Steve Reupena, STEVE REUPENA

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

99-1222703 Issued in AZ

Practice address

9025 W Crown King Rd
Tolleson, AZ 85353-8639

Phone

(602) 677-2206

NPI assigned

Feb 16, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• LLC Deeply Rooted Family & Life Services

  • Psychiatric Residential Treatment Facility
  • Tolleson, AZ
  • NPI 1558286765

  Community Based Residential Treatment Facility, Mental Illness

  NPD (past) Authorized official

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1376308544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10517 W TORONTO WAY",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853535630",
            "telephone_number": "602-677-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 W CROWN KING RD",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853538639",
            "telephone_number": "602-677-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUPENA",
        "first_name": "STEVE",
        "credential": "STEVE REUPENA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-16",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "99-1222703",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AZ",
            "license": "99-1222703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rae 6 LLC
• Rae6.Tech
• Sabrina Cecilia Ramirez, APRN, FNP-C, CMSRN
• Rakeesha R Reeves-Pelt, M.A., CFY-SLP
• Rehoboth Broad LLC
• Whitney M Rice, PHARMD
• Dominique Nadine Rodallegas
• Karen D Rodriguez Lopez, PA
• Damaso Enrique Montes Rodriguez
• Janet Rodriguez

• Mental Illness Community Based Residential Treatment Facility in Tolleson, AZ
• Providers in Tolleson, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.