SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC (NPI# 1932348240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932348240 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC |
| Practice Address |
1545 W Broadway Ave Suite 1 & 2 Apache Junction AZ 85220-7658 |
| Mailing Address |
3450 N 3rd St Phoenix AZ 85012-2331 |
| Practice Telephone | 4806713032 |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2009-02-26 |
| 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 | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
BH-3172 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS PROVIDER ID | 404093 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316170368 | Southwest Behavioral Health Services, Inc | Clinic/Center | 1515 E Cedar Ave, B-2, B-3, and B-4 Northeast Professional Plaza, Flagstaff, AZ 86004-1600 | 2009-08-25 |
| 1720258577 | Southwest Behavioral Health Services, Inc | Clinic/Center | 4160 N 108th Ave, Phoenix, AZ 85037-5468 | 2008-03-07 |
| Street Address |
1545 W BROADWAY AVE SUITE 1 & 2 |
| City | APACHE JUNCTION |
| State | AZ |
| Zip Code | 85220-7658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144598996 | Amelia Shah | Pharmacist | 185 W Apache Trail, Apache Junction, AZ 85220 | 2011-12-08 |
| 1528280153 | Archish Arvind Patel | Pharmacist | 185 W. Apache Tr., Apache Junction, AZ 85220 | 2007-05-03 |
| 1629298476 | Jill Diane Gottschalk | Pharmacist | Fry's Pharmacy, 185 W Apache Trail, Apache Junction, AZ 85220 | 2007-04-26 |
| 1194847814 | Assisted Living Concepts Inc | Assisted Living Facility | 675 West Broadway, Apache Junction, AZ 85220 | 2007-04-04 |
| 1467517177 | Lora A Andrews | Physical Therapist | 10241 E Apache Trail, Apache Junction, AZ 85220 | 2006-12-22 |
| 1043372097 | Jill Elizabeth Russo | Technician | 2017 S Thunderbird Dr, Apache Junction, AZ 85220 | 2006-12-15 |
| 1053490029 | Kenneth K Leung | Internal Medicine | 2066 W Apache Trail #110, Apache Junction, AZ 85220 | 2006-11-02 |
| 1508831025 | Paula Ann Crinklaw | Nurse Practitioner | 1485 W Frontier St, Apache Junction, AZ 85220 | 2006-02-19 |
| 1033433826 | Innovative Health Partners LLC | Hospitalist | 2050 W Southern Ave, Apache Junction, AZ 85220 | 2010-03-23 |
| 1194048660 | Innovative Inpatient Services PC | Hospitalist | 2050 W Southern Ave, Apache Junction, AZ 85220 | 2010-03-11 |
| Find all providers in zip 85220 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475144 | Best Self LLC | Clinic/Center | 10000 N 31st Ave Ste C100-128, Phoenix, AZ 85051-1356 | 2020-10-24 |
| 1932716594 | High End Health Care Professionals LLC | Clinic/Center | 10840 N Buffalo Dr, Fountain Hills, AZ 85268-5348 | 2020-09-28 |
| 1164039723 | Life Care Premier Services LLC | Clinic/Center | 4690 S Lakeshore Dr Apt 3052, Tempe, AZ 85282-1174 | 2020-09-28 |
| 1215544903 | Supreme Positive Innovation Services LLC | Clinic/Center | 1833 W Main St Ste 139-140, Mesa, AZ 85201-6922 | 2020-09-26 |
| 1316554421 | Essential Wellness Solutions LLC | Clinic/Center | 345 N 79th Pl, Mesa, AZ 85207-7570 | 2020-09-23 |
| 1659986636 | Cactus Blossom Counseling, Pllc | Clinic/Center | 1616 W Germann Rd Apt 2019, Chandler, AZ 85286-6984 | 2020-09-15 |
| 1164036935 | Carmen L. Lucia Psyd LLC | Clinic/Center | 15215 S 48th St Ste 154, Phoenix, AZ 85044-9139 | 2020-08-31 |
| 1366054694 | Integrative Counseling L.L.C. | Clinic/Center | 2211 E Highland Ave Ste 130, Phoenix, AZ 85016-4867 | 2020-08-18 |
| 1811507379 | Aptitude Mental Health Pllc | Clinic/Center | 5025 S Ash Ave Ste 12, Tempe, AZ 85282-6885 | 2020-08-08 |
| 1730798562 | Healthier Ever After LLC | Clinic/Center | 65 S Sycamore Ste 2, Mesa, AZ 85202-1143 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | APACHE JUNCTION |
| Zip Code | 85220 |
Please comment or provide details below to improve the information on SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC.
| 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.