SOUTHWEST BEHAVIORAL HEALTH SERVICES (NPI# 1972759397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972759397 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST BEHAVIORAL HEALTH SERVICES |
| Practice Address |
404 W Aero Dr Payson AZ 85541-5407 |
| Mailing Address |
3450 N 3rd St Phoenix AZ 85012-2331 |
| Practice Telephone | 9284743303 |
| Mailing Telephone | 6022658338 |
| Mailing Fax Number | 6022658574 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |
| Authorized Official Name | MR. JEFF JORDE (CEO) |
| Authorized Official Telephone | 6022658338 |
| 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) |
LPC-0037 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | STATE | LPC-0037 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013422666 | Southwest Behavioral Health Services | Clinic/Center | 3430 E Flamingo Rd Ste 311, Las Vegas, NV 89121-5067 | 2017-12-05 |
| 1619982196 | Southwest Behavioral Health Services | Clinic/Center | 1424 S 7th Ave, Phoenix, AZ 85007-3902 | 2006-07-31 |
| 1275907511 | Southwest Behavioral Health Services | Nurse Practitioner | 7600 E Florentine Rd, Suite 201, Prescott Valley, AZ 86314-1295 | 2015-11-24 |
| 1255448833 | Southwest Behavioral Health Services | Psychiatric Residential Treatment Facility | 1424 S 7th Ave, Phoenix, AZ 85007-3902 | 2006-08-23 |
| 1598772568 | Southwest Behavioral Health Services | Clinic/Center | 4420 S 32nd St, Phoenix, AZ 85040-2804 | 2006-08-02 |
| 1225043755 | Southwest Behavioral Health Services | Clinic/Center | 10220 N 31st Ave, Phoenix, AZ 85051-9581 | 2006-07-31 |
| 1346255791 | Southwest Behavioral Health Services | Clinic/Center | 1255 W Baseline Rd, Mesa, AZ 85202-5820 | 2006-07-31 |
| Street Address |
404 W AERO DR |
| City | PAYSON |
| State | AZ |
| Zip Code | 85541-5407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427165562 | Southwest Behavioral Health | Clinic/Center | 404 W Aero Dr, Payson, AZ 85541-5407 | 2006-08-24 |
| 1689171654 | Lori Lynn Davenport | Counselor | 404 W Aero Dr, Payson, AZ 85541-5407 | 2018-04-06 |
| 1932627395 | Alicia Sexton | Nurse Practitioner | 404 W Aero Dr, Payson, AZ 85541 | 2017-09-06 |
| 1326574849 | Dallin Durfee | Pharmacist | 404 W Aero Dr, Payson, AZ 85541-5407 | 2017-05-03 |
| 1255630661 | Genoa Healthcare, LLC | Pharmacy | 404 W Aero Dr, Payson, AZ 85541-5407 | 2011-03-24 |
| 1063576924 | Southwest Behavioral Health Services Inc | Community/Behavioral Health | 404 W Aero Dr, Payson, AZ 85541-5407 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447805130 | Melissa Marie Avery | Registered Nurse | 903 Az-260, Payson, AZ 85541 | 2019-08-08 |
| 1952803710 | Payson Orthodontics | Dentist | 902 S Beeline Hwy, Payson, AZ 85541 | 2018-03-07 |
| 1568844181 | Banner Home Care Arizona | Home Health | 708 E Route 260 Ste A1, Payson, AZ 85541 | 2015-06-19 |
| 1063893626 | Sage Counseling, Inc. | Community/Behavioral Health | 1100 N. Beeline Hwy, Suite F, Payson, AZ 85541 | 2015-06-09 |
| 1053712059 | Garry Gordon | Homeopath | 600 N Beeline Hwy, Payson, AZ 85541 | 2014-09-09 |
| 1821406901 | Monica Nestich | Physical Therapy Assistant | 708 E. State Hwy 260, Payson, AZ 85541 | 2014-08-01 |
| 1841601523 | Megan Fragale Saalfrank | Pharmacist | 401 E. Highway 260, Payson, AZ 85541 | 2014-05-15 |
| 1750791836 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 600 E. Highway 260, Suite 4 & 5, Payson, AZ 85541 | 2014-04-29 |
| 1164775169 | Kc's Home Health Care LLC of Payson | Home Health | 114 E. Highway 260, Payson, AZ 85541 | 2012-10-16 |
| 1598014458 | Ivan D. Mclaws, Dpm | Podiatrist | 200 East Lone Pine Dr., Payson, AZ 85541 | 2012-09-06 |
| Find all providers in zip 85541 | ||||
| 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 |
|---|---|---|---|---|
| 1659760213 | Southwest Behavioral Health Services Inc. | Clinic/Center | 302 W Aero Dr, Payson, AZ 85541-5403 | 2015-01-20 |
| 1366618068 | Southwest Behavioral Health Services Inc | Clinic/Center | 1111 E Cedar Ln, Suite B, Payson, AZ 85541-5788 | 2008-05-02 |
| 1427165562 | Southwest Behavioral Health | Clinic/Center | 404 W Aero Dr, Payson, AZ 85541-5407 | 2006-08-24 |
| 1881644581 | Lee A Woods Lcsw PC | Clinic/Center | 616 S Beeline Hwy Suite 108, Payson, AZ 85541-5380 | 2006-05-11 |
| 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 | ||||
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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.