Mesa Development Sub, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MESA DEVELOPMENT SUB, LLC

Practice address

3322 S Ellsworth Rd
Mesa, AZ 85212-2730

Phone

(623) 254-7220

NPI assigned

Jan 22, 2025

Organization subpart

No

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

Authorized official

Name

Brian Phillip Farley

Title

Vice President & Secretary

Phone

(615) 861-6000

Specialties & licenses 1

Addresses

Other names 1

• Agave Ridge Behavioral Hospital Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mesa Development Sub, LLC

  • Psychiatric Hospital
  • Mesa, AZ
  • NPI 1013789668

  O20250219003072

  Same enrollment

Tax ID family

Mesa Development Sub 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.

• Mesa Development Sub, LLC

  • Psychiatric Hospital
  • Mesa, AZ
  • NPI 1013789668
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan Jones, MD

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1982109831
  NPD

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1346052867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 ASPEN GROVE DR STE 900",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370673134",
            "telephone_number": "615-861-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 S ELLSWORTH RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122730",
            "telephone_number": "623-254-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA DEVELOPMENT SUB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agave Ridge Behavioral Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mesa Dental Health
• Mesa Dental Partners LLC
• Mesa Dental PLLC
• Mesa Detox LLC
• Mesa Development Sub, LLC
• Mesa DME Equipment
• Mesa Endodontics PLLC
• Mesa Family Care
• Mesa Family Chiropractic PLLC
• Mesa Family Physicians, PLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.