PSA BEHAVIORAL HEALTH AGENCY


Address: 541 E 10th St, Douglas, AZ 85607-2009
Phone: 6029951767

PSA BEHAVIORAL HEALTH AGENCY (NPI# 1477982395) 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) 1477982395
Entity Type Organization
Organization Name PSA BEHAVIORAL HEALTH AGENCY
Practice Address 541 E 10th St
Douglas
AZ 85607-2009
Mailing Address 2255 W Northern Ave
Phoenix
AZ 85021-4936
Practice Telephone 6029951767
Mailing Telephone 6029951767
Enumeration Date 2013-11-01
Last Update Date 2013-11-01
Authorized Official Name KIMBERLY QUIROS (DIRECTOR OF I.T. & CLAIMS)
Authorized Official Telephone 6029951767
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251K00000X Public Health or Welfare BH-4406 AZ Agencies

Other Provider Identifier

State Issuer Identifier Type Code
AZ AHCCCS ID 000000 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1366094930 Psa Behavioral Health Agency Community/Behavioral Health 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 2019-07-12
1255891065 Psa Behavioral Health Agency Community/Behavioral Health 3341 E Queen Creek Rd Ste 105, Gilbert, AZ 85297-8510 2019-03-20
1700304110 Psa Behavioral Health Agency Community/Behavioral Health 2580 Highway 95 Ste 116, Bullhead City, AZ 86442-7324 2017-09-06
1316304546 Psa Behavioral Health Agency Public Health or Welfare 1308 N Stockton Hill Rd, Suite D, Kingman, AZ 86401-5139 2016-01-19
1467822734 Psa Behavioral Health Agency Public Health or Welfare 4665 S Ash Ave Ste G-1, Tempe, AZ 85282-6765 2015-09-30
1215362082 Psa Behavioral Health Agency Public Health or Welfare 1326 W Highway 92, Suite K, Bisbee, AZ 85603-1151 2013-09-11
1265877500 Psa Behavioral Health Agency Public Health or Welfare 820 S California Ave, Suite 104, Parker, AZ 85344-5051 2013-04-30
1184965840 Psa Behavioral Health Agency Public Health or Welfare 220 E 6th St, Tucson, AZ 85705-8424 2013-03-06
1366786006 Psa Behavioral Health Agency Public Health or Welfare 4655 S Lakeshore Dr, Tempe, AZ 85282-8328 2012-11-19
1457609406 Psa Behavioral Health Agency Public Health or Welfare 8027 N Black Canyon Hwy, Suite 2, Phoenix, AZ 85021-4802 2012-08-23

Office Location

Street Address 541 E 10TH ST
City DOUGLAS
State AZ
Zip Code 85607-2009

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811472665 Chiricahua Community Health Centers, Inc Clinic/Center 1151 16th Street, Douglas, AZ 85607 2018-09-27
1457758609 Angela Leah Overturf Nurse Practitioner 100 East 5th Street, Douglas, AZ 85607 2014-12-02
1609279108 Walter Tucker Counselor 2100 E 8th, Douglas, AZ 85607 2014-09-29
1851700488 Gerardo Grijalva Non-emergency Medical Transport (VAN) 2714 E 6th St, Douglas, AZ 85607 2014-08-07
1174933246 Caring Connections for Special Needs, LLC Community/Behavioral Health 1019 F Ave, Douglas, AZ 85607 2014-04-29
1831473164 Cheryl Lynn Mcneeley Speech-Language Pathologist 815 E. 15th Street, Douglas, AZ 85607 2011-10-05
1245523364 Community Intervention Associates Community/Behavioral Health 1701 North Douglasave, Douglas, AZ 85607 2011-05-23
1174820898 Chiricahua Community Health Centers, Inc Clinic/Center 815 15th Street, Douglas, AZ 85607 2011-02-15
1033319512 Community Healthcare of Douglas Inc Clinic/Center 1906 11th Street, Douglas, AZ 85607 2007-07-23
1538360888 Jay Daniel Zamora Chiropractor 1915 E 10th St, Douglas, AZ 85607 2007-05-31
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Taxonomy Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700442753 Region Xi Field Fiscal Office Public Health or Welfare 1400 Peterson Ave N Ste D, Douglas, GA 31533-2833 2019-05-15
1316015316 Southeastern Arizona Behavioral Health Services, Inc. Public Health or Welfare 1940 E 11th St, Douglas, AZ 85607-2413 2006-11-30
1255438651 County of Converse Public Health or Welfare 442 Center, Douglas, WY 82633 2006-09-20
1316976699 Coffee County Board of Health Public Health or Welfare 1003 Shirley Ave, Douglas, GA 31533-2123 2006-06-30
1225074685 Town of Douglas Public Health or Welfare 29 Depot St, Douglas, MA 01516-2374 2006-06-22
1952346074 Coffee County Board of Health Public Health or Welfare 1111 Baker Hwy W, Douglas, GA 31533-2107 2006-06-20
1124016019 Southeastern Arizona Behavioral Health Services, Inc. Public Health or Welfare 1701 N Douglas Ave, Douglas, AZ 85607-1019 2005-10-13
1366864423 Psa Behavioral Health Agency Public Health or Welfare 1500 E 15th St, Room 608, Douglas, AZ 85607-1731 2014-01-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548861701 Agape Love Community Center LLC Public Health or Welfare 2750 W Mcdowell Rd, Phoenix, AZ 85009-2605 2020-11-04
1508481854 Hamoecrc, LLC Public Health or Welfare 4413 N 106th Ave, Phoenix, AZ 85037-5563 2020-06-12
1699307306 Arizona Healthcare Outreach Public Health or Welfare 3581 W Northern Ave Ste 8, Phoenix, AZ 85051-9404 2020-02-10
1962949008 Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm Public Health or Welfare 1216 N. 307th Avenue, San Lucy Clinic, Gila Bend, AZ 85337 2017-01-27
1316484462 Golder Ranch Fire District Public Health or Welfare 3885 E Golder Ranch Dr, Tucson, AZ 85739-9797 2017-01-27
1609226364 Clean Colonic LLC Public Health or Welfare 7560 S. Willow Dr, Tempe, AZ 85283 2016-06-14
1316304546 Psa Behavioral Health Agency Public Health or Welfare 1308 N Stockton Hill Rd, Suite D, Kingman, AZ 86401-5139 2016-01-19
1346606761 Banner Whole Health Clinic Public Health or Welfare 535 N, Wimont, Tucson, AZ 85711 2016-01-14
1467822734 Psa Behavioral Health Agency Public Health or Welfare 4665 S Ash Ave Ste G-1, Tempe, AZ 85282-6765 2015-09-30
1003207226 Summit Fire District Public Health or Welfare 8905 Koch Field Rd, Flagstaff, AZ 86004-3261 2015-02-10
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Competitor

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City DOUGLAS
Zip Code 85607

Improve Information

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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.

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