SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC. (NPI# 1952399875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952399875 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC. |
| Other Organization Name | SEABHS SIERRA VISTA OUTPATIET |
| Practice Address |
185 S Moorman Ave Sierra Vista AZ 85635-2700 |
| Mailing Address |
489 N Arroyo Blvd Nogales AZ 85621-2644 |
| Practice Telephone | 5204583932 |
| Practice Fax Number | 5204583585 |
| Mailing Telephone | 5202874713 |
| Mailing Fax Number | 5202879794 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DANA JOHNSON (CHIEF EXECUTIVE OFFICIER) |
| Authorized Official Telephone | 5205860800 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | BH-180 | AZ | Agencies |
| Other Name | Type Code |
|---|---|
| SEABHS Sierra Vista Outpatiet | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467824219 | Southeastern Arizona Behavioral Health Services, Inc. | Community/Behavioral Health | 111 W Blake St, Suite 11, Globe, AZ 85501-2177 | 2015-10-20 |
| 1336421973 | Southeastern Arizona Behavioral Health Services, Inc. | Community/Behavioral Health | 441 N Grand Ave Ste 9, Nogales, AZ 85621-2729 | 2011-09-09 |
| 1316015316 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 1940 E 11th St, Douglas, AZ 85607-2413 | 2006-11-30 |
| 1932156395 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 489 N Arroyo Blvd, Nogales, AZ 85621-2644 | 2006-05-30 |
| 1184613788 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 730-732 W. 4th St., Benson, AZ 85602 | 2005-10-17 |
| 1962490854 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 1326 Hwy 92, Bisbee, AZ 85603-1151 | 2005-10-13 |
| 1134117047 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 1615 S 1st Ave, Safford, AZ 85546-2103 | 2005-10-13 |
| 1124016019 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2005-10-13 |
| 1659369569 | Southeastern Arizona Behavioral Health Services, Inc. | Psychiatric Residential Treatment Facility | 470 S Ocotillo Ave, Benson, AZ 85602-6403 | 2005-10-13 |
| 1255329132 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 590 S Ocotillo Ave, Benson, AZ 85602-6405 | 2005-10-13 |
| Street Address |
185 S MOORMAN AVE |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861554768 | Joe Bustamante | Counselor | 185 S Moorman Ave, Sierra Vista, AZ 85635-2700 | 2006-12-15 |
| 1245392448 | Jenny L Montague | Social Worker | 185 S Moorman Ave, Sierra Vista, AZ 85635-2700 | 2006-12-14 |
| 1124115191 | Teresa Sellars | Nurse Practitioner | 185 S Moorman Ave, Sierra Vista, AZ 85635-2700 | 2006-10-09 |
| 1487746723 | Richard David Mcever | Counselor | 185 S Moorman Ave, Sierra Vista, AZ 85635-2700 | 2006-09-28 |
| 1215029517 | Margaret L Borowiec | Marriage & Family Therapist | 185 S Moorman Ave, Sierra Vista, AZ 85635-2700 | 2006-09-28 |
| 1760573364 | Katherine M Kerley | Counselor | 185 S Moorman Ave, Sierra Vista, AZ 85635-2700 | 2006-09-27 |
| 1891886495 | Alcalde Navarro Brandon | Counselor | 185 S Moorman Ave, Sierra Vista, AZ 85635-2700 | 2006-09-27 |
| 1437186269 | Rchp- Sierra Vista Inc | Hospice Care, Community Based | 185 S Moorman Ave, Sierra Vista, AZ 85635-2700 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649268574 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 75 Colonia De Salud, Sierra Vista, AZ 85635-2485 | 2005-10-13 |
| 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 | SIERRA VISTA |
| Zip Code | 85635 |
Please comment or provide details below to improve the information on SOUTHEASTERN ARIZONA 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.