PASADERA BEHAVIORAL HEALTH NETWORK, INC. (NPI# 1053524348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053524348 |
| Entity Type | Organization |
| Organization Name | PASADERA BEHAVIORAL HEALTH NETWORK, INC. |
| Other Organization Name | PASADERA WALK-IN CLINIC (SAMHC) |
| Practice Address |
2502 N. Dodge Blvd. Suite 190 Tucson AZ 85716-2675 |
| Mailing Address |
2700 S 8th Ave Tucson AZ 85713-4730 |
| Practice Telephone | 5206188600 |
| Practice Fax Number | 5206171608 |
| Mailing Telephone | 5206283400 |
| Mailing Fax Number | 5206283401 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2016-03-08 |
| Authorized Official Name | STEPHANIE OLIVER (CHIEF QUALITY MANAGEMENT OFFICER) |
| Authorized Official Telephone | 5206283400 |
| Authorized Official Credential | CPC, RMM, ICD10C |
| Is Organization Subpart | Y |
| Parent Organization Name | PASADERA BEHAVIORAL HEALTH NETWORK, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
OTC6597 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | STATE LICENSE | OTC6597 | 01 |
| AZ | 848952 | 05 |
| Other Name | Type Code |
|---|---|
| Pasadera Walk-In Clinic (SAMHC) | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922488907 | Pasadera Behavioral Health Network, Inc. | Community/Behavioral Health | 15390 W Ajo Hwy, Tucson, AZ 85735-2023 | 2015-06-04 |
| 1396164455 | Pasadera Behavioral Health Network, Inc. | Community/Behavioral Health | 275 W. Continental Rd., Suite 141, Green Valley, AZ 85622-3666 | 2014-04-15 |
| 1295157972 | Pasadera Behavioral Health Network, Inc. | Community/Behavioral Health | 1260 S. Campbell Rd., Building 2, Green Valley, AZ 85614-0503 | 2014-01-14 |
| 1639591670 | Pasadera Behavioral Health Network, Inc. | Community/Behavioral Health | 15921 W. Ajo Highway, Tucson, AZ 85735-2032 | 2014-01-10 |
| 1770790172 | Pasadera Behavioral Health Network, Inc. | Community/Behavioral Health | 2700 S 8th Ave, Tucson, AZ 85713-4730 | 2007-05-16 |
| 1225140643 | Pasadera Behavioral Health Network, Inc. | Special Hospital | 2499 E. Ajo Way, Tucson, AZ 85713-6202 | 2006-08-31 |
| 1114039492 | Pasadera Behavioral Health Network, Inc. | Substance Abuse Rehabilitation Facility | 2950 N Dodge Blvd, Tucson, AZ 85716-2012 | 2006-08-31 |
| 1609229574 | Pasadera Behavioral Health Network, Inc. | Substance Abuse Rehabilitation Facility | 2502 N Dodge Blvd Ste 190, Tucson, AZ 85716-2675 | 2016-07-15 |
| 1457746497 | Pasadera Behavioral Health Network, Inc. | Rehabilitation, Substance Use Disorder Unit | 2502 N Dodge Blvd, Suite 190, Tucson, AZ 85716-2671 | 2015-04-06 |
| 1114286788 | Pasadera Behavioral Health Network, Inc. | Substance Abuse Rehabilitation Facility | 2499 E. Ajo Way, Tucson, AZ 85713-5478 | 2012-05-16 |
| Street Address |
2502 N. DODGE BLVD. SUITE 190 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85716-2675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063065043 | Kristi Watson Mdpc | Clinic/Center | Hodges Eye Care and Surgical Location, 1502 N. Tucson Blvd, Tucson, AZ 85716 | 2019-07-19 |
| 1639731326 | Leigh-anne Andre | Social Worker | 1135 N. Jones Blvd, Tucson, AZ 85716 | 2019-07-02 |
| 1053802462 | Thomas Scott Mcvean | Technician, Pathology | 718 N Richey Blvd, Tucson, AZ 85716 | 2018-05-21 |
| 1063923787 | Intermountain Health Center, Inc. | Clinic/Center | 3815 E. Monte Vista, Apt. 1101, Tuscon, AZ 85716 | 2017-10-20 |
| 1992224729 | Rocio Fonseca | Counselor | 1014 N Country Club, Tucson, AZ 85716 | 2017-09-13 |
| 1548784473 | Adrian Linda Fait | Speech-Language Pathologist | Child & Family Resources, Inc., 2800 E. Broadway Blvd, Tucson, AZ 85716 | 2017-08-02 |
| 1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
| 1396114211 | Craig Stark | Internal Medicine | 2978 E Greenlee St, Tucson, AZ 85716 | 2015-09-21 |
| 1598142283 | Layla Carol Bradley | Nurse Practitioner | 3832 E. Speedway, Minute Clinic, Tucson, AZ 85716 | 2015-05-01 |
| 1134547813 | Maeve Shaughnessy | Counselor | 2921 E Fort Lowell Rd Ste 207, Tucson, AZ 85716 | 2014-03-31 |
| Find all providers in zip 85716 | ||||
| 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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| 1043844756 | Restored Hope Counseling and Coaching Services | Clinic/Center | 4537 W Lord Redman Loop, Tucson, AZ 85741-4042 | 2020-03-03 |
| 1245876259 | Bamboo Wellness Pllc | Clinic/Center | 5151 E Broadway Blvd Ste 720, Tucson, AZ 85711-3783 | 2019-11-25 |
| 1245777481 | Sonora Behavioral Health Hospital, LLC | Clinic/Center | 2001 West Orange Grove Road, Suite 114, 112, 102, Tucson, AZ 85704 | 2017-01-26 |
| 1174997092 | Banner -- University Medicine Crisis Response Center LLC | Clinic/Center | 2802 E District St Fl 2, Tucson, AZ 85714-2081 | 2015-11-16 |
| 1295129823 | Terros, Inc. | Clinic/Center | 3385 N Campbell Ave, Tucson, AZ 85719-2306 | 2015-03-20 |
| 1518358530 | Codac Health, Recovery & Wellness, Inc. | Clinic/Center | 1600 N Country Club Rd, Tucson, AZ 85716-3119 | 2015-02-12 |
| 1356482236 | Maple Star Nevada | Clinic/Center | 100 Washington St. Ste 350, Tucson, AZ 85711 | 2007-02-12 |
| 1659432763 | Adaptive Living Institute | Clinic/Center | 434 E 9th St, Tucson, AZ 85705-8580 | 2006-12-12 |
| 1811098742 | La Frontera Center, Inc. | Clinic/Center | 2222 N. Craycroft, Tucson, AZ 85712 | 2006-09-25 |
| Find all providers in TUCSON | ||||
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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.