NPIMap

Organization Active NPI

St Lukes Behavioral Hospital LP

  • Psychiatric Hospital
  • Phoenix, AZ
National Provider Identifier
1306870910
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
ST LUKES BEHAVIORAL HOSPITAL LP
Practice address
1800 E Van Buren St
Phoenix, AZ 85006-3742
Phone
(602) 251-8642
Fax
(602) 251-8215
NPI assigned
Jul 10, 2006
Last updated
Apr 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Authorized official

Name
Gregory L. Jahn
Title
Hospital Ceo
Phone
(602) 251-8546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

1800 E Van Buren St
Phoenix, AZ 85006-3742

Mailing address

1800 E Van Buren St
Attn: Billing
Phoenix, AZ 85006-3742
Phone (602) 251-8535

Other identifiers 1

IdentifierTypeStateIssuer
500670MedicaidAZ

National Provider Directory

National Provider Directory

Locations

325 E Elliot Rd
Ste 2629
Chandler, AZ 85225
Phone (480) 827-2440

2432 W Peoria Ave
Phoenix, AZ 85029
Phone (602) 626-8851

20823 N 19th Ave
Ste 6
Phoenix, AZ 85027
Phone (602) 794-8965

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1306870910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E VAN BUREN ST",
            "address_2": "ATTN: BILLING",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850063742",
            "telephone_number": "602-251-8535",
            "fax_number": "602-251-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E VAN BUREN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850063742",
            "telephone_number": "602-251-8642",
            "fax_number": "602-251-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES BEHAVIORAL HOSPITAL LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "JAHN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "HOSPITAL CEO",
        "authorized_official_telephone_number": "602-251-8546"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500670",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.