NPIMap

San Tan Behavioral Health Services

Organization Active NPI Community/Behavioral Health Agency · Chinle, AZ

NPI 1124378294 · NPPES record last updated Sep 14, 2012

Key facts

NPI
1124378294
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
SAN TAN BEHAVIORAL HEALTH SERVICES
Practice address
4600-C Navajo Route 7
Chinle, AZ 86503
Phone
(928) 674-3931
Fax
(480) 632-0026
NPI assigned
Sep 14, 2012
Organization subpart
No

Authorized official

Name
Mrs. Melissa D Nelson, MA, LPC
Title
Owner
Phone
(480) 507-3644

Corporate family (same tax ID) 6

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

National Provider Directory

Tax ID family
San Tan Behavioral Health SVCS (7 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

4600-C Navajo Route 7
Chinle, AZ 86503

Mailing address

2451 E Baseline Rd
Gilbert, AZ 85234-2471
Phone (480) 507-3644

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 14, 2012.

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1124378294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342471",
            "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": "4600-C NAVAJO ROUTE 7",
            "city": "CHINLE",
            "state": "AZ",
            "postal_code": "86503",
            "telephone_number": "928-674-3931",
            "fax_number": "480-632-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN TAN BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-507-3644",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chinle, AZ

All providers in Chinle, AZ · Community/Behavioral Health Agency in Arizona

Sources for this page

Verify at the official NPI Registry.