Organization Active NPI

Dr B Dausend DBH Otr-L PLLC

  • Mental Health Occupational Therapist
  • Peoria, AZ
National Provider Identifier
1144865643
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Occupational TherapistTaxonomy code 225XM0800X
Legal business name
DR B DAUSEND DBH OTR-L PLLC
Practice address
22983 N 104TH Ave
Peoria, AZ 85383-2764
Phone
(602) 402-2636
NPI assigned
Nov 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Authorized official

Name
Dr. Barbaraann Dausend, DBH, OTR/LNPI 1215168943
Title
Owner
Phone
(602) 402-2636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XM0800X Primary

Addresses

Primary practice location

22983 N 104TH Ave
Peoria, AZ 85383-2764

Mailing address

22983 N 104TH Ave
Peoria, AZ 85383-2764
Phone (602) 402-2636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191226000761 AZ Part B Supplier - Clinic/Group Practice 4486088598 Receives reassigned benefits from 1 practitioner
Practice locations: Peoria, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1144865643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22983 N 104TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832764",
            "telephone_number": "602-402-2636",
            "fax_number": "602-603-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22983 N 104TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832764",
            "telephone_number": "602-402-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR B DAUSEND DBH OTR-L PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "DAUSEND",
        "authorized_official_first_name": "BARBARAANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-402-2636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBH, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.