Organization Active NPI

Intensive Treatment Systems LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1184701906
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH2604 Issued in AZ
Legal business name
INTENSIVE TREATMENT SYSTEMS LLC
Practice address
4136 N 75TH Ave Ste 116
Phoenix, AZ 85033-3100
Phone
(623) 247-1234
Fax
(623) 247-4231
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Daniella Sabur
Title
Director of Operations
Phone
(602) 576-8651

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Community/Behavioral Health Agency 251S00000X BH2604 AZ Primary

Addresses

Primary practice location

4136 N 75TH Ave Ste 116
Phoenix, AZ 85033-3100

Mailing address

19401 N Cave Creek Rd
Phoenix, AZ 85024-1801
Phone (602) 996-0105

Other identifiers 2

IdentifierTypeStateIssuer
946791OtherAZAHCCCS
AZ10080MOtherAZFDA

Other names 1

  • ITS West Clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191231000067 AZ Part B Supplier - Clinic/Group Practice 6800220757 Receives reassigned benefits from 11 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mesa, AZ; Phoenix, AZ; San Tan Valley, AZ

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2086478Intensive Treatment Systems4136 N 75TH Ave, #116, Phoenix, AZ 85033AccreditationJun 16, 2028

National Provider Directory

National Provider Directory

Locations

19401 N Cave Creek Rd
Phoenix, AZ 85024
Phone (602) 996-0099

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1184701906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19401 N CAVE CREEK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850241801",
            "telephone_number": "602-996-0105",
            "fax_number": "602-996-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4136 N 75TH AVE STE 116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850333100",
            "telephone_number": "623-247-1234",
            "fax_number": "623-247-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENSIVE TREATMENT SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "SABUR",
        "authorized_official_first_name": "DANIELLA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "602-576-8651"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH2604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "946791",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDA",
            "identifier": "AZ10080M",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ITS West Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ITS West Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.