NPIMap

Organization Active NPI

Mountain Top Behavioral Health Services, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Laveen, AZ
National Provider Identifier
1356715593
Registry record updated Nov 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH4710 Issued in AZ
Legal business name
MOUNTAIN TOP BEHAVIORAL HEALTH SERVICES, LLC
Practice address
7319 W Maldonado Rd
Laveen, AZ 85339-7001
Phone
(623) 363-6408
Fax
(888) 843-7281
NPI assigned
Nov 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2015

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

Authorized official

Name
Mr. Olugbenga Adedolapo Tepede
Title
Ceo/Program Director
Phone
(623) 363-6408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BH4710 AZ Primary

Addresses

Primary practice location

7319 W Maldonado Rd
Laveen, AZ 85339-7001

Mailing address

7319 W Maldonado Rd
Laveen, AZ 85339-7001
Phone (623) 363-6408

National Provider Directory

National Provider Directory
Tax ID family
Mountain Top Behavioral Health Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1448582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448582400000",
    "number": "1356715593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7319 W MALDONADO RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397001",
            "telephone_number": "623-363-6408",
            "fax_number": "888-843-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7319 W MALDONADO RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397001",
            "telephone_number": "623-363-6408",
            "fax_number": "888-843-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN TOP BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-27",
        "last_updated": "2015-11-27",
        "status": "A",
        "authorized_official_last_name": "TEPEDE",
        "authorized_official_first_name": "OLUGBENGA",
        "authorized_official_middle_name": "ADEDOLAPO",
        "authorized_official_title_or_position": "CEO/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "623-363-6408",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH4710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2015; 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.