NPIMap

Organization Active NPI

Southwest Behavioral Health

  • Mental Illness Community Based Residential Treatment Facility
  • Scottsdale, AZ
National Provider Identifier
1235144809
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH-616 Issued in AZ
Legal business name
SOUTHWEST BEHAVIORAL HEALTH
Practice address
7626 E Sheridan St
Scottsdale, AZ 85257-1632
Phone
(480) 941-1417
Fax
(480) 424-7977
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jeff Jorde
Title
President / Ceo
Phone
(602) 285-4285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BH-616 AZ Primary

Addresses

Primary practice location

7626 E Sheridan St
Scottsdale, AZ 85257-1632

Mailing address

3450 N 3Rd St
Phoenix, AZ 85012-2331
Phone (602) 257-9339

Other identifiers 1

IdentifierTypeStateIssuer
316390MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Southwest Behavioral Health Services42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235144809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122331",
            "telephone_number": "602-257-9339",
            "fax_number": "602-265-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7626 E SHERIDAN ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852571632",
            "telephone_number": "480-941-1417",
            "fax_number": "480-424-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORDE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "602-285-4285",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH-616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316390",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.