NPIMap

Organization Active NPI

Mountaintop Behavioral Health Services LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1194087031
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
BH4024 Issued in AZ
Legal business name
MOUNTAINTOP BEHAVIORAL HEALTH SERVICES LLC
Practice address
3838 W Dunbar Dr
Phoenix, AZ 85041-6112
Phone
(602) 237-2820
Fax
(888) 843-7281
NPI assigned
Jun 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Olugbenga A Tepede, MBA
Title
Program Administrator
Phone
(623) 363-6408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X BH4024 AZ Primary

Addresses

Primary practice location

3838 W Dunbar Dr
Phoenix, AZ 85041-6112

Mailing address

3838 W Dunbar Dr
Phoenix, AZ 85041-6112
Phone (602) 237-2820

National Provider Directory

National Provider Directory
Tax ID family
Mountain Top Behavioral Health Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1194087031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 W DUNBAR DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416112",
            "telephone_number": "602-237-2820",
            "fax_number": "888-843-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 W DUNBAR DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416112",
            "telephone_number": "602-237-2820",
            "fax_number": "888-843-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINTOP BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "TEPEDE",
        "authorized_official_first_name": "OLUGBENGA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "623-363-6408",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AZ",
            "license": "BH4024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 15, 2012; 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.