PASADERA BEHAVIORAL HEALTH NETWORK, INC. (NPI# 1396164455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396164455 |
| Entity Type | Organization |
| Organization Name | PASADERA BEHAVIORAL HEALTH NETWORK, INC. |
| Other Organization Name | PASADERA PRESIDIO POINTE SITE |
| Practice Address |
275 W. Continental Rd. Suite 141 Green Valley AZ 85622-3666 |
| Mailing Address |
2700 S 8th Ave Tucson AZ 85713-4730 |
| Practice Telephone | 5206284000 |
| Practice Fax Number | 5205477003 |
| Mailing Telephone | 5206188622 |
| Mailing Fax Number | 5206283401 |
| Enumeration Date | 2014-04-15 |
| 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 | 251S00000X | Community/Behavioral Health | OTC6404 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 902838 | 05 | |
| AZ | STATE LICENSE | OTC6404 | 01 |
| Other Name | Type Code |
|---|---|
| Pasadera Presidio Pointe Site | 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 |
| 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 |
| 1053524348 | Pasadera Behavioral Health Network, Inc. | Clinic/Center | 2502 N. Dodge Blvd., Suite 190, Tucson, AZ 85716-2675 | 2007-05-07 |
| 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 |
275 W. CONTINENTAL RD. SUITE 141 |
| City | GREEN VALLEY |
| State | AZ |
| Zip Code | 85622-3666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043547011 | Lawrence H.e. Smith | Internal Medicine | 4611 S. Camino Del Tejon, Green Valley, AZ 85622 | 2009-11-11 |
| 1578976379 | Arizona Oncology Associates PC | Non-Pharmacy Dispensing Site | 1315 S La Canada Dr, Green Valley, AZ 85622-1915 | 2014-06-09 |
| 1851740021 | Kathleen Myers | Hearing Instrument Specialist | 1451 S La Canada Dr, Ste 3, Green Valley, AZ 85622-3325 | 2016-06-08 |
| 1306481247 | Dymphna I Medina | Orthotic Fitter | 210 W Continental Rd Ste 130a, Green Valley, AZ 85622-3546 | 2019-11-14 |
| 1366931420 | E Medical Group of Arizona No. 3, LLC | Home Health | 210 W Continental Rd Ste 116b, Green Valley, AZ 85622-3546 | 2018-05-04 |
| 1922413079 | Matthew Woolsey | Acupuncturist | 210 W Continental Rd Ste 132, Green Valley, AZ 85622-3546 | 2014-06-27 |
| 1093350886 | Continental Spa LLC | Massage Therapist | 210 W Continental Rd Ste 130a, Green Valley, AZ 85622-3546 | 2019-11-15 |
| 1619510666 | Gv Acupuncture LLC | Acupuncturist | 210 W Continental Rd Ste 132, Green Valley, AZ 85622-3546 | 2019-10-22 |
| 1245407428 | Arlo B Brakel Md LLC | Neurological Surgery | 450 W Continental Rd Ste B, Green Valley, AZ 85622-3551 | 2008-05-15 |
| 1548239288 | Arlo B Brakel | Neurological Surgery | 450 W Continental Rd, Green Valley, AZ 85622-3551 | 2006-03-15 |
| Find all providers in zip 85622 | ||||
| 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 |
|---|---|---|---|---|
| 1295157972 | Pasadera Behavioral Health Network, Inc. | Community/Behavioral Health | 1260 S. Campbell Rd., Building 2, Green Valley, AZ 85614-0503 | 2014-01-14 |
| 1356791701 | Community Intervention Associates, Inc | Community/Behavioral Health | 275 W Continental Rd, Suites 133a, B, C, D and 141, Green Valley, AZ 85622-3624 | 2016-06-16 |
| 1124195284 | Casa De Esperanza, Inc. | Community/Behavioral Health | 780 S Park Centre Ave, Green Valley, AZ 85614-5127 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700929 | True Wellness Support Services | Community/Behavioral Health | 8936 W Villa Rita Dr, Peoria, AZ 85382-3021 | 2020-11-05 |
| 1447851837 | Laws of Mindful Healing | Community/Behavioral Health | 3717 S Chaparral Rd, Apache Junction, AZ 85119-3608 | 2020-11-03 |
| 1790384030 | Great Xpectations LLC | Community/Behavioral Health | 4014 W Christy Dr, Phoenix, AZ 85029-3958 | 2020-10-19 |
| 1710586144 | Brighter Tomorrow's Family Services, LLC | Community/Behavioral Health | 644 N Country Club Dr Ste D, Mesa, AZ 85201-4983 | 2020-10-16 |
| 1386242295 | Mercy Cares LLC | Community/Behavioral Health | 2644 E Paradise Ln Apt D, Phoenix, AZ 85032-2945 | 2020-10-13 |
| 1124626080 | Beia's Families | Community/Behavioral Health | 3230 E Broadway Rd Ste C-235, Phoenix, AZ 85040-2873 | 2020-10-13 |
| 1558968099 | Seed Sower LLC | Community/Behavioral Health | 11526 W Bloomfield Rd, El Mirage, AZ 85335-3916 | 2020-10-07 |
| 1306443171 | Essential Health Services, LLC | Community/Behavioral Health | 2112 E Sanoque Ct, Gilbert, AZ 85298-6117 | 2020-10-05 |
| 1518564442 | Infinity Groups Homes LLC | Community/Behavioral Health | 3523 E Everett Dr, Phoenix, AZ 85032-5136 | 2020-10-05 |
| 1013524230 | Civara Behavioral Health LLC | Community/Behavioral Health | 4010 W Cactus Rd, Phoenix, AZ 85029-2905 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | GREEN VALLEY |
| Zip Code | 85622 |
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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.