Banner Behavioral Health Hospital Pro Fee

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BANNER BEHAVIORAL HEALTH HOSPITAL PRO FEE

Practice address

7575 E Earll Dr
Scottsdale, AZ 85251-6915

Phone

(480) 941-7500

NPI assigned

Oct 9, 2006

Last updated

Oct 15, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

BANNER HEALTHAs reported in NPPES

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

Authorized official

Name

Dennis Dahlen

Title

Senior VP - Finance

Phone

(602) 747-4000

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

M E Lee MD

Locations

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1235226499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 E EARLL DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516915",
            "telephone_number": "480-941-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER BEHAVIORAL HEALTH HOSPITAL PRO FEE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2006-10-09",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "DAHLEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "SENIOR VP - FINANCE",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "894601",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Banner Behavioral Health Hospital
• Banner Behavioral Health Hospital
• Banner Behavioral Health Hospital
• Banner Behavioral Health Hospital
• Banner Behavioral Health Hospital
• Banner Behavioral Health Hospital Pro Fee
• Banner Pharmacy Services LLC
• Banner Psychiatric Center
• Banner Psychiatric Center Pro Fee
• Banner Telehealth LLC

• Adult Mental Health Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.