SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC. (NPI# 1770888646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770888646 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC. |
| Practice Address |
1601 W Desert Cove Ave Phoenix AZ 85029-5023 |
| Mailing Address |
3450 N 3rd St Phoenix AZ 85012-2331 |
| Practice Telephone | 6029430726 |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |
| Authorized Official Name | JEFF JORDE (PRESIDENT/CEO) |
| Authorized Official Telephone | 6022579339 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
BH-3794 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA DEPT OF HEALTH SERVICES, OBHL | BH-3794 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922517655 | Southwest Behavioral Health Services, Inc. | Specialist | 11221 N 28th Dr Bldg E, Phoenix, AZ 85029-5615 | 2017-09-26 |
| 1023556339 | Southwest Behavioral Health Services, Inc. | Psychiatric Residential Treatment Facility | 1301 W Beale St, Kingman, AZ 86401-5434 | 2017-02-07 |
| 1407139413 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 1845 Mcculloch Blvd N Ste B1, Lake Havasu City, AZ 86403-6774 | 2011-09-26 |
| 1578844726 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 7763 E Florentine Rd, Prescott Valley, AZ 86314-2289 | 2011-09-01 |
| 1386932523 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 809 Hancock Rd, Suite 1, Bullhead City, AZ 86442-5045 | 2011-07-20 |
| 1477841534 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 7600 E Florentine Rd Ste 101, Ste 101, Prescott Valley, AZ 86314-1295 | 2011-07-11 |
| 1558682914 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 653 W Guadalupe Rd Unit 1018, Mesa, AZ 85210-7772 | 2010-06-18 |
| 1023339926 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 8135 N 35th Ave Apt 1032, Phoenix, AZ 85051-5872 | 2010-06-15 |
| 1700106135 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 1708 E Harvard St Ofc 1, Phoenix, AZ 85006-1857 | 2010-06-08 |
| 1487974812 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 1700 E Don Carlos Ave Apt 101, Tempe, AZ 85281-4346 | 2010-06-08 |
| Street Address |
1601 W DESERT COVE AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85029-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1871191221 | Covenant Home Health LLC | In Home Supportive Care | 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 | 2020-10-16 |
| 1508406745 | Tailored 2 U Psychiatry, Pllc | Nurse Practitioner | 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 | 2020-01-15 |
| 1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
| 1588128623 | Anna Debbs | Counselor | 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 | 2019-01-23 |
| 1609360007 | Melissa Lynn Denton | Specialist/Technologist | 4014 W Paradise Dr, Phoenix, AZ 85029 | 2018-06-19 |
| 1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
| 1639687056 | Empower Home Care, LLC. | Home Health | 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 | 2018-01-19 |
| 1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
| 1073966347 | Meka Joi Green | Social Worker | 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 | 2016-07-21 |
| Find all providers in zip 85029 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1366054694 | Integrative Counseling L.L.C. | Clinic/Center | 2211 E Highland Ave Ste 130, Phoenix, AZ 85016-4867 | 2020-08-18 |
| 1225664881 | Julie Morton Lcsw-c, LLC | Clinic/Center | 13604 Bardon Rd, Phoenix, MD 21131-1518 | 2020-03-16 |
| 1922569805 | Uptown Psychiatry LLC | Clinic/Center | 1130 E Missouri Ave Ste 580, Phoenix, AZ 85014-2729 | 2019-03-25 |
| 1982163549 | Amore Aware LLC | Clinic/Center | 6900 E Princess Dr Unit 1214, Phoenix, AZ 85054-4110 | 2019-03-13 |
| 1356805816 | Arizonas New Hope | Clinic/Center | 10000 N 31st Ave Ste D304g, Phoenix, AZ 85051-9582 | 2019-01-29 |
| 1306331509 | Native American Connections | Clinic/Center | 4520 N Central Ave Ste 380, Phoenix, AZ 85012-7815 | 2018-06-29 |
| 1194135152 | Connectionsaz, LLC | Clinic/Center | 1201 S 7th Ave Ste 150, Phoenix, AZ 85007-4075 | 2014-04-30 |
| 1427362003 | Onipaa LLC | Clinic/Center | 1002 E Palm Ln, Phoenix, AZ 85006-2141 | 2010-08-05 |
| 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.