SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES INC (NPI# 1326215955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326215955 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES INC |
| Other Organization Name | SEABHS |
| Practice Address |
4755 Campus Drive Sierra Vista AZ 85635 |
| Mailing Address |
P.o. Box 2161 611 W. Union Street Benson AZ 85602 |
| Practice Telephone | 5204583932 |
| Practice Fax Number | 5204583585 |
| Mailing Telephone | 5205860800 |
| Mailing Fax Number | 5205860116 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2010-07-27 |
| Authorized Official Name | MR. JOHN MOTOWSKI (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5205860800 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | BH-3043 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | OBHL LICENSE | BH-3043 | 01 |
| Other Name | Type Code |
|---|---|
| SEABHS | Doing Business As Name - Organization |
| Street Address |
4755 CAMPUS DRIVE |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750993705 | Haleigh D Howerton | Counselor | 4755 Campus Drive, Seabhs, Sierra Vista, AZ 85635 | 2020-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568969046 | Grossman & Grossman, Ltd. | Community/Behavioral Health | 4669 N Commerce Dr Ste 4a, Sierra Vista, AZ 85635-2497 | 2018-04-10 |
| 1356765051 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 4511 N Commerce Dr, Sierra Vista, AZ 85635 | 2014-02-17 |
| 1841636776 | San Pedro Health | Community/Behavioral Health | 4151 La Linda Way Ste 102, Sierra Vista, AZ 85635-4600 | 2013-05-19 |
| 1376869321 | Tides of Change Center of Wellness | Community/Behavioral Health | 1451 E Redrock Dr, Sierra Vista, AZ 85650-8499 | 2010-04-15 |
| 1609198571 | Lazy Horse Ranch Inc | Community/Behavioral Health | 675 Giulio Cesare Ave, Sierra Vista, AZ 85635-2564 | 2010-02-19 |
| 1528273273 | Child & Family Resources, Inc. | Community/Behavioral Health | 999 E Fry Blvd Ste 110, Sierra Vista, AZ 85635-2617 | 2007-05-14 |
| 1285649715 | Helping Ourselves Pursue Enrichment, Inc. | Community/Behavioral Health | 1201 E Fry Blvd, Sierra Vista, AZ 85635 | 2006-07-31 |
| 1790079580 | Insight Behavioral Health, LLC | Community/Behavioral Health | 2913 Oak Hill St, Sierra Vista, AZ 85650-5120 | 2011-06-08 |
| 1215243415 | New Pathways Psychological Services, LLC | Community/Behavioral Health | 77 Calle Portal, Suite B260-e, Sierra Vista, AZ 85635-2967 | 2010-08-25 |
| 1720232168 | Easter Seals Blake Foundation | Community/Behavioral Health | 55 S 5th St, Sierra Vista, AZ 85635-1857 | 2008-11-12 |
| Find all providers in SIERRA VISTA | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
Please comment or provide details below to improve the information on SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES INC.
| 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.