SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC. (NPI# 1922517655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922517655 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC. |
| Other Organization Name | SACE |
| Practice Address |
11221 N 28th Dr Bldg E Phoenix AZ 85029-5615 |
| Mailing Address |
3450 N 3rd St Phoenix AZ 85012-2331 |
| Practice Telephone | 6022854318 |
| Practice Fax Number | 6022854318 |
| Mailing Telephone | 6022854318 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | JEFF JORDE (CEO/PRESIDENT) |
| Authorized Official Telephone | 6022579339 |
| Authorized Official Credential | M.ED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 033923 | 05 |
| Other Name | Type Code |
|---|---|
| SACE | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1255 W Baseline Rd Ste 138, Mesa, AZ 852025821 | 4808205422 | 4807754938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1487974812 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 1700 E Don Carlos Ave Apt 101, Tempe, AZ 85281-4346 | 2010-06-08 |
| Street Address |
11221 N 28TH DR BLDG E |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85029-5615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235764648 | Brian Paul Colwell | Counselor | 11221 N 28th Dr Bldg E, Phoenix, AZ 85029-5615 | 2020-03-05 |
| 1639727415 | Allison Solarz | Nurse Practitioner | 11221 N 28th Dr Bldg E, Phoenix, AZ 85029-5615 | 2019-08-26 |
| 1558862649 | Vanja Djurdjevic | Psychologist | 11221 N 28th Dr Bldg E, Phoenix, AZ 85029-5615 | 2018-02-23 |
| 1306347521 | Victoria F Thomas | Counselor | 11221 N 28th Dr Bldg E, Phoenix, AZ 85029-5615 | 2018-02-22 |
| 1437650983 | Chasity Star Sezate | Behavioral Analyst | 11221 N 28th Dr Bldg E, Phoenix, AZ 85029-5615 | 2018-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1871191221 | Covenant Home Health LLC | In Home Supportive Care | 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 | 2020-10-16 |
| 1508406745 | Tailored 2 U Psychiatry, Pllc | Nurse Practitioner | 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 | 2020-01-15 |
| 1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
| 1588128623 | Anna Debbs | Counselor | 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 | 2019-01-23 |
| 1609360007 | Melissa Lynn Denton | Specialist/Technologist | 4014 W Paradise Dr, Phoenix, AZ 85029 | 2018-06-19 |
| 1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
| 1639687056 | Empower Home Care, LLC. | Home Health | 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 | 2018-01-19 |
| 1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
| 1073966347 | Meka Joi Green | Social Worker | 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 | 2016-07-21 |
| Find all providers in zip 85029 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902462179 | Physician Group of Arizona Inc | Specialist | 4801 E Washington St Ste 200, Phoenix, AZ 85034-2019 | 2019-05-14 |
| 1962936773 | Zoe Reed | Specialist | 20950 N 29th Ave, Suite 100, Phoenix, AZ 85027-3110 | 2017-04-18 |
| 1295289163 | Affiliated Therapy Services | Specialist | 4650 E Cotton Center Blvd Ste 155, Phoenix, AZ 85040-4803 | 2016-08-09 |
| 1285084400 | Jacqueline Kincer | Specialist | 4500 N 32nd St Ste 201d, Phoenix, AZ 85018-3397 | 2016-06-18 |
| 1750747218 | Hilary Caine | Specialist | 6228 W Molly Dr, Phoenix, AZ 85083-6525 | 2016-01-13 |
| 1659757268 | Armendariz Medical Associates LLC | Specialist | 3509 E Shea Blvd Ste 103, Phoenix, AZ 85028-3337 | 2015-08-05 |
| 1669877247 | Shawna Christofis | Specialist | 3940 E Goldfinch Gate Ln, Phoenix, AZ 85044-4513 | 2014-10-25 |
| 1396151890 | Michelle Rene' Reinhardt | Specialist | 11010 S Tomah St, Phoenix, AZ 85044-1914 | 2014-07-03 |
| 1518371863 | Stacy Hall Brink | Specialist | 4713 E Michigan Ave, Phoenix, AZ 85032-9517 | 2014-06-15 |
| 1366863524 | Arizona Transplant Associates, P.C. | Specialist | 1300 N 12th St., Suite 409, Phoenix, AZ 85006-2852 | 2013-12-13 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC..
| 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.