PASADERA BEHAVIORAL HEALTH NETWORK, INC. (NPI# 1457746497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457746497 |
| Entity Type | Organization |
| Organization Name | PASADERA BEHAVIORAL HEALTH NETWORK, INC. |
| Other Organization Name | DODGE DETOXIFICATION CENTER |
| Practice Address |
2502 N Dodge Blvd Suite 190 Tucson AZ 85716-2671 |
| Mailing Address |
2700 S 8th Ave Tucson AZ 85713-4730 |
| Practice Telephone | 5206188600 |
| Practice Fax Number | 5206171608 |
| Mailing Telephone | 5206283400 |
| Mailing Fax Number | 5206283401 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-08-13 |
| 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 | 276400000X | Rehabilitation, Substance Use Disorder Unit | IFBH7082 | AZ | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 019108 | 05 | |
| AZ | STATE LICENSE | IFBH7082 | 01 |
| Other Name | Type Code |
|---|---|
| Dodge Detoxification Center | 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 |
| 1396164455 | Pasadera Behavioral Health Network, Inc. | Community/Behavioral Health | 275 W. Continental Rd., Suite 141, Green Valley, AZ 85622-3666 | 2014-04-15 |
| 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 |
| 1114286788 | Pasadera Behavioral Health Network, Inc. | Substance Abuse Rehabilitation Facility | 2499 E. Ajo Way, Tucson, AZ 85713-5478 | 2012-05-16 |
| Street Address |
2502 N DODGE BLVD SUITE 190 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85716-2671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013012699 | Ivy L Schwartz | Family Medicine | 2502 N Dodge Blvd, Suite 100, Tucson, AZ 85716-2671 | 2006-09-14 |
| 1811432149 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 2502 N Dodge Blvd, Suite 190 Central & East, Tucson, AZ 85716 | 2016-12-22 |
| 1215487384 | Community Bridges, Inc. | Clinical Medical Laboratory | 2502 N Dodge Blvd, Suite 190, Tucson, AZ 85716-2671 | 2016-10-12 |
| 1740737196 | Community Bridges, Inc. | Clinical Medical Laboratory | 2502 N Dodge Blvd, Suite 190, Tucson, AZ 85716-2671 | 2016-09-01 |
| 1427415215 | Community Partnership Care Coordination, LLC | Counselor | 2502 N Dodge Blvd, Suite 100, Tucson, AZ 85716-2671 | 2016-01-25 |
| 1740645571 | Rachel Martin | Social Worker | 2502 N Dodge Blvd, Tucson, AZ 85716-2671 | 2015-12-21 |
| 1932573136 | Devereux Foundation | Community Based Residential Treatment Facility, Mental Illness | 2502 N Dodge Blvd, Suite 120, Tucson, AZ 85716-2671 | 2015-11-25 |
| 1992171268 | Devereux Foundation | Community/Behavioral Health | 2502 N Dodge Blvd, Suite 110, Tucson, AZ 85716-2671 | 2015-08-20 |
| 1700252707 | Eric Parrish | Counselor | 2502 N Dodge Blvd, Tucson, AZ 85716-2671 | 2015-08-13 |
| 1275914830 | Mary Pentland | Social Worker | 2502 N Dodge Blvd, Suite 190, Tucson, AZ 85716-2671 | 2015-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063065043 | Kristi Watson Mdpc | Clinic/Center | Hodges Eye Care and Surgical Location, 1502 N. Tucson Blvd, Tucson, AZ 85716 | 2019-07-19 |
| 1639731326 | Leigh-anne Andre | Social Worker | 1135 N. Jones Blvd, Tucson, AZ 85716 | 2019-07-02 |
| 1053802462 | Thomas Scott Mcvean | Technician, Pathology | 718 N Richey Blvd, Tucson, AZ 85716 | 2018-05-21 |
| 1063923787 | Intermountain Health Center, Inc. | Clinic/Center | 3815 E. Monte Vista, Apt. 1101, Tuscon, AZ 85716 | 2017-10-20 |
| 1992224729 | Rocio Fonseca | Counselor | 1014 N Country Club, Tucson, AZ 85716 | 2017-09-13 |
| 1548784473 | Adrian Linda Fait | Speech-Language Pathologist | Child & Family Resources, Inc., 2800 E. Broadway Blvd, Tucson, AZ 85716 | 2017-08-02 |
| 1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
| 1396114211 | Craig Stark | Internal Medicine | 2978 E Greenlee St, Tucson, AZ 85716 | 2015-09-21 |
| 1598142283 | Layla Carol Bradley | Nurse Practitioner | 3832 E. Speedway, Minute Clinic, Tucson, AZ 85716 | 2015-05-01 |
| 1134547813 | Maeve Shaughnessy | Counselor | 2921 E Fort Lowell Rd Ste 207, Tucson, AZ 85716 | 2014-03-31 |
| Find all providers in zip 85716 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917488 | Buena Vista Recovery, LLC | Rehabilitation, Substance Use Disorder Unit | 5151 E Pima St Ste 110, Tucson, AZ 85712-3627 | 2020-06-19 |
| 1740550839 | Pasadera Behavioral Health Network | Rehabilitation, Substance Use Disorder Unit | 2950 N. Dodge Blvd., Tucson, AZ 85716-2012 | 2012-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616319 | Az Peace of Mind Behavioral Health Home LLC | Rehabilitation, Substance Use Disorder Unit | 15622 W Sierra St, Surprise, AZ 85379-1038 | 2020-07-10 |
| 1265849509 | Tru Recovery Solutions, LLC | Rehabilitation, Substance Use Disorder Unit | 8196 E Valley Rd, Prescott Valley, AZ 86314-9465 | 2014-07-18 |
| 1417391293 | Prescott Detox Center, LLC | Rehabilitation, Substance Use Disorder Unit | 831 Gail Gardner Way, Prescott, AZ 86305-1606 | 2013-04-23 |
| 1215263314 | A Sober Way Home | Rehabilitation, Substance Use Disorder Unit | 609 W Gurley St, Prescott, AZ 86305-3619 | 2009-10-23 |
| 1982894036 | A Sober Way Home | Rehabilitation, Substance Use Disorder Unit | 1211 East Gurley Street, Suite 2, Prescott, AZ 86301 | 2007-07-25 |
| 1912523549 | Buena Vista Recovery, LLC | Rehabilitation, Substance Use Disorder Unit | 3033 S Arizona Ave Ste 110, Chandler, AZ 85248-2717 | 2020-06-19 |
| 1487126686 | Fjcm Behavioral Health Care LLC | Rehabilitation, Substance Use Disorder Unit | 2710 E Valencia Dr, Phoenix, AZ 85042-7081 | 2018-12-28 |
| 1184103400 | Crossroads, Inc | Rehabilitation, Substance Use Disorder Unit | 1700 E Thomas Rd, Phoenix, AZ 85016-7605 | 2018-08-08 |
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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.