NPIMap

Organization Active NPI

Casbra Behavioral Health, Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Nogales, AZ
National Provider Identifier
1194378158
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CASBRA BEHAVIORAL HEALTH, INC.
Practice address
1152 N Hohokam Dr Ste 4
Nogales, AZ 85621-1373
Phone
(520) 225-8465
NPI assigned
Jul 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Authorized official

Name
Dr. Cassandra Beth Diaz de Leon, DNP, PMHNP-BC, BSNNPI 1275036584
Title
Chief Executive Officer
Phone
(520) 225-8465

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1152 N Hohokam Dr Ste 4
Nogales, AZ 85621-1373

Mailing address

1152 N Hohokam Dr Ste 4
Nogales, AZ 85621-1373
Phone (520) 225-8465

Other identifiers 1

IdentifierTypeStateIssuer
374908MedicaidAZ

Other names 1

  • Casbra Behavioral Health, Inc. Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL CasbraBH@gmail.com
Other URL CasbraBH@gmail.com

National Provider Directory

National Provider Directory

Locations

1152 N Hohokam Dr
Ste 4
Nogales, AZ 85621
Phone (520) 225-8465

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": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1194378158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 N HOHOKAM DR STE 4",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856211373",
            "telephone_number": "520-225-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 N HOHOKAM DR STE 4",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856211373",
            "telephone_number": "520-225-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASBRA BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "DIAZ DE LEON",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "520-225-8465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PMHNP-BC, BSN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374908",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CasbraBH@gmail.com",
            "affiliation": "N",
            "address_1": "1152 N Hohokam Dr Ste 4",
            "city": "Nogales",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856211373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CasbraBH@gmail.com",
            "affiliation": "N",
            "address_1": "1152 N Hohokam Dr Ste 4",
            "city": "Nogales",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856211373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Casbra Behavioral Health, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nogales, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.