Developmental BH Consult

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

DEVELOPMENTAL BH CONSULT

Practice address

2190 N Grace Blvd
Chandler, AZ 85225-3416

Phone

(480) 917-9301

NPI assigned

Apr 9, 2008

Organization subpart

Yes

Parent organization

PARC PLACEAs reported in NPPES

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

Authorized official

Name

Michael Putoff

Title

Ceo

Phone

(480) 917-9301

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Developmental BH Consult2 organizations share this tax ID, including this one

Part of

Southwestern Childrens Health Services Inc

Other organizations with this tax ID 1

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

• Elmwood Group Homes

  • Psychiatric Residential Treatment Facility
  • Mesa, AZ
  • NPI 1942473038
  NPD tax ID

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1295908390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 N GRACE BLVD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852253416",
            "telephone_number": "480-917-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 N GRACE BLVD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852253416",
            "telephone_number": "480-917-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL BH CONSULT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARC PLACE",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "PUTOFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-917-9301"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357625",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destin D. Whipple, OD, PLLC
• Stefffen Scott Detherage
• Richard Detzel, PH.D SCHOOL PSYCHOLO
• Elana Deuble, LMSW
• Devel BH Consultants
• Katharine Elizabeth Devereux
• Cassidy Devine, PT DPT
• Cynthia Devine, NP
• Rama Devineni, MD
• Devmont Dental, LLC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.