Haven Behavioral Services of Phoenix, LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

HAVEN BEHAVIORAL SERVICES OF PHOENIX, LLC

Doing business as

Haven Behavioral Hospital of Phoenix

Practice address

1201 S 7TH Ave
Suite 200
Phoenix, AZ 85007-3913

Phone

(623) 236-2000

Fax

(623) 236-2050

NPI assigned

Dec 6, 2007

Last updated

Mar 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Tarantino

Title

Evp

Phone

(972) 464-0022

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Haven Behavioral Hospital of Phoenix Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275716896. Details of each certification follow.

• CCN 034020 Hospital · Active · Details

Hospital certification: CCN 034020

Legal name

HAVEN BEHAVIORAL SERVICES OF PHOENIX LLC

Doing business as

HAVEN BEHAVIORAL HOSPITAL OF PHOENIX

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Aug 26, 1994

Last certification

Jul 17, 2024

Beds

57

Ownership / control type

Private (for profit)

Most recent change of ownership

Jun 30, 2008 (3 total)

Organization structure

LLCProprietary

Enrollment address

1201 S 7TH Ave
Ste 200
Phoenix, AZ 85007-4076
Other Hospital Practice Location

Hospital subgroups

Psychiatric

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Haven Behavioral Services of Phoenix, LLC

  dba Haven Senior Horizons Outpatient

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1083875660

  O20080728000363

  Same enrollment

Listed as

Haven Behavioral Hospital of PhoenixCCN 034020 · All quality measures

Type

Psychiatric

Ownership

Proprietary

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Haven Behavioral Services of Phoenix, LLC

  dba Haven Senior Horizons Outpatient

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1083875660

  5% Or Greater Direct Ownership Interest

  CMS ownership

Facilities with the same owner 42

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• All at Home Health Care, LLC

  • Home Health Agency
  • Allston, MA
  • NPI 1720386378

  Webster Equity Partners V, LP

  CMS ownership
• Audubon Behavioral Healthcare of Longview, LLC

  dba Oceans Behavioral Hospital of Longview

  • Psychiatric Hospital
  • Longview, TX
  • NPI 1306146733

  Oceans Buyer, Inc., Oceans Midco, Inc., Oceans Topco, Inc., Oceans Ultimate Holdco GP, LLC, Oceans Ultimate Holdco, LP, Wasque Partners II Spe, LP, Webster Equity Partners V, LP, Webster Oceans Co-Investment Fund, LP

  CMS ownership
• Behavioral Health Center of the Permian Basin LLC

  • Psychiatric Hospital
  • Midland, TX
  • NPI 1396184180

  Oceans Acquisition Inc, Oceans Buyer, Inc., Oceans Midco, Inc., Oceans Topco, Inc., Oceans Ultimate Holdco GP, LLC, Oceans Ultimate Holdco, LP, Wasque Partners II Spe, LP, Webster Equity Partners V, LP, Webster Oceans Co-Investment Fund, LP

  CMS ownership
• Behavioral Health Porter Village, LLC

  dba Behavioral Health Center at Porter Health Village

  • Psychiatric Hospital
  • Norman, OK
  • NPI 1972385672

  Oceans Acquisition Inc, Oceans Buyer, Inc., Oceans Midco, Inc., Oceans Topco, Inc., Oceans Ultimate Holdco GP, LLC, Oceans Ultimate Holdco, LP, Wasque Partners II Spe, LP, Webster Equity Partners V, LP, Webster Oceans Co-Investment Fund, LP

  CMS ownership
• D.C. Home Health Holdings LLC

  • Respite Care
  • Washington, DC
  • NPI 1225533086

  Webster Equity Partners V, LP

  CMS ownership
• First Horizon Home Health Care, LLC

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1437544475

  Webster Equity Partners V, LP

  CMS ownership
• Haven Behavioral Services of Albuquerque, LLC

  dba Haven Behavioral Hospital of Albuquerque

  • Psychiatric Hospital
  • Albuquerque, NM
  • NPI 1093079303

  Haven Behavioral Healthcare Inc, Haven Behavioral Services LLC, Oceans Acquisition Inc, Oceans Buyer, Inc., Oceans Midco, Inc., Oceans Topco, Inc., Oceans Ultimate Holdco GP, LLC, Oceans Ultimate Holdco, LP, Wasque Partners II Spe, LP, Webster Eq

