SOUTHWEST BEHAVIORAL HEALTH SERVICES (NPI# 1619982196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619982196 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST BEHAVIORAL HEALTH SERVICES |
| Practice Address |
1424 S 7th Ave Phoenix AZ 85007-3902 |
| Mailing Address |
3450 N 3rd St Phoenix AZ 85012-2331 |
| Practice Telephone | 6022583600 |
| Practice Fax Number | 6022560514 |
| Mailing Telephone | 6022579339 |
| Mailing Fax Number | 6022658574 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-05-28 |
| Authorized Official Name | MR. JEFF JORDE (PRESIDENT / CEO) |
| Authorized Official Telephone | 6022854285 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
BH-153 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | SITE LICENSE | BH-153 | 01 |
| AZ | 389892 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013422666 | Southwest Behavioral Health Services | Clinic/Center | 3430 E Flamingo Rd Ste 311, Las Vegas, NV 89121-5067 | 2017-12-05 |
| 1275907511 | Southwest Behavioral Health Services | Nurse Practitioner | 7600 E Florentine Rd, Suite 201, Prescott Valley, AZ 86314-1295 | 2015-11-24 |
| 1972759397 | Southwest Behavioral Health Services | Clinic/Center | 404 W Aero Dr, Payson, AZ 85541-5407 | 2008-08-18 |
| 1255448833 | Southwest Behavioral Health Services | Psychiatric Residential Treatment Facility | 1424 S 7th Ave, Phoenix, AZ 85007-3902 | 2006-08-23 |
| 1598772568 | Southwest Behavioral Health Services | Clinic/Center | 4420 S 32nd St, Phoenix, AZ 85040-2804 | 2006-08-02 |
| 1225043755 | Southwest Behavioral Health Services | Clinic/Center | 10220 N 31st Ave, Phoenix, AZ 85051-9581 | 2006-07-31 |
| 1346255791 | Southwest Behavioral Health Services | Clinic/Center | 1255 W Baseline Rd, Mesa, AZ 85202-5820 | 2006-07-31 |
| Street Address |
1424 S 7TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85007-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578945572 | Eric Carmen Betancourt | Nurse Practitioner | 1424 S 7th Ave, Building B, Phoenix, AZ 85007-3902 | 2015-06-25 |
| 1013396050 | Kelle English | Counselor | 1424 S 7th Ave, Bldg. C, Phoenix, AZ 85007-3902 | 2015-05-22 |
| 1689735656 | Robert Bohanske | Psychologist | 1424 S 7th Ave, Bldg A, Phoenix, AZ 85007-3902 | 2006-12-13 |
| 1255448833 | Southwest Behavioral Health Services | Psychiatric Residential Treatment Facility | 1424 S 7th Ave, Phoenix, AZ 85007-3902 | 2006-08-23 |
| 1659380780 | Southwest Behavioral Health | Psychiatric Residential Treatment Facility | 1424 S 7th Ave, Phoenix, AZ 85007-3902 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861017824 | Tembre Eliza Delong | Student in an Organized Health Care Education/Training Program | 230 South 12th Ave, Phoenix, AZ 85007 | 2020-06-15 |
| 1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
| 1922559624 | Community Bridges, Inc. | Community/Behavioral Health | 1125 W Jackson St, Phoenix, AZ 85007 | 2016-10-18 |
| 1912358045 | Isabel Victoria Rodriguez | Speech-Language Pathologist | 2302 North 15th Avenue, Phoenix, AZ 85007 | 2016-06-30 |
| 1730441825 | Sara Joyce Edmund | Nurse Practitioner | 1424 S 7th Avenue, Phoenix, AZ 85007 | 2012-06-13 |
| 1295781771 | Ilin Chuang | Pediatrics | 150 N. 18th Ave., Suite 150, Arizona Depart. of Health Services, Phoenix, AZ 85007 | 2006-05-26 |
| 1518924802 | Michael James Higbee | Physician Assistant | 1201 S. 7th Avenue, Suite 150, Phoenix, AZ 85007 | 2006-04-28 |
| 1942278676 | David Paul Brown | Emergency Medicine | 1201 S 7 Avenue, Phoenix, AZ 85007 | 2006-03-09 |
| 1265409759 | Carol D Watkins | Emergency Medicine | 1201 S 7th Avenue, Phoenix, AZ 85007 | 2006-03-02 |
| 1982695615 | Mary Pat Nesbit | Emergency Medicine | 1201 S 7th Ave, Phoenix, AZ 85007 | 2005-11-02 |
| Find all providers in zip 85007 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497372908 | A Path of Resilience - Aprbhs - Rose House - LLC | Clinic/Center | 2258 W Wayland Rd, Phoenix, AZ 85041-3753 | 2020-06-30 |
| 1083237630 | The Heart Program | Clinic/Center | 4041 E Flower St, Phoenix, AZ 85018-6433 | 2020-05-18 |
| 1316569056 | Desert Heart Counseling Corp | Clinic/Center | 1536 E Maryland Ave Ste B300, Phoenix, AZ 85014-1475 | 2020-05-16 |
| 1588212195 | Tamarria Denga | Clinic/Center | 10000 N 31st Ave Ste D411, Phoenix, AZ 85051-1358 | 2019-08-27 |
| 1043778756 | Aye Wellness, Pllc | Clinic/Center | 2406 S 24th St Ste E100, Phoenix, AZ 85034-6801 | 2019-03-12 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1396209474 | Enchanted Behavioral Healthcare, LLC | Clinic/Center | 11225 N 28th Dr Ste D115h, Phoenix, AZ 85029-5609 | 2019-01-23 |
| 1427548668 | Integrative Wellness Solutions, Pllc | Clinic/Center | 700 W Campbell Ave Ste 1, Phoenix, AZ 85013-2690 | 2018-05-14 |
| 1679088363 | Center for Therapy and Mindfulness | Clinic/Center | 2807 N 51st St, Phoenix, AZ 85008-1613 | 2017-12-05 |
| 1811434558 | Successful Journeys Integrated Care | Clinic/Center | 8828 N Central Ave, 206, Phoenix, AZ 85020-2849 | 2017-01-19 |
| 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.