-26 |
| 1316554421 | Essential Wellness Solutions LLC | Clinic/Center | 345 N 79th Pl, Mesa, AZ 85207-7570 | 2020-09-23 |
| 1730798562 | Healthier Ever After LLC | Clinic/Center | 65 S Sycamore Ste 2, Mesa, AZ 85202-1143 | 2020-07-28 |
| 1205467974 | Betherapy Counseling, LLC | Clinic/Center | 1845 S Dobson Rd Ste 213, Mesa, AZ 85202-5663 | 2020-01-30 |
| 1235769282 | Az Life Options Child and Adult Services LLC | Clinic/Center | 6515 E Main St, Mesa, AZ 85205-9012 | 2020-01-17 |
| 1336785518 | Sun Valley Recovery | Clinic/Center | 2600 E Southern Ave Ste I-3, Mesa, AZ 85204-5413 | 2019-11-21 |
| 1194285643 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 1423 S Higley Rd Ste 103, Mesa, AZ 85206-3449 | 2019-03-21 |
| 1609334812 | Just 1 Life Services LLC | Clinic/Center | 1616 E Main St Ste 207a.1, Mesa, AZ 85203-9071 | 2019-03-06 |
| 1558682914 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 653 W Guadalupe Rd Unit 1018, Mesa, AZ 85210-7772 | 2010-06-18 |
| 1154954113 | Babbitt Bowers Behavioral Health Services. LLC | Clinic/Center | 605 N Gilbert Rd, Mesa, AZ 85203-6629 | 2020-02-18 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on SOUTHWEST BEHAVIORAL HEALTH SERVICES.
| 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.