Pasadera Behavioral Health Network, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

OTC6555 Issued in AZ

Legal business name

PASADERA BEHAVIORAL HEALTH NETWORK, INC.

Doing business as

Desert Hope Outpatient Services

Practice address

2499 E. Ajo Way
Tucson, AZ 85713-5478

Phone

(520) 618-8701

Fax

(520) 327-9817

NPI assigned

May 16, 2012

Organization subpart

Yes

Parent organization

PASADERA BEHAVIORAL HEALTH NETWORK, INC.As reported in NPPES

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

Authorized official

Name

Stephanie Oliver, CPC, RMM, ICD10CT-CM

Title

Chief Quality Management Officer

Phone

(520) 628-3400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Desert Hope Outpatient Services Doing business as

Part of

Pasadera Behavioral Health Network Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pasadera Behavioral Health Network, Inc.

  • Substance Abuse Rehabilitation Facility
  • Tucson, AZ
  • NPI 1609229574
  NPPES parent name

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1114286788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S 8TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857134730",
            "telephone_number": "520-628-3400",
            "fax_number": "520-628-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 E. AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857135478",
            "telephone_number": "520-618-8701",
            "fax_number": "520-327-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADERA BEHAVIORAL HEALTH NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PASADERA BEHAVIORAL HEALTH NETWORK, INC.",
        "enumeration_date": "2012-05-16",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CHIEF QUALITY MANAGEMENT OFFICER",
        "authorized_official_telephone_number": "520-628-3400",
        "authorized_official_credential": "CPC, RMM, ICD10CT-CM"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "OTC6555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OTC6555",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "707235",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Hope Outpatient Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pasadera Behavioral Health Network (Pasadera Serene Life)
• Pasadera Behavioral Health Network (Pasadera Detox Overflow Unit)
• Pasadera Behavioral Health Network Dba Level II Detoxification
• Pasadera Behavioral Health Network, Inc. (Pasadera Walk-In Clinic (SAMHC))
• Pasadera Behavioral Health Network, Inc. (Pasadera New Directions)
• Pasadera Behavioral Health Network, Inc. (Desert Hope Inpatient Services)
• Pasadera Behavioral Health Network, Inc. (Dodge Detoxification Center)
• Pasadera Behavioral Health Network, Inc.
• Pasadera Behavioral Health Network, Inc. (Pasadera Three Points Site)
• Pasadera Behavioral Health Network, Inc. (Pasadera Administrative Office)

• Substance Abuse Rehabilitation Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.