Pasadera Behavioral Health Network, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

OTC6176 Issued in AZ

Legal business name

PASADERA BEHAVIORAL HEALTH NETWORK, INC.

Doing business as

Pasadera Green Valley Site

Practice address

1260 S. Campbell Rd.
Building 2
Green Valley, AZ 85614-0503

Phone

(520) 407-5400

Fax

(520) 407-5990

NPI assigned

Jan 14, 2014

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

• Pasadera Green Valley Site Doing business as

Part of

Pasadera Behavioral Health Network Inc

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": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1295157972",
    "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": "520-618-8622",
            "fax_number": "520-628-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S. CAMPBELL RD.",
            "address_2": "BUILDING 2",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140503",
            "telephone_number": "520-407-5400",
            "fax_number": "520-407-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADERA BEHAVIORAL HEALTH NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PASADERA BEHAVIORAL HEALTH NETWORK, INC.",
        "enumeration_date": "2014-01-14",
        "last_updated": "2015-08-13",
        "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": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC6176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OTC6176",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "882111",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pasadera Green Valley Site",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marvin B Padnick, MD
• Cecilia Denisse Palomera Correa
• David Lee Parke, D.C.
• Rene' Parke, L.AC. , NCCAOM
• Mary S Parker, MD
• Pasadera Behavioral Health Network, Inc. (Pasadera Presidio Pointe Site)
• Mary Ellen Passaro, MSW
• Niyatiben Patel, AGACNP
• Laura Lynn Peters
• Pharmblue Arizona, LLC

• Community/Behavioral Health Agency in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.