SOUTHWEST BEHAVIORAL HEALTH (NPI# 1427063007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427063007 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST BEHAVIORAL HEALTH |
| Practice Address |
2313 W Yuma St Phoenix AZ 85009-6441 |
| Mailing Address |
3450 N 3rd St Phoenix AZ 85012-2331 |
| Practice Telephone | 6022581542 |
| Practice Fax Number | 6022582318 |
| Mailing Telephone | 6022579339 |
| Mailing Fax Number | 6022658574 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JEFF JORDE (PRESIDENT / CEO) |
| Authorized Official Telephone | 6022884285 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH-841 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 378960 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427165562 | Southwest Behavioral Health | Clinic/Center | 404 W Aero Dr, Payson, AZ 85541-5407 | 2006-08-24 |
| 1376550343 | Southwest Behavioral Health | Community Based Residential Treatment Facility, Mental Illness | 2042 N 35th Ave, Phoenix, AZ 85009-2353 | 2006-08-02 |
| 1588679948 | Southwest Behavioral Health | Clinic/Center | 206 N 4th St, Buckeye, AZ 85326-2404 | 2006-07-31 |
| 1346255908 | Southwest Behavioral Health | Community Based Residential Treatment Facility, Mental Illness | 4015 S 7th St, Phoenix, AZ 85040-1134 | 2006-07-30 |
| 1023023603 | Southwest Behavioral Health | Community Based Residential Treatment Facility, Mental Illness | 7439 S 7th St, Phoenix, AZ 85042-5443 | 2006-07-30 |
| 1932114527 | Southwest Behavioral Health | Community Based Residential Treatment Facility, Mental Illness | Hc 6 Box 1419, Payson, AZ 85541-9732 | 2006-07-30 |
| 1235144809 | Southwest Behavioral Health | Community Based Residential Treatment Facility, Mental Illness | 7626 E Sheridan St, Scottsdale, AZ 85257-1632 | 2006-07-30 |
| 1023449618 | Southwest Behavioral Health | Case Management | 170 E Altamira Dr, Cedar City, UT 84720-3509 | 2013-12-06 |
| 1659380780 | Southwest Behavioral Health | Psychiatric Residential Treatment Facility | 1424 S 7th Ave, Phoenix, AZ 85007-3902 | 2006-08-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | SOUTHWEST BEHAVIORAL HEALTH CARE, INC. | P O Box 657, 20 Nw 4th Street, Evansville, IN 47708 |
| System for Award Management (SAM) Entities | SOUTHWEST BEHAVIORAL HEALTH CENTER | 474 W 200 N, St George, UT 84770-4505 |
| Street Address |
2313 W YUMA ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85009-6441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220065 | Ashley Medeiros | Specialist/Technologist | 2926 E. Encanto Blvd., Phoenix, AZ 85009 | 2020-09-16 |
| 1326252909 | Raul Herreras | Speech-Language Pathologist | 3101 W. Mcdowell Road, Phoenix, AZ 85009 | 2007-05-10 |
| 1295956779 | Gerardo Gaerlan Gregorio | Internal Medicine | 3250 W. Lower Buckeye Road, Phoenix, AZ 85009 | 2007-05-01 |
| 1316060338 | Eve Ronnie Davidson | Registered Nurse | 3333wroosevelt, Phoenix, AZ 85009 | 2007-04-06 |
| 1679693808 | Paul Thomas Lorentsen | Internal Medicine | 1929 W. Fillmore St, Bldg C, The Neighborhood Christian Clinic, Phoenix, AZ 85009 | 2007-03-30 |
| 1134246655 | Audrea J Chambers-pryce | Registered Nurse | 3715 W Roosevelt, Phx, AZ 85009 | 2007-03-22 |
| 1053437582 | Monique Marie Knepper | Licensed Practical Nurse | 3025 W Mc Dowell Rd, Phoenix, AZ 85009 | 2007-03-22 |
| 1245356054 | Lena Rose Felder | Speech-Language Pathologist | 3348 W. Mcdowell Rd., Phoenix, AZ 85009 | 2007-03-22 |
| 1508900036 | Walter M Wood | Psychologist | 3348 W Mcdowell Road, Phoenix, AZ 85009 | 2007-02-17 |
| 1194869982 | Maureen Brukardt | Registered Nurse | 3449 N 39th Ave, Phx, AZ 85009 | 2007-02-16 |
| Find all providers in zip 85009 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736018 | Happy Valley Community Services LLC | Community Based Residential Treatment Facility, Mental Illness | 1106 E Cochise Dr, Phoenix, AZ 85020-1550 | 2020-10-05 |
| 1639782956 | Ascend Behavioral Health and Wellness,llc | Community Based Residential Treatment Facility, Mental Illness | 3308 W Desert Vista Trl, Phoenix, AZ 85083-5874 | 2020-08-26 |
| 1588281604 | Alliance Behavioral Care LLC | Community Based Residential Treatment Facility, Mental Illness | 1402 E Hoover Ave, Phoenix, AZ 85006-1737 | 2020-07-06 |
| 1174143846 | Alpine Villa LLC | Community Based Residential Treatment Facility, Mental Illness | 14414 N 29th St, Phoenix, AZ 85032-5004 | 2020-04-22 |
| 1346860657 | Semper Fidelis Behavioral Health & Counseling, LLC | Community Based Residential Treatment Facility, Mental Illness | 3606 E Baseline Rd Unit 288, Phoenix, AZ 85042-9617 | 2020-04-16 |
| 1548889793 | Shea Home LLC | Community Based Residential Treatment Facility, Mental Illness | 10435 N 40th St, Phoenix, AZ 85028-4043 | 2020-04-08 |
| 1699394858 | Acome Home LLC | Community Based Residential Treatment Facility, Mental Illness | 4509 E Acoma Dr, Phoenix, AZ 85032-4855 | 2020-04-08 |
| 1033748009 | Optimum Care of Arizona LLC | Community Based Residential Treatment Facility, Mental Illness | 717 E Harwell Rd, Phoenix, AZ 85042-6655 | 2020-04-02 |
| 1043846561 | Happy Haven Az LLC | Community Based Residential Treatment Facility, Mental Illness | 1110 W Hadley St, Phoenix, AZ 85007-3610 | 2020-03-16 |
| 1942835806 | Mercy Favor and Grace Social Services | Community Based Residential Treatment Facility, Mental Illness | 9431 W Sheridan St, Phoenix, AZ 85037-4435 | 2020-03-10 |
| Find all providers in PHOENIX | ||||
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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.