PSA BEHAVIORAL HEALTH AGENCY


Address: 1326 W Highway 92, Suite K, Bisbee, AZ 85603-1151
Phone: 5204323980

PSA BEHAVIORAL HEALTH AGENCY (NPI# 1215362082) 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) 1215362082
Entity Type Organization
Organization Name PSA BEHAVIORAL HEALTH AGENCY
Practice Address 1326 W Highway 92
Suite K
Bisbee
AZ 85603-1151
Mailing Address 2255 W Northern Ave
Suite B100
Phoenix
AZ 85021-4936
Practice Telephone 5204323980
Mailing Telephone 6029951767
Enumeration Date 2013-09-11
Last Update Date 2020-04-03
Authorized Official Name KIMBERLY QUIROS (DIRECTOR OF IT & CLAIMS)
Authorized Official Telephone 6029951767
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251K00000X Public Health or Welfare BH-4309 AZ Agencies

Other Provider Identifier

State Issuer Identifier Type Code
AZ AHCCCS ID # 000000 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1366094930 Psa Behavioral Health Agency Community/Behavioral Health 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 2019-07-12
1255891065 Psa Behavioral Health Agency Community/Behavioral Health 3341 E Queen Creek Rd Ste 105, Gilbert, AZ 85297-8510 2019-03-20
1700304110 Psa Behavioral Health Agency Community/Behavioral Health 2580 Highway 95 Ste 116, Bullhead City, AZ 86442-7324 2017-09-06
1316304546 Psa Behavioral Health Agency Public Health or Welfare 1308 N Stockton Hill Rd, Suite D, Kingman, AZ 86401-5139 2016-01-19
1467822734 Psa Behavioral Health Agency Public Health or Welfare 4665 S Ash Ave Ste G-1, Tempe, AZ 85282-6765 2015-09-30
1477982395 Psa Behavioral Health Agency Public Health or Welfare 541 E 10th St, Douglas, AZ 85607-2009 2013-11-01
1265877500 Psa Behavioral Health Agency Public Health or Welfare 820 S California Ave, Suite 104, Parker, AZ 85344-5051 2013-04-30
1184965840 Psa Behavioral Health Agency Public Health or Welfare 220 E 6th St, Tucson, AZ 85705-8424 2013-03-06
1366786006 Psa Behavioral Health Agency Public Health or Welfare 4655 S Lakeshore Dr, Tempe, AZ 85282-8328 2012-11-19
1457609406 Psa Behavioral Health Agency Public Health or Welfare 8027 N Black Canyon Hwy, Suite 2, Phoenix, AZ 85021-4802 2012-08-23

Office Location

Street Address 1326 W HIGHWAY 92
SUITE K
City BISBEE
State AZ
Zip Code 85603-1151

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619221553 Community Partners Integrated Healthcare, Inc. Community/Behavioral Health 24 Howell Avenue, Bisbee, AZ 85603 2012-10-30
1144525080 Denice Maylene Gaddie Acupuncturist 125 Bisbee Rd., Bisbee, AZ 85603 2011-01-25
1295038529 Arizona Counseling & Treatment Services, L.L.C. Community/Behavioral Health #24 Howell St., Bisbee, AZ 85603 2010-12-08
1467753673 Robert W. Luigs Counselor 229a Tombstone Canyon, Bisbee, AZ 85603 2010-11-04
1245544162 Ernestina S Buck Counselor 33 Subway St, Bisbee, AZ 85603 2010-08-03
1558588558 Juliet Elizabeth Caudle Kihl Registered Nurse 519 Melody Ln, Bisbee, AZ 85603 2007-04-19
1003032194 Candace Lynne Quibell Social Worker 907 B Tombstone Canyon, Bisbee, AZ 85603 2007-04-17
1902924806 Faye Chapman Hoese Counselor 24 Howell Ave., Box 544, Bisbee, AZ 85603 2007-03-27
1831214493 Pamela Rose Blunt Social Worker 43 Howell Avenue, Bisbee, AZ 85603 2007-03-20
1578625091 Derrick Thor Johnston Dentist 2 Naco Rd, Bisbee, AZ 85603 2006-12-14
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Taxonomy Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659408110 Southeastern Arizona Behavioral Health Svc Public Health or Welfare 212 Bisbee Rd # 214, Bisbee, AZ 85603-1102 2007-02-28
1215968250 Cochise County Public Health or Welfare 1415 W Melody Ln, Building A, Bisbee, AZ 85603-3037 2006-07-06
1962490854 Southeastern Arizona Behavioral Health Services, Inc. Public Health or Welfare 1326 Hwy 92, Bisbee, AZ 85603-1151 2005-10-13

Providers in the same taxonomy and state

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
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Competitor

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City BISBEE
Zip Code 85603

Improve Information

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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.

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