SAN TAN BEHAVIORAL HEALTH SERVICES (NPI# 1770052292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770052292 |
| Entity Type | Organization |
| Organization Name | SAN TAN BEHAVIORAL HEALTH SERVICES |
| Practice Address |
3970 East Juanita Avenue Gilbert AZ 85234 |
| Mailing Address |
459 N. Gilbert Rd Ste C-100 Gilbert AZ 85234 |
| Practice Telephone | 4805073644 |
| Practice Fax Number | 4806320026 |
| Mailing Telephone | 8405073644 |
| Mailing Fax Number | 4806320026 |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |
| Authorized Official Name | MRS. MELISSA DAWN NELSON (OWNER) |
| Authorized Official Telephone | 4805073644 |
| Authorized Official Credential | MA, LPC |
| Is Organization Subpart | Y |
| Parent Organization Name | SAN TAN BEHAVIORAL HEALTH LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 308968 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124378294 | San Tan Behavioral Health Services | Community/Behavioral Health | 4600-c Navajo Route 7, Chinle, AZ 86503 | 2012-09-14 |
| 1962705442 | San Tan Behavioral Health Services | Non-emergency Medical Transport (VAN) | 1277 Hummingbird Circle, Lakeside, AZ 85929 | 2010-12-06 |
| 1194027847 | San Tan Behavioral Health Services | Non-emergency Medical Transport (VAN) | 655 Southlake Rd, Lakeside, AZ 85929-6768 | 2010-12-01 |
| 1225206444 | San Tan Behavioral Health Services | Community/Behavioral Health | 240 N Sunway Dr, Suite 101b, Gilbert, AZ 85233-5034 | 2008-02-11 |
| Street Address |
3970 EAST JUANITA AVENUE |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| 1760972947 | Arizona's Children Association | Clinic/Center | 1420 N Greenfield Rd Ste 100&101, Gilbert, AZ 85234 | 2018-05-14 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 385HR2055X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Illness, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1386937092 | Luz Christina Munoz | Respite Care | 2117 E Catclaw St, Gilbert, AZ 85296-3376 | 2011-05-27 |
| 1992008916 | Brian Bernabe Carter | Respite Care | 4662 E Waterman Ct, Gilbert, AZ 85297-7451 | 2010-12-14 |
| 1861644197 | Michelle L. Keil | Respite Care | 3158 E Sierra Madre Ave, Gilbert, AZ 85296-9455 | 2008-10-17 |
| 1588812986 | Susanne Sanders | Respite Care | 1231 E Mineral Rd, Gilbert, AZ 85234-4461 | 2008-08-28 |
| 1215108626 | Gladys Villegas | Respite Care | 3533 S Buckaroo Trl, Gilbert, AZ 85297-7710 | 2008-03-13 |
| 1124296546 | Dorothy J. Davis | Respite Care | 2860 E Estrella Ct, Gilbert, AZ 85296-8893 | 2008-02-19 |
| 1821203449 | Wendy Lou Anderson | Respite Care | 18128 E Sunnybrook Ln, Gilbert, AZ 85297 | 2007-05-14 |
| 1912063504 | Debra Ann Reynolds | Respite Care | 826 E Vaughn Ave, Gilbert, AZ 85234-5938 | 2006-12-28 |
| 1750463089 | Zarephath, Inc. | Respite Care | 3524 E Washington Ave, Gilbert, AZ 85234-4206 | 2006-10-19 |
| Find all providers in GILBERT | ||||
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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.