SAN TAN BEHAVIORAL HEALTH SERVICES


Address: 3970 East Juanita Avenue, Gilbert, AZ 85234
Phone: 4805073644

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 385HR2055X Respite Care
Specialization: Respite Care, Mental Illness, Child
Respite Care Facility

Other Provider Identifier

State Issuer Identifier Type Code
AZ 308968 05

Other Provider IDs and Locations

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

Office Location

Street Address 3970 EAST JUANITA AVENUE
City GILBERT
State AZ
Zip Code 85234

Providers in the same zip code

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 Information

Taxonomy Code 385HR2055X
Grouping Respite Care Facility
Classification Respite Care
Specialization Respite Care, Mental Illness, Child

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City GILBERT
Zip Code 85234

Improve Information

Please comment or provide details below to improve the information on SAN TAN BEHAVIORAL HEALTH SERVICES.

Dataset Information

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.

Trending Searches