SOUTHWEST BEHAVIORAL HEALTH (NPI# 1659380780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659380780 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST BEHAVIORAL HEALTH |
| Practice Address |
1424 S 7th Ave Phoenix AZ 85007-3902 |
| Mailing Address |
3450 N 3rd St Phoenix AZ 85012-2331 |
| Practice Telephone | 6022571558 |
| Practice Fax Number | 6022585372 |
| Mailing Telephone | 6022579339 |
| Mailing Fax Number | 6022658574 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-08-22 |
| 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 | 323P00000X | Psychiatric Residential Treatment Facility | BH-1450 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AS | 590275 | 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 |
| 1427063007 | Southwest Behavioral Health | Community Based Residential Treatment Facility, Mental Illness | 2313 W Yuma St, Phoenix, AZ 85009-6441 | 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 |
| 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 |
1424 S 7TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85007-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619982196 | Southwest Behavioral Health Services | Clinic/Center | 1424 S 7th Ave, Phoenix, AZ 85007-3902 | 2006-07-31 |
| 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 |
| 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 | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
| 1437773942 | Excellent Care LLC | Psychiatric Residential Treatment Facility | 14029 N 39th Ave, Phoenix, AZ 85053-5438 | 2020-06-01 |
| 1235750977 | Sagamar Behavioral Care Home, LLC | Psychiatric Residential Treatment Facility | 4444 N 13th Pl Apt 3, Phoenix, AZ 85014-4584 | 2020-05-05 |
| 1114552122 | Angel Heart Behavioral Health IIi LLC | Psychiatric Residential Treatment Facility | 9223 W Meadow Brook, 9223 W Meadow Brook Ave, Phoenix, AZ 85037-8503 | 2020-03-10 |
| 1376178707 | Angel Heart Behavioral Health II LLC | Psychiatric Residential Treatment Facility | 9223 W Meadowbrook Ave, Phoenix, AZ 85037-2442 | 2020-03-05 |
| 1942848627 | Live Well Assisted Living | Psychiatric Residential Treatment Facility | 4544 N 91st Dr, Phoenix, AZ 85037-2449 | 2019-12-13 |
| 1780245506 | A-making Changes | Psychiatric Residential Treatment Facility | 1010 W Euclid Ave, Phoenix, AZ 85041-8345 | 2019-06-24 |
| 1356807549 | Ashante Washington | Psychiatric Residential Treatment Facility | 1438 E Polk St, Phoenix, AZ 85006-3687 | 2019-02-13 |
| 1154703320 | Jfm Inspirations LLC | Psychiatric Residential Treatment Facility | 1121 N 24th Pl, Phoenix, AZ 85008-4910 | 2015-06-24 |
| 1285060111 | Jfm Inspirations Counseling Services | Psychiatric Residential Treatment Facility | 2427 N 71st Ave, Phoenix, AZ 85035-2611 | 2013-09-24 |
| 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.