SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC. (NPI# 1972808830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972808830 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC. |
| Practice Address |
303 W Willetta St Phoenix AZ 85003-1359 |
| Mailing Address |
3450 N 3rd St Phoenix AZ 85012-2331 |
| Practice Telephone | 6022571250 |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |
| Authorized Official Name | JEFF JORDE (PRESIDENT/CEO) |
| Authorized Official Telephone | 6022579339 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
BH-3800 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA DEPT OF HEALTH SERVICES, OBHL | BH-3800 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922517655 | Southwest Behavioral Health Services, Inc. | Specialist | 11221 N 28th Dr Bldg E, Phoenix, AZ 85029-5615 | 2017-09-26 |
| 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 |
| Street Address |
303 W WILLETTA ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85003-1359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619151818 | Toby House, Inc | Community Based Residential Treatment Facility, Mental Illness | 303 W Willetta St, Phoenix, AZ 85003-1359 | 2007-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504406 | Jennifer A Day | Counselor | 125 South Avenue, Phoenix, AZ 85003 | 2019-12-10 |
| 1588148993 | Jillian Ralston | Optometrist | 112 W Mcdowell Road, Phoenix, AZ 85003 | 2018-09-20 |
| 1699254839 | Corner Pharmacy Incorporated | Pharmacy | 112 N 5th Ave Ste 101, Phoenix, AZ 85003 | 2018-08-08 |
| 1003279043 | Kimberly Brown | Technician, Other | 609 N 2nd Aveunue, 200, Phoenix, AZ 85003 | 2016-03-29 |
| 1548678626 | Douglas Barshter | Technician, Other | 602 N 2nd Avenue, Phoenix, AZ 85003 | 2014-08-01 |
| 1346655099 | Benjamin Heller | Family Medicine | 515 W Buckeye Rd Ste 104, Phoenix, AZ 85003 | 2014-06-20 |
| 1225383201 | Charles S Bell | Counselor | 609 North 2nd Ave., Phoenix, AZ 85003 | 2012-07-17 |
| 1790004133 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 50 W. Jefferson St., Suite 140, Phoenix, AZ 85003 | 2010-05-25 |
| 1184806960 | Word Play, LLC | Home Health | 808 N 4th Ave Unit 12, Phoenix, AZ 85003 | 2007-12-03 |
| 1609067842 | Salim Shafi | Dentist | 125 W Mcdowell Road, Phoenix, AZ 85003 | 2007-08-05 |
| Find all providers in zip 85003 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1366054694 | Integrative Counseling L.L.C. | Clinic/Center | 2211 E Highland Ave Ste 130, Phoenix, AZ 85016-4867 | 2020-08-18 |
| 1225664881 | Julie Morton Lcsw-c, LLC | Clinic/Center | 13604 Bardon Rd, Phoenix, MD 21131-1518 | 2020-03-16 |
| 1922569805 | Uptown Psychiatry LLC | Clinic/Center | 1130 E Missouri Ave Ste 580, Phoenix, AZ 85014-2729 | 2019-03-25 |
| 1982163549 | Amore Aware LLC | Clinic/Center | 6900 E Princess Dr Unit 1214, Phoenix, AZ 85054-4110 | 2019-03-13 |
| 1356805816 | Arizonas New Hope | Clinic/Center | 10000 N 31st Ave Ste D304g, Phoenix, AZ 85051-9582 | 2019-01-29 |
| 1306331509 | Native American Connections | Clinic/Center | 4520 N Central Ave Ste 380, Phoenix, AZ 85012-7815 | 2018-06-29 |
| 1194135152 | Connectionsaz, LLC | Clinic/Center | 1201 S 7th Ave Ste 150, Phoenix, AZ 85007-4075 | 2014-04-30 |
| 1770888646 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 1601 W Desert Cove Ave, Phoenix, AZ 85029-5023 | 2011-01-24 |
| Find all providers in PHOENIX | ||||
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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.