SAN TAN BEHAVIORAL HEALTH SERVICES


Address: 1277 Hummingbird Circle, Lakeside, AZ 85929
Phone: 9283581887

SAN TAN BEHAVIORAL HEALTH SERVICES (NPI# 1962705442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962705442
Entity Type Organization
Organization Name SAN TAN BEHAVIORAL HEALTH SERVICES
Practice Address 1277 Hummingbird Circle
Lakeside
AZ 85929
Mailing Address 2451 E Baseline Rd
Gilbert
AZ 85234-2471
Practice Telephone 9283581887
Practice Fax Number 4806320026
Mailing Telephone 4805073644
Mailing Fax Number 4806320026
Enumeration Date 2010-12-06
Last Update Date 2010-12-06
Authorized Official Name MELISSA DAWN NELSON (CCO)
Authorized Official Telephone 4807343851
Authorized Official Credential M.A., L.P.C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 343900000X Non-emergency Medical Transport (VAN) BH3657 AZ Transportation Services
Y 385HR2055X Respite Care
Specialization: Respite Care, Mental Illness, Child
BH3657 AZ Respite Care Facility

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1770052292 San Tan Behavioral Health Services Respite Care 3970 East Juanita Avenue, Gilbert, AZ 85234 2018-11-14
1124378294 San Tan Behavioral Health Services Community/Behavioral Health 4600-c Navajo Route 7, Chinle, AZ 86503 2012-09-14
1194027847 San Tan Behavioral Health Services Non-emergency Medical Transport (VAN) 655 Southlake Rd, Lakeside, AZ 85929-6768 2010-12-01
1225206444 San Tan Behavioral Health Services Community/Behavioral Health 240 N Sunway Dr, Suite 101b, Gilbert, AZ 85233-5034 2008-02-11

Office Location

Street Address 1277 HUMMINGBIRD CIRCLE
City LAKESIDE
State AZ
Zip Code 85929

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689272700 Pediatric Multicare West, LLC Pediatrics 316 W. White Mountain Blvd., Suite A, Lakeside, AZ 85929 2020-10-12
1841836285 Changepoint Integrated Health Community/Behavioral Health 1920 West Commerce Dr, Lakeside, AZ 85929 2019-11-20
1184111692 Statclinix Plc Clinic/Center 3457 W White Mountain Blvd, Lakeside, AZ 85929 2018-04-19
1154827863 Advanced Health and Wellness Az Clinic/Center 4830 Highway 260 Ste 102, Lakeside, AZ 85929 2018-04-02
1740648260 Ries Chiropractic and Rehabilitation Center LLC Point of Service 5658 Hwy 260 Ste 1, Lakeside, AZ 85929 2016-01-29
1912395807 Samuel Jesus Rosero Garcia Family Medicine 300 W. White Mountain Blvd, Suite D, Lakeside, AZ 85929 2014-12-31
1104178326 Ronald T. Watanabe Chiropractor 20 West White Mountain Road, Safeway Pharmacy, Lakeside, AZ 85929 2012-10-11
1609181718 Freter Family Practice Pllc Family Medicine 5448 S. White Mountain Blvd, 270, Lakeside, AZ 85929 2010-08-12
1760701221 Sierra Blanca Rehabilitation LLC Skilled Nursing Facility 3401 N Lockwood Dr, Lakeside, AZ 85929 2010-05-24
1710117031 Bornstein Medical Pllc Family Medicine 5448 S White Mountain Rd, Suite 270, Lakeside, AZ 85929 2009-07-21
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Taxonomy Information

Taxonomy Code 385HR2055X
Grouping Respite Care Facility
Classification Respite Care
Specialization Respite Care, Mental Illness, Child

Taxonomy Definition

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114539004 Yvette I Haughton Respite Care 11275 N 99th Ave Lot 117, Peoria, AZ 85345-5479 2020-08-20
1700411576 Jaquelina Andrea Reyes Respite Care 25279 W Centre Ave, Buckeye, AZ 85326-2468 2020-03-11
1740815497 Jerome Alexander-terrell Jackson Respite Care 9680 W Northern Ave Unit 2311, Peoria, AZ 85345-4655 2020-03-03
1912539941 Elizabeth Ann Mannel Respite Care 1225 W Panorama Rd, Tucson, AZ 85704-2834 2020-02-07
1093345498 New Hope of Arizona, Inc. Respite Care 12545 W Woodland Ave, Avondale, AZ 85323-8025 2020-01-24
1033757877 Jessica Annette Dixon-tatum Respite Care 401 N 6th St, Buckeye, AZ 85326-2415 2019-12-11
1700423902 Randy Bland Respite Care 20731 W Stone Hill Road, Buckeye, AZ 85396 2019-12-06
1003459934 Stephanie Denise Jackson Respite Care 22321 W Morning Glory St, Buckeye, AZ 85326-7181 2019-10-23
1285276345 Charlyn Ponds Respite Care 235 E Ray Rd Apt 2035, Chandler, AZ 85225-3362 2019-10-10
1508416595 Tyechia Webb Respite Care 21239 N 24th Ave Apt 214, Phoenix, AZ 85027-2524 2019-09-12
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Competitor

Search similar providers

City LAKESIDE
Zip Code 85929

Improve Information

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Dataset Information

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.

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