Pasadera Behavioral Health Network, Inc.

Primary specialty

Special HospitalTaxonomy code 284300000X

License

IFBH6554 Issued in AZ

Legal business name

PASADERA BEHAVIORAL HEALTH NETWORK, INC.

Practice address

2499 E. Ajo Way
Tucson, AZ 85713-6202

Phone

(520) 618-8700

Fax

(520) 327-9817

NPI assigned

Aug 31, 2006

Organization subpart

Yes

Parent organization

PASADERA BEHAVIORAL HEALTH NETWORK, INC.As reported in NPPES

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

Authorized official

Name

Stephanie Oliver, CPC, RMM, ICD10CT-CM

Title

Chief Quality Management Officer

Phone

(520) 628-3400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Desert Hope Inpatient Services Doing business as

Part of

Pasadera Behavioral Health Network Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pasadera Behavioral Health Network, Inc.

  • Substance Abuse Rehabilitation Facility
  • Tucson, AZ
  • NPI 1609229574
  NPPES parent name

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1225140643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S 8TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857134730",
            "telephone_number": "520-628-3400",
            "fax_number": "520-628-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 E. AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136202",
            "telephone_number": "520-618-8700",
            "fax_number": "520-327-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADERA BEHAVIORAL HEALTH NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PASADERA BEHAVIORAL HEALTH NETWORK, INC.",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CHIEF QUALITY MANAGEMENT OFFICER",
        "authorized_official_telephone_number": "520-628-3400",
        "authorized_official_credential": "CPC, RMM, ICD10CT-CM"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "AZ",
            "license": "IFBH6554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "IFBH6554",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807753",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Hope Inpatient Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pasadera Behavioral Health Network
• Pasadera Behavioral Health Network Dba Level II Detoxification
• Pasadera Behavioral Health Network, Inc.
• Pasadera Behavioral Health Network, Inc.
• Pasadera Behavioral Health Network, Inc.
• Pasadera Behavioral Health Network, Inc.
• Pasadera Behavioral Health Network, Inc.
• Pasadera Behavioral Health Network, Inc.
• Pasadera Behavioral Health Network, Inc.
• Pasadera Behavioral Health Network, Inc.

• Special Hospital in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Special Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.