Sequel Tsi of Arizona, LLC Sierra Vista

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

SEQUEL TSI OF ARIZONA, LLC SIERRA VISTA

Practice address

4120 E Ramsey Rd
Hereford, AZ 85615-8917

Phone

(520) 378-6466

Fax

(520) 378-6553

NPI assigned

Dec 11, 2009

Organization subpart

Yes

Parent organization

SEQUELCARE OF ARIZONA, LLCAs reported in NPPES

Name

Chris Banken

Title

Executive Director

Phone

(602) 335-2095

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

• Sequel Tsi of Az, LLC

  • Adult Mental Health Clinic/Center
  • Chinle, AZ
  • NPI 1518297241
  NPD tax ID
• Sequel Tsi of Az, LLC

  • Adult Mental Health Clinic/Center
  • St. Michaels, AZ
  • NPI 1609106335
  NPD tax ID
• Sequel Tsi of Az, LLC

  • Adult Mental Health Clinic/Center
  • Tuba City, AZ
  • NPI 1790015428
  NPD tax ID
• Sequel Tsi of Az, LLC

  • Adult Mental Health Clinic/Center
  • Whiteriver, AZ
  • NPI 1891025524
  NPD tax ID
• Sequel Tsi of Az, LLC

  • Adult Mental Health Clinic/Center
  • Kayenta, AZ
  • NPI 1982934618
  NPD tax ID

Tax ID family

Sequel Tsi of Az LLC (6 organizations share this tax ID)

Part of

Brighter Heights Arizona LLC Dba Ocotillo Ranch

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 11, 2009.

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1083943583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 E RAMSEY RD",
            "city": "HEREFORD",
            "state": "AZ",
            "postal_code": "856158917",
            "telephone_number": "520-378-6466",
            "fax_number": "520-378-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 E RAMSEY RD",
            "city": "HEREFORD",
            "state": "AZ",
            "postal_code": "856158917",
            "telephone_number": "520-378-6466",
            "fax_number": "520-378-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUEL TSI OF ARIZONA, LLC SIERRA VISTA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEQUELCARE OF ARIZONA, LLC",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "BANKEN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-335-2095"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron J Patton, PAC
• Socorro Paul
• Salona Lynn Perez-Germain, RN
• Cecilia Ontiveros Ramirez
• Elizabeth Anna Schaff, COTA/L
• Adriana Shipowick, LCSW
• Vinod Kumar Singh, MD
• Sharon Patricia Smith, LPC
• Stacy C Smith, MD
• Gary Taylor

• All providers in Hereford, AZ
• Psychiatric Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.