NPIMap

Organization Active NPI

Samaria Behavioral Health Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1316785603
Registry record updated Aug 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SAMARIA BEHAVIORAL HEALTH CENTER LLC
Practice address
6197 S Rural Rd
Tempe, AZ 85283-2909
Phone
(480) 471-8980
Fax
(480) 912-1061
NPI assigned
Jul 19, 2024
Last updated
Aug 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2024

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

Authorized official

Name
Mrs. Daphne A LouissaintNPI 1225462724
Title
Owner
Phone
(480) 842-5138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Medical Specialty Clinic/Center 261QM2500X
Family Nurse Practitioner 363LF0000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary
Certified Registered Nurse Anesthetist 367500000X

Addresses

Primary practice location

6197 S Rural Rd
Tempe, AZ 85283-2909

Mailing address

6197 S Rural Rd
Tempe, AZ 85283-2909
Phone (480) 471-8980

National Provider Directory

National Provider Directory
Tax ID family
Samaria Behavioral Health Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

6197 S Rural Rd
Tempe, AZ 85283
Phone (480) 471-8980

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724544000000",
    "number": "1316785603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6197 S RURAL RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832909",
            "telephone_number": "480-471-8980",
            "fax_number": "480-912-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6197 S RURAL RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832909",
            "telephone_number": "480-471-8980",
            "fax_number": "480-912-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARIA BEHAVIORAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A",
        "authorized_official_last_name": "LOUISSAINT",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-842-5138",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2024; 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.