SOUTHWEST BEHAVIORAL HEALTH SERVICES (NPI# 1275907511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275907511 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST BEHAVIORAL HEALTH SERVICES |
| Practice Address |
7600 E Florentine Rd Suite 201 Prescott Valley AZ 86314-1295 |
| Mailing Address |
3450 N 3rd St Phoenix AZ 85012-2331 |
| Practice Telephone | 9287171800 |
| Mailing Telephone | 6022579339 |
| Mailing Fax Number | 6022658533 |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-12-03 |
| Authorized Official Name | MR. JEFF JORDE (CEO/PRESIDENT) |
| Authorized Official Telephone | 6022579339 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AZ | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AZ | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
AZ | Allopathic & Osteopathic Physicians | |
| N | 251S00000X | Community/Behavioral Health | AZ | Agencies | |
| N | 363A00000X | Physician Assistant | AZ | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013422666 | Southwest Behavioral Health Services | Clinic/Center | 3430 E Flamingo Rd Ste 311, Las Vegas, NV 89121-5067 | 2017-12-05 |
| 1619982196 | Southwest Behavioral Health Services | Clinic/Center | 1424 S 7th Ave, Phoenix, AZ 85007-3902 | 2006-07-31 |
| 1972759397 | Southwest Behavioral Health Services | Clinic/Center | 404 W Aero Dr, Payson, AZ 85541-5407 | 2008-08-18 |
| 1255448833 | Southwest Behavioral Health Services | Psychiatric Residential Treatment Facility | 1424 S 7th Ave, Phoenix, AZ 85007-3902 | 2006-08-23 |
| 1598772568 | Southwest Behavioral Health Services | Clinic/Center | 4420 S 32nd St, Phoenix, AZ 85040-2804 | 2006-08-02 |
| 1225043755 | Southwest Behavioral Health Services | Clinic/Center | 10220 N 31st Ave, Phoenix, AZ 85051-9581 | 2006-07-31 |
| 1346255791 | Southwest Behavioral Health Services | Clinic/Center | 1255 W Baseline Rd, Mesa, AZ 85202-5820 | 2006-07-31 |
| Street Address |
7600 E FLORENTINE RD SUITE 201 |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314-1295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578712261 | Kathleen L. Baker | Counselor | 7600 E Florentine Rd, Prescott Valley, AZ 86314-1295 | 2008-09-17 |
| 1184125403 | Barbara Beck | Counselor | 7600 E Florentine Rd, Prescott Valley, AZ 86314-1295 | 2018-02-22 |
| 1023444049 | Cheryl Anne Wagner | Nurse Practitioner | 7600 E Florentine Rd, Prescott Valley, AZ 86314-1295 | 2013-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578192027 | Caitlin Holm | Counselor | 6810 E Spouse Dr Apt 225, Prescott Valley, AZ 86314-6647 | 2020-04-06 |
| 1699336081 | Erin Wright | Counselor | 4356 N Sauter Dr E, Prescott Valley, AZ 86314-6312 | 2019-06-26 |
| 1003368887 | Virginia Martinez | Counselor | 7776 E Painted Wagon Path, Prescott Valley, AZ 86315-7811 | 2016-10-27 |
| 1437468493 | Alice Kurtz | Counselor | 7550 E Traders Trl, Prescott Valley, AZ 86314-1422 | 2010-09-24 |
| 1801127113 | Debra Abari | Counselor | 8603 E Eastridge Rd Ste A, Prescott Valley, AZ 86314-8562 | 2010-01-26 |
| 1942347034 | Mingus Mountain Estate Residential Center Inc. | Counselor | 8349 East Spouse Drive, Suite B, Prescott Valley, AZ 86314 | 2007-01-30 |
| 1356909451 | Tea and Empathy, Pllc | Counselor | 8833 N Grass Valley Ln, Prescott Valley, AZ 86315-9232 | 2019-06-03 |
| 1215309760 | Kara Schumann | Counselor | 3345 N Windsong Dr, Prescott Valley, AZ 86314-2283 | 2015-10-23 |
| 1669802658 | Bettino Counseling | Counselor | 8430 E Spouse Dr, Prescott Valley, AZ 86314-6142 | 2013-11-12 |
| 1912273582 | Melissa Rauch | Counselor | 8603 E Eastridge Rd Ste A, Prescott Valley, AZ 86314-8562 | 2012-03-28 |
| Find all providers in PRESCOTT VALLEY | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
Please comment or provide details below to improve the information on SOUTHWEST BEHAVIORAL HEALTH SERVICES.
| 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.