SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC.


Address: 1430 E Fort Lowell Rd, Suite 210, Tucson, AZ 85719-2365
Phone: 5203191149

SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC. (NPI# 1396165106) 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) 1396165106
Entity Type Organization
Organization Name SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC.
Practice Address 1430 E Fort Lowell Rd
Suite 210
Tucson
AZ 85719-2365
Mailing Address 611 W Union St
Benson
AZ 85602-6718
Practice Telephone 5203191149
Enumeration Date 2014-04-18
Last Update Date 2014-04-18
Authorized Official Name JIM RUBIO (CEO)
Authorized Official Telephone 9284284550
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health BH4237 AZ Agencies

Other Provider Identifier

State Issuer Identifier Type Code
AZ ARIZONA DEPARTMENT OF HEALTH SERVICES BH4237 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1467824219 Southeastern Arizona Behavioral Health Services, Inc. Community/Behavioral Health 111 W Blake St, Suite 11, Globe, AZ 85501-2177 2015-10-20
1336421973 Southeastern Arizona Behavioral Health Services, Inc. Community/Behavioral Health 441 N Grand Ave Ste 9, Nogales, AZ 85621-2729 2011-09-09
1316015316 Southeastern Arizona Behavioral Health Services, Inc. Public Health or Welfare 1940 E 11th St, Douglas, AZ 85607-2413 2006-11-30
1932156395 Southeastern Arizona Behavioral Health Services, Inc. Public Health or Welfare 489 N Arroyo Blvd, Nogales, AZ 85621-2644 2006-05-30
1184613788 Southeastern Arizona Behavioral Health Services, Inc. Public Health or Welfare 730-732 W. 4th St., Benson, AZ 85602 2005-10-17
1962490854 Southeastern Arizona Behavioral Health Services, Inc. Public Health or Welfare 1326 Hwy 92, Bisbee, AZ 85603-1151 2005-10-13
1134117047 Southeastern Arizona Behavioral Health Services, Inc. Public Health or Welfare 1615 S 1st Ave, Safford, AZ 85546-2103 2005-10-13
1952399875 Southeastern Arizona Behavioral Health Services, Inc. Public Health or Welfare 185 S Moorman Ave, Sierra Vista, AZ 85635-2700 2005-10-13
1124016019 Southeastern Arizona Behavioral Health Services, Inc. Public Health or Welfare 1701 N Douglas Ave, Douglas, AZ 85607-1019 2005-10-13
1659369569 Southeastern Arizona Behavioral Health Services, Inc. Psychiatric Residential Treatment Facility 470 S Ocotillo Ave, Benson, AZ 85602-6403 2005-10-13

Office Location

Street Address 1430 E FORT LOWELL RD
SUITE 210
City TUCSON
State AZ
Zip Code 85719-2365

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023067808 Eric Chon Kutscher Pharmacist 1430 E Fort Lowell Rd, Tucson, AZ 85719-2365 2006-05-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649813635 Ishani Ravindra Deo Psychologist 1051 E Mabel St, Tucson, AZ 85719 2019-10-22
1235793100 Jacquelyn Christine Wagner Pediatrics 1625 N Campbell, Tucson, AZ 85719 2019-04-26
1831652189 Derek Allan Hatfield Emergency Medicine 1625 N Campbell Ave., Tucson, AZ 85719 2019-04-12
1053874305 Travis Patrick Martin Emergency Medicine 1625 N. Campbell Ave, Tucson, AZ 85719 2019-04-12
1245793504 Martin Cisneroz Emergency Medicine 1625 North Campbell Avenue, Tucson, AZ 85719 2019-04-12
1174086722 Sarah Joy Ring Emergency Medicine 1625 N. Campbell Ave., Tucson, AZ 85719 2019-04-10
1790245520 Akash M Doshi Student in an Organized Health Care Education/Training Program 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 2019-03-20
1942773668 Jeffery Roy Small Massage Therapist 3607 N Vine, Tucson, AZ 85719 2019-01-04
1114434180 Elizabeth Irene Welch Behavioral Analyst 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 2017-12-29
1477076255 Medavail Pharmacy Inc. Pharmacy 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 2017-07-24
Find all providers in zip 85719

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265047435 Sarah Mcmillan Counseling Pllc Community/Behavioral Health 6460 E Grant Rd # 30661, Tucson, AZ 85715-8800 2020-09-14
1851902274 Connections Counseling Inc Community/Behavioral Health 450 E Navajo Rd, Tucson, AZ 85705-3939 2020-08-10
1619503224 Willingness Counseling Pllc Community/Behavioral Health 5775 S Saddle Ridge Ln, Tucson, AZ 85746-3635 2020-03-14
1174162143 Buena Vista Recovery, LLC Community/Behavioral Health 5151 E Pima St Ste 110, Tucson, AZ 85712-3627 2019-12-23
1053877639 Getaway Advanced Services LLC Community/Behavioral Health 3780 E Felix Blvd, Tucson, AZ 85706-1926 2019-02-19
1255815577 Jane St. Perre Community/Behavioral Health 1955 W Grant Rd Ste 125p, Tucson, AZ 85745-1471 2018-09-21
1225519416 The University of Arizona Community/Behavioral Health 4210 N Campbell Ave, Tucson, AZ 85719-1109 2018-08-24
1497244214 Sage Counseling, Inc. Community/Behavioral Health 2221 E Broadway Blvd Ste 200, Tucson, AZ 85719-6032 2018-05-07
1316440241 Rob Zonfrelli Counseling LLC Community/Behavioral Health 10501 E Seven Generations Way Ste 121, Tucson, AZ 85747-5828 2018-03-16
1730681685 Casa De Los Ninos, Inc. Community/Behavioral Health 1120 N 5th Avenue, Tucson, AZ 85705 2018-03-07
Find all providers in TUCSON

Competitor

Search similar providers

City TUCSON
Zip Code 85719

Improve Information

Please comment or provide details below to improve the information on SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC..

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.

Trending Searches