PSA BEHAVIORAL HEALTH AGENCY (NPI# 1609213149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609213149 |
| Entity Type | Organization |
| Organization Name | PSA BEHAVIORAL HEALTH AGENCY |
| Practice Address |
100 East Main Street Quartzsite AZ 85346 |
| Mailing Address |
2255 W Northern Ave Ste B100 Phoenix AZ 85021-4936 |
| Practice Telephone | 6029951767 |
| Mailing Telephone | 6029951767 |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-09-11 |
| Authorized Official Name | KIMBERLY QUIROS (DIRECTOR OF CLAIMS & I.T.) |
| Authorized Official Telephone | 6029951767 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | BH-4273 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS ID # | 813587 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
| 1255891065 | Psa Behavioral Health Agency | Community/Behavioral Health | 3341 E Queen Creek Rd Ste 105, Gilbert, AZ 85297-8510 | 2019-03-20 |
| 1700304110 | Psa Behavioral Health Agency | Community/Behavioral Health | 2580 Highway 95 Ste 116, Bullhead City, AZ 86442-7324 | 2017-09-06 |
| 1316304546 | Psa Behavioral Health Agency | Public Health or Welfare | 1308 N Stockton Hill Rd, Suite D, Kingman, AZ 86401-5139 | 2016-01-19 |
| 1467822734 | Psa Behavioral Health Agency | Public Health or Welfare | 4665 S Ash Ave Ste G-1, Tempe, AZ 85282-6765 | 2015-09-30 |
| 1477982395 | Psa Behavioral Health Agency | Public Health or Welfare | 541 E 10th St, Douglas, AZ 85607-2009 | 2013-11-01 |
| 1215362082 | Psa Behavioral Health Agency | Public Health or Welfare | 1326 W Highway 92, Suite K, Bisbee, AZ 85603-1151 | 2013-09-11 |
| 1265877500 | Psa Behavioral Health Agency | Public Health or Welfare | 820 S California Ave, Suite 104, Parker, AZ 85344-5051 | 2013-04-30 |
| 1184965840 | Psa Behavioral Health Agency | Public Health or Welfare | 220 E 6th St, Tucson, AZ 85705-8424 | 2013-03-06 |
| 1366786006 | Psa Behavioral Health Agency | Public Health or Welfare | 4655 S Lakeshore Dr, Tempe, AZ 85282-8328 | 2012-11-19 |
| Street Address |
100 EAST MAIN STREET |
| City | QUARTZSITE |
| State | AZ |
| Zip Code | 85346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497232714 | Toni Kay Coleman | Registered Nurse | 150 E. Tyson Road, Quartzsite, AZ 85346 | 2018-07-20 |
| 1962689653 | Arizona Community Health Care LLC | Family Medicine | 255 N Central Blvd, Ste 4, Quartzsite, AZ 85346 | 2008-01-25 |
| 1164604559 | The Family Eye Center | Ophthalmology | 394 N Central Blvd, Quartzsite, AZ 85346 | 2007-11-28 |
| 1811090160 | Happy Valley Pharmacy LLC | Pharmacy | 60 W Main St, Quartzsite, AZ 85346 | 2006-09-05 |
| 1053421776 | Benvinda Ann Pereira | Nurse Practitioner | 255 N. Central Blvd., Suite #5, Quartzsite, AZ 85346 | 2006-08-30 |
| 1104882877 | Noy Soti | Legal Medicine | 394 North Central Blvd, Quartzsite, AZ 85346 | 2006-04-21 |
| 1164825394 | Howard Pulver | Pharmacist | 60 W Main St, Quartzsite, AZ 85346 | 2014-10-02 |
| 1922345149 | Integrated Medical Services Inc. | Podiatrist | 255 N Central Blvd, 4, Quartzsite, AZ 85346 | 2013-01-08 |
| 1326375080 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 100 E. Main Street, Quartzsite, AZ 85346 | 2009-11-17 |
| 1083892319 | Estrella Mountain Foot & Ankle Inc | Podiatrist | 255 N Central Blvd, #4, Quartzside, AZ 85346 | 2008-02-08 |
| Find all providers in zip 85346 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861701 | Agape Love Community Center LLC | Public Health or Welfare | 2750 W Mcdowell Rd, Phoenix, AZ 85009-2605 | 2020-11-04 |
| 1508481854 | Hamoecrc, LLC | Public Health or Welfare | 4413 N 106th Ave, Phoenix, AZ 85037-5563 | 2020-06-12 |
| 1699307306 | Arizona Healthcare Outreach | Public Health or Welfare | 3581 W Northern Ave Ste 8, Phoenix, AZ 85051-9404 | 2020-02-10 |
| 1962949008 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Public Health or Welfare | 1216 N. 307th Avenue, San Lucy Clinic, Gila Bend, AZ 85337 | 2017-01-27 |
| 1316484462 | Golder Ranch Fire District | Public Health or Welfare | 3885 E Golder Ranch Dr, Tucson, AZ 85739-9797 | 2017-01-27 |
| 1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
| 1316304546 | Psa Behavioral Health Agency | Public Health or Welfare | 1308 N Stockton Hill Rd, Suite D, Kingman, AZ 86401-5139 | 2016-01-19 |
| 1346606761 | Banner Whole Health Clinic | Public Health or Welfare | 535 N, Wimont, Tucson, AZ 85711 | 2016-01-14 |
| 1467822734 | Psa Behavioral Health Agency | Public Health or Welfare | 4665 S Ash Ave Ste G-1, Tempe, AZ 85282-6765 | 2015-09-30 |
| 1003207226 | Summit Fire District | Public Health or Welfare | 8905 Koch Field Rd, Flagstaff, AZ 86004-3261 | 2015-02-10 |
| Find all providers with the same taxonomy | ||||
| City | QUARTZSITE |
| Zip Code | 85346 |
Please comment or provide details below to improve the information on PSA BEHAVIORAL HEALTH AGENCY.
| 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.