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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251K00000X | Public Health or Welfare | BH-4309 | AZ | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | AHCCCS ID # | 000000 | 01 |
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 |
Street Address |
1326 W HIGHWAY 92 SUITE K |
City | BISBEE |
State | AZ |
Zip Code | 85603-1151 |
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 |
Find all providers in zip 85603 |
Taxonomy Code | 251K00000X |
Grouping | Agencies |
Classification | Public Health or Welfare |
Definition to come... |
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 |
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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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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.