BLACK MOUNTAIN BEHAVIORAL HEALTH, LLC (NPI# 1639589930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639589930 |
| Entity Type | Organization |
| Organization Name | BLACK MOUNTAIN BEHAVIORAL HEALTH, LLC |
| Practice Address |
33755 N Scottsdale Rd Suite J-105 Scottsdale AZ 85266-1567 |
| Practice Telephone | 4805951555 |
| Practice Fax Number | 8663070007 |
| Mailing Telephone | 4805951555 |
| Mailing Fax Number | 8663070007 |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |
| Authorized Official Name | DR. KONSTANTINOS DIMITRIOS THOMOPOULOS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4805951555 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers | ||
| N | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers | ||
| N | 103TH0004X |
Psychologist Specialization: Health |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
33755 N SCOTTSDALE RD SUITE J-105 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85266-1567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861522419 | John S Bickle Do Plc | Family Medicine | 33755 N Scottsdale Rd, Suite 120, Scottsdale, AZ 85266-1567 | 2007-03-06 |
| 1528473055 | Melanie S Anderson Psyd Pllc | Psychologist | 33755 N Scottsdale Rd, Suite J105, Scottsdale, AZ 85266-1567 | 2014-06-23 |
| 1548675077 | Black Mountain Neuropsychology, Pllc | Psychologist | 33755 N Scottsdale Rd, Suite J105, Scottsdale, AZ 85266-1567 | 2014-06-23 |
| 1710398995 | Melanie S Anderson | Psychologist | 33755 N Scottsdale Rd, Suite J-105, Scottsdale, AZ 85266-1567 | 2014-05-09 |
| 1801206115 | Konstantinos D. Thomopoulos | Clinical Neuropsychologist | 33755 N Scottsdale Rd, Suite J-105, Scottsdale, AZ 85266-1567 | 2014-05-08 |
| 1568681104 | Arizona Health Care Clinic PC | Chiropractor | 33755 N Scottsdale Rd, Suite 101, Scottsdale, AZ 85266-1567 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962052035 | Summit Aesthetics LLC | Dentist | 34209 N. Scottsdale Rd, Suite 103, Scottsdale, AZ 85266 | 2019-09-19 |
| 1669728150 | Lux Cozy Dental Spa | Dentist | 34597 N. 60th St. #101, Scottsdale, AZ 85266 | 2012-08-02 |
| 1316224835 | Alisa Kay Frierson | Nurse Practitioner | 32409 N Scottsdale Rd Ste 103, Scottsdale, AZ 85266 | 2011-11-11 |
| 1699008524 | Stephen Fortunoff | Urology | 7740 East Black Mountain Rd, Scottsdale, AZ 85266 | 2009-09-10 |
| 1326263484 | Empower You Experts, Inc | Psychologist | 8644 East Woodley Way, Scottsdale, AZ 85266 | 2007-04-16 |
| 1669536918 | Philip E Stein | Optometrist | 32351 N Scottsdale Rd, Scottsdale, AZ 85266 | 2006-12-21 |
| 1043342611 | Lisa Ann Lavella | Psychologist | 8644 E Woodley Way, Scottsdale, AZ 85266-1082 | 2007-03-09 |
| 1528691128 | James Mccreary | Counselor | 8644 E Woodley Way, Scottsdale, AZ 85266-1082 | 2020-02-21 |
| 1871757047 | Christina Liakopoulos | Social Worker | 8644 E Woodley Way, Scottsdale, AZ 85266-1082 | 2008-07-16 |
| 1003975012 | Christa L O'mara | Registered Nurse | 34525 N Scottsdale Rd, Scottsdale, AZ 85266-1201 | 2006-12-06 |
| Find all providers in zip 85266 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962022806 | Illuminate Recovery LLC | Clinic/Center | 10619 N Hayden Rd Ste A-108, Scottsdale, AZ 85260-8529 | 2020-04-21 |
| 1659918266 | Peace & Ease LLC | Clinic/Center | 14362 N Frank Lloyd Wright Blvd Ste B103, Scottsdale, AZ 85260-8881 | 2019-12-02 |
| 1346706439 | With You & for You, LLC | Clinic/Center | 11427 E La Junta Rd, Scottsdale, AZ 85255-8702 | 2019-02-14 |
| 1679054720 | The Hope House #1.5 | Clinic/Center | 28901 N 114th St Ste 200, Scottsdale, AZ 85262-4757 | 2018-08-27 |
| 1477921310 | Valley Education & Treatment, LLC | Clinic/Center | 7802 E Gray Rd Ste 500, Scottsdale, AZ 85260-3494 | 2015-09-09 |
| 1306229042 | Sol Recovery LLC | Clinic/Center | 8125 N 86th Pl, Attn: Mr. Ferber, Scottsdale, AZ 85258-4310 | 2015-06-30 |
| 1659913762 | Blustone 360 Medical Group | Clinic/Center | 9831 E Bell Rd, Scottsdale, AZ 85260-2350 | 2019-10-09 |
| 1063910081 | Alternative Education Solutions, LLC | Clinic/Center | 3200 N Hayden Rd Ste 105, Scottsdale, AZ 85251-6766 | 2018-01-24 |
| 1275079279 | Pathfinder Recovery Center, LLC | Clinic/Center | 7600 E Redfield Rd, Suite A105, Scottsdale, AZ 85260-3466 | 2017-01-13 |
| 1922463496 | Pinnacle Peak Recovery, LLC | Clinic/Center | 8070 E Morgan Trl, Suite 200, Scottsdale, AZ 85258-1227 | 2015-12-28 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85266 |
Please comment or provide details below to improve the information on BLACK MOUNTAIN BEHAVIORAL HEALTH, LLC.
| 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.