NPIMap

Organization Active NPI

Pantano Behavioral Health Services, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Tucson, AZ
National Provider Identifier
1295966869
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
BH3317 Issued in AZ
Legal business name
PANTANO BEHAVIORAL HEALTH SERVICES, INC
Practice address
1477 W Commerce CT
Tucson, AZ 85746-6016
Phone
(520) 917-6500
Fax
(520) 889-3424
NPI assigned
Jul 30, 2009
Organization subpart
Yes
Parent organization
PANTANO BEHAVIORAL HEALTH SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Authorized official

Name
Patricia D Treeful
Title
Ceo
Phone
(520) 623-9833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X BH3317 AZ Primary

Addresses

Primary practice location

1477 W Commerce CT
Tucson, AZ 85746-6016

Mailing address

5055 E Broadway Blvd Ste C104
Tucson, AZ 85711-3641
Phone (520) 623-9833

National Provider Directory

National Provider Directory
Tax ID family
Pantano Behavioral Health3 organizations share this tax ID, including this one
Part of
Pantano Behavioral Health

Other organizations with this tax ID 2

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

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1295966869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 E BROADWAY BLVD STE C104",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113641",
            "telephone_number": "520-623-9833",
            "fax_number": "520-623-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 W COMMERCE CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466016",
            "telephone_number": "520-917-6500",
            "fax_number": "520-889-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANTANO BEHAVIORAL HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PANTANO BEHAVIORAL HEALTH SERVICES, INC",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "TREEFUL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-623-9833"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "AZ",
            "license": "BH3317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.