Quadra Behavioral Health LLC

Primary specialty

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

Legal business name

QUADRA BEHAVIORAL HEALTH LLC

Practice address

955 W Chandler Blvd Ste 12
Chandler, AZ 85225-4906

Phone

(469) 401-8195

NPI assigned

Nov 27, 2023

Organization subpart

No

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

Authorized official

Name

Jada Alexander

Title

Ceo

Phone

(480) 590-6850

Specialties & licenses 4

Addresses

Other names 1

• Quadra Behavioral Health Doing business as

Tax ID family

Quadra Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Shining Hearts Residential Treatment Center LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Maricopa, AZ
  • NPI 1205599016
  NPD tax ID

Locations

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1184490641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44920 W HATHAWAY AVE UNIT 658",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851399937",
            "telephone_number": "469-401-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 W CHANDLER BLVD STE 12",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852254906",
            "telephone_number": "469-401-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUADRA BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "JADA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-590-6850"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quadra Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle T Putrow, NP
• Leslie Putt, PT
• Deanna Irene Putts, L.M.P.
• Peter Qiao, MD, PHD
• Gillian Antonia Quaal, MSOT, OTR/L
• Quality Dental Care
• Quality Time Care LLC
• Katherine Kar-Hwee Quan, M.D.
• Quantum Inpatient Services LLC
• J Kevin Quaranta, O.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chandler, AZ
• Providers in Chandler, 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 Aug 14, 2024; 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.