Patulla Behavioral Health Care LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PATULLA BEHAVIORAL HEALTH CARE LLC

Practice address

48 W Tamarisk St # 6
Phoenix, AZ 85041-2423

Phone

(702) 716-9588

NPI assigned

May 18, 2021

Organization subpart

No

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

Authorized official

Name

Myesha Berry

Title

Owner

Phone

(702) 716-9588

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1124692769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 W TAMARISK ST # 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850412423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 W TAMARISK ST # 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850412423",
            "telephone_number": "702-716-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATULLA BEHAVIORAL HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "MYESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-716-9588"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Patton
• Sandra Kay Patton, LCSW
• Sheri Marie Patton, BS
• Yale C Patton III, RPH
• Zackary William Patton
• Patulla Behavioral Health Services LLC
• Anuradha Paturi, MD
• Surabhi Yeshwant Patwardhan, PH.D.
• Raegyn Patzer
• Paul a Dalton MD LTD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.