  CMS ownership
• Haven Behavioral Services of Dayton, LLC

  dba Haven Behavioral Hospital of Dayton

  • Psychiatric Hospital
  • Dayton, OH
  • NPI 1831460229

  Haven Behavioral Healthcare Inc, Haven Behavioral Services LLC, Oceans Acquisition Inc, Oceans Buyer, Inc., Oceans Midco, Inc., Oceans Topco, Inc., Oceans Ultimate Holdco GP, LLC, Oceans Ultimate Holdco, LP, Wasque Partners II Spe, LP, Webster Eq

  CMS ownership
• Haven Behavioral Services of Philadelphia, LLC

  dba Haven Behavioral Hospital of Philadelphia

  • Psychiatric Hospital
  • Philadelphia, PA
  • NPI 1912341629

  Haven Behavioral Healthcare Inc, Haven Behavioral Services LLC, Oceans Acquisition Inc, Oceans Buyer, Inc., Oceans Midco, Inc., Oceans Topco, Inc., Oceans Ultimate Holdco GP, LLC, Oceans Ultimate Holdco, LP, Wasque Partners II Spe, LP, Webster Eq

  CMS ownership
• Haven Behavioral Services of Reading, LLC

  dba Haven Behavioral Hospital of Eastern Pennsylvania

  • Psychiatric Hospital
  • Reading, PA
  • NPI 1629384292

  Haven Behavioral Healthcare Inc, Haven Behavioral Services LLC, Oceans Acquisition Inc, Oceans Buyer, Inc., Oceans Midco, Inc., Oceans Topco, Inc., Oceans Ultimate Holdco GP, LLC, Oceans Ultimate Holdco, LP, Wasque Partners II Spe, LP, Webster Eq

  CMS ownership
• Haven Behavioral Services of West Chester, LLC

  dba Haven Behavioral Hospital of West Chester

  • Psychiatric Hospital
  • West Chester, PA
  • NPI 1376248369

  Haven Behavioral Healthcare Inc, Haven Behavioral Services LLC, Oceans Acquisition Inc, Oceans Buyer, Inc., Oceans Midco, Inc., Oceans Topco, Inc., Oceans Ultimate Holdco GP, LLC, Oceans Ultimate Holdco, LP, Wasque Partners II Spe, LP, Webster Eq

  CMS ownership
• HBS of Meridian, LLC

  dba Cottonwood Creek Behavioral Hospital

  • Psychiatric Hospital
  • Meridian, ID
  • NPI 1003397878

  Haven Behavioral Healthcare Inc, Haven Behavioral Services LLC, Oceans Acquisition Inc, Oceans Buyer, Inc., Oceans Midco, Inc., Oceans Topco, Inc., Oceans Ultimate Holdco GP, LLC, Oceans Ultimate Holdco, LP, Wasque Partners II Spe, LP, Webster Eq

  CMS ownership

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron Kramer, D.O.

  • Psychiatry Physician
  • Glendale, AZ
  • NPI 1558715490
  Medicare reassignment NPD
• Joaquin Baca Bermudez, D.O.

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1104086784
  NPD (past)
• Rosekamal McKinney, M.D.

  • Addiction Medicine (Preventive Medicine) Physician
  • Glendale, AZ
  • NPI 1457794885
  NPD (past)
• Satinder Singh Purewal, MD

  • Psychiatry Physician
  • Glendale, AZ
  • NPI 1528161908
  NPD (past)

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1275716896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 W END AVE STE 1000",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031324",
            "telephone_number": "615-398-8800",
            "fax_number": "615-982-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S 7TH AVE",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850073913",
            "telephone_number": "623-236-2000",
            "fax_number": "623-236-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN BEHAVIORAL SERVICES OF PHOENIX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "TARANTINO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "972-464-0022"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B",
            "identifier": "Z136159",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417059",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Behavioral Hospital of Phoenix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Grace Hausteen, RNFA
• Lauren Lehne Havard, M.D.
• Have Faith Hospice Services Inc
• Haven Behavioral Services of Phoenix West, LLC
• Haven Behavioral Services of Phoenix, LLC (Haven Senior Horizons Outpatient)
• Haven Health Sky Harbor LLC
• Haven of Phoenix, LLC
• Havenhands PLLC (Endless Beauty Med Spa)
• Courtney Jane Havens-Mitchell, ATC
• Pamela F. Havens, PH.D.

• Psychiatric Hospital in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.