Active NPI
Paradise Behavioral Health, LLC.
- Clinic/Center
- Phoenix, AZ
National Provider Identifier
1326888306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- PARADISE BEHAVIORAL HEALTH, LLC.
- Practice address
- 960 W Behrend Dr Ste 3
Phoenix, AZ 85027-4406 - Phone
- (623) 434-6567
- Fax
- (623) 434-6779
- NPI assigned
- May 28, 2024
- Last updated
- May 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bibi Mohammed
- Title
- Ceo
- Phone
- (623) 434-6567
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Clinic/Center | 261Q00000X | Primary | ||
| Community Health Clinic/Center | 261QC1500X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Methadone Clinic | 261QM2800X |
Addresses
Primary practice location
960 W Behrend Dr Ste 3
Phoenix, AZ 85027-4406
Mailing address
960 W Behrend Dr Ste 3
Phoenix, AZ 85027-4406
Phone (623) 434-6567
National Provider Directory
National Provider DirectoryLocations
960 W Behrend Dr
Ste 3
Phoenix, AZ 85027
Phone (520) 344-7260
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Prescott, AZ
- NPI 1841678943
-
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
- NPI 1205597887
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716854400000",
"number": "1326888306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 W BEHREND DR STE 3",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274406",
"telephone_number": "623-434-6567",
"fax_number": "623-434-6779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 W BEHREND DR STE 3",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274406",
"telephone_number": "623-434-6567",
"fax_number": "623-434-6779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARADISE BEHAVIORAL HEALTH, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-28",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A",
"authorized_official_last_name": "MOHAMMED",
"authorized_official_first_name": "BIBI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "623-434-6567"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Paraclete Haven of Grace, LLC
- Paradigm Diagnostics Inc
- Paradigm Shift Therapies, LLC
- Patricia Kate Paradis, FNP-C
- Paradise Anesthesia, PLLC (Mwata Dyson MD)
- Paradise Counseling & Consultation Center PC
- Paradise Healthcare LLC
- Paradise Hearing and Balance LLC
- Paradise Home Care LLC
- Paradise Patient Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.