NPIMap

Organization Active NPI

Southwest Behavioral Health Services, Inc.

  • Psychiatric Residential Treatment Facility
  • Kingman, AZ
National Provider Identifier
1023556339
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC.
Practice address
1301 W Beale St
Kingman, AZ 86401-5434
Phone
(602) 285-4318
NPI assigned
Feb 7, 2017
Last updated
Nov 9, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST BEHAVIORAL & HEALTH SERVICES-OBSERVATIONAL/STABALIZATION & IAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Steven Sheets
Title
Ceo
Phone
(602) 351-6986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X NU Primary

Addresses

Primary practice location

1301 W Beale St
Kingman, AZ 86401-5434

Mailing address

3450 N 3Rd St
Phoenix, AZ 85012-2331
Phone (602) 257-9339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040225000948 AZ Part B Supplier - Clinic/Group Practice 9739075854 Receives reassigned benefits from 136 practitioners
24 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Phoenix, AZ; Mesa, AZ; Prescott Valley, AZ; Payson, AZ; Lake Havasu City, AZ; Kingman, AZ; Flagstaff, AZ; Bullhead City, AZ…

Other NPIs on the same Medicare enrollment 24

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 24

National Provider Directory

National Provider Directory
Tax ID family
Southwest Behavioral Health Services42 organizations share this tax ID, including this one
Part of
Southwest Behavioral Health Services

Other organizations with this tax ID 41

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

View all 41

Locations

206 N 4th St
Buckeye, AZ 85326
Phone (623) 882-9906

2580 Highway 95
Ste 121
Bullhead City, AZ 86442
Phone (928) 763-7776

809 Hancock Rd
#1
Bullhead City, AZ 86442
Phone (928) 763-7111

809 Hancock Rd
Ste 1
Bullhead City, AZ 86442
Phone (928) 763-7111

1515 E Cedar Ave
Ste E-2
Flagstaff, AZ 86004
Phone (928) 214-7430

1301 W Beale St
Kingman, AZ 86401
Phone (928) 263-6515

1845 McCulloch Blvd N
Ste B1
Lake Havasu City, AZ 86403
Phone (928) 453-2661

111 W Cedar Ln
Ste B
Payson, AZ 85541
Phone (928) 468-8055

1424 S 7th Ave
Bldg A
Phoenix, AZ 85007
Phone (602) 257-1558

315 E Watkins St
Phoenix, AZ 85004
Phone (602) 268-8748

7600 E Florentine Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 775-7088

7763 E Florentine Rd
Ste 101104
Prescott Valley, AZ 86314
Phone (928) 717-1800

3200 N Hayden Rd
Scottsdale, AZ 85251
Phone (480) 947-6353

Practitioners & affiliated clinicians

Practitioners 124

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 124

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1023556339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122331",
            "telephone_number": "602-257-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W BEALE ST",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864015434",
            "telephone_number": "602-285-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST BEHAVIORAL & HEALTH SERVICES-OBSERVATIONAL/STABALIZATION & I",
        "enumeration_date": "2017-02-07",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "SHEETS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-351-6986"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.