NPIMap

Organization Active NPI

Red Mountain Behavioral Health Services

  • Child Mental Illness Respite Care
  • Gilbert, AZ
National Provider Identifier
1023404548
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Mental Illness Respite CareTaxonomy code 385HR2055X
License
BH-4582 Issued in AZ
Legal business name
RED MOUNTAIN BEHAVIORAL HEALTH SERVICES
Practice address
890 W Elliot Rd Ste 103
Gilbert, AZ 85233-5127
Phone
(704) 942-1646
NPI assigned
Apr 10, 2015
Last updated
Aug 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Moshe Lobl
Title
Ceo
Phone
(602) 800-6553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Mental Illness Respite Care 385HR2055X BH-4582 AZ Primary

Addresses

Primary practice location

890 W Elliot Rd Ste 103
Gilbert, AZ 85233-5127

Mailing address

890 W Elliot Rd Ste 103
Gilbert, AZ 85233-5127
Phone (704) 942-1646

Other practice location 1

8848 E Meadow Spring Pl
Tucson, AZ 85747-5647
Phone (480) 641-9552

Other identifiers 1

IdentifierTypeStateIssuer
BH-4582OtherAZAZ DEPT OF HEALTH SERVICES

National Provider Directory

National Provider Directory
Tax ID family
Red Mountain Behavioral Health Services LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1023404548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 W ELLIOT RD STE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335127",
            "telephone_number": "704-942-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 W ELLIOT RD STE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335127",
            "telephone_number": "704-942-1646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8848 E Meadow Spring Pl",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857475647",
            "country_code": "US",
            "telephone_number": "480-641-9552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RED MOUNTAIN BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2024-08-01",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "LOBL",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-800-6553"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": "BH-4582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DEPT OF HEALTH SERVICES",
            "identifier": "BH-4582",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.