NPIMap

Organization Active NPI

San Tan Behavioral Health SVCS

  • Child Mental Illness Respite Care
  • Mesa, AZ
National Provider Identifier
1083916035
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Mental Illness Respite CareTaxonomy code 385HR2055X
License
BH-3658 Issued in AZ
Legal business name
SAN TAN BEHAVIORAL HEALTH SVCS
Practice address
9648 E. Jacob Circle
Mesa, AZ 85209
Phone
(480) 588-7731
Fax
(480) 632-0026
NPI assigned
Nov 24, 2010
Last updated
Dec 9, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
SAN TAN BEHAVIORAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Authorized official

Name
Mr. Richard Warren Arbogast
Title
Ceo
Phone
(480) 773-2384

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LPC-10764 AZ
Non-emergency Medical Transport (VAN) 343900000X
Child Mental Illness Respite Care 385HR2055X BH-3658 AZ Primary

Addresses

Primary practice location

9648 E. Jacob Circle
Mesa, AZ 85209

Mailing address

2451 E Baseline Road
Ste 430
Gilbert, AZ 85234
Phone (480) 507-3644

National Provider Directory

National Provider Directory
Tax ID family
San Tan Behavioral Health Services LLC7 organizations share this tax ID, including this one
Part of
San Tan Behavioral Health Services LLC

Other organizations with this tax ID 6

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": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1083916035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE ROAD",
            "address_2": "STE 430",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "480-507-3644",
            "fax_number": "480-632-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9648 E. JACOB CIRCLE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85209",
            "telephone_number": "480-588-7731",
            "fax_number": "480-632-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN TAN BEHAVIORAL HEALTH SVCS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN TAN BEHAVIORAL HEALTH SERVICES",
        "enumeration_date": "2010-11-24",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "ARBOGAST",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-773-2384",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-10764",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": "BH-3658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.