Active NPI
Banner Telehealth LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Scottsdale, AZ
National Provider Identifier
1396492005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- BANNER TELEHEALTH LLC
- Practice address
- 7575 E Earll Dr Ste 101
Scottsdale, AZ 85251-6915 - Phone
- (480) 684-8345
- Fax
- (480) 412-5477
- NPI assigned
- Mar 3, 2022
- Organization subpart
- Yes
- Parent organization
- BANNER HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd Werner
- Title
- Division President
- Phone
- (602) 474-4000
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
7575 E Earll Dr Ste 101
Scottsdale, AZ 85251-6915
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Other practice location 1
1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone (480) 543-2000
Other practice location 2
501 N Navajo Dr
Page, AZ 86040-0959
Phone (928) 645-2424
Other practice location 3
5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 865-5555
Other practice location 4
807 S Ponderosa St
Payson, AZ 85541-5542
Phone (928) 471-3222
Other practice location 5
1405 S Alma School Rd
Chandler, AZ 85286-7144
Phone (480) 256-7000
Other practice location 6
37000 N Gantzel Rd
Queen Creek, AZ 85140-7303
Phone (480) 394-4000
Other practice location 7
2050 W Southern Ave
Apache Junction, AZ 85120-7305
Phone (480) 733-3300
Other practice location 8
9201 W Thomas Rd
Phoenix, AZ 85037-3332
Phone (623) 327-4000
Other practice location 9
1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-3000
Other practice location 10
14502 W Meeker Blvd
Sun City West, AZ 85375-5282
Phone (623) 524-4000
Other practice location 11
1800 E Florence Blvd
Casa Grande, AZ 85122-5303
Phone (520) 381-6300
Other practice location 12
10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (623) 832-4000
Other practice location 13
7575 E Earll Dr
Scottsdale, AZ 85251-6915
Phone (480) 448-7500
Other practice location 14
6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (480) 321-2000
Other practice location 15
1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-0111
Other practice location 16
2800 E Ajo Way
Tucson, AZ 85713-6204
Phone (520) 874-2000
Other practice location 17
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220420002128 | AZ | Part B Supplier - Clinic/Group Practice | 7113314279 |
Receives reassigned benefits from 12 practitioners 1 other NPI on this enrollment Practice locations: Page, AZ; Tucson, AZ; Tempe, AZ; Sun City West, AZ; Sun City, AZ; Scottsdale, AZ; San Tan Valley, AZ; Queen Creek, AZ… |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tucson, AZ
- NPI 1386352714
O20220420002128
National Provider Directory
National Provider Directory- Tax ID family
- Banner Telehealth LLC
- Part of
- M E Lee MD
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tucson, AZ
- NPI 1386352714
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1649910209
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Tempe, AZ
- NPI 1427556240
AZ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1396492005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 N CENTRAL AVE STE 160",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7575 E EARLL DR STE 101",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516915",
"telephone_number": "480-684-8345",
"fax_number": "480-412-5477"
}
],
"practiceLocations": [
{
"address_1": "1900 N Higley Rd",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852341604",
"country_code": "US",
"telephone_number": "480-543-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 N Navajo Dr",
"address_purpose": "LOCATION",
"city": "Page",
"state": "AZ",
"postal_code": "860400959",
"country_code": "US",
"telephone_number": "928-645-2424",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5555 W Thunderbird Rd",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853064622",
"country_code": "US",
"telephone_number": "602-865-5555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "807 S Ponderosa St",
"address_purpose": "LOCATION",
"city": "Payson",
"state": "AZ",
"postal_code": "855415542",
"country_code": "US",
"telephone_number": "928-471-3222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1405 S Alma School Rd",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852867144",
"country_code": "US",
"telephone_number": "480-256-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "37000 N Gantzel Rd",
"address_purpose": "LOCATION",
"city": "Queen Creek",
"state": "AZ",
"postal_code": "851407303",
"country_code": "US",
"telephone_number": "480-394-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2050 W Southern Ave",
"address_purpose": "LOCATION",
"city": "Apache Junction",
"state": "AZ",
"postal_code": "851207305",
"country_code": "US",
"telephone_number": "480-733-3300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9201 W Thomas Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850373332",
"country_code": "US",
"telephone_number": "623-327-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 S Dobson Rd",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852024707",
"country_code": "US",
"telephone_number": "480-412-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14502 W Meeker Blvd",
"address_purpose": "LOCATION",
"city": "Sun City West",
"state": "AZ",
"postal_code": "853755282",
"country_code": "US",
"telephone_number": "623-524-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 E Florence Blvd",
"address_purpose": "LOCATION",
"city": "Casa Grande",
"state": "AZ",
"postal_code": "851225303",
"country_code": "US",
"telephone_number": "520-381-6300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10401 W Thunderbird Blvd",
"address_purpose": "LOCATION",
"city": "Sun City",
"state": "AZ",
"postal_code": "853513004",
"country_code": "US",
"telephone_number": "623-832-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7575 E Earll Dr",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852516915",
"country_code": "US",
"telephone_number": "480-448-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6644 E Baywood Ave",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852061747",
"country_code": "US",
"telephone_number": "480-321-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1625 N Campbell Ave",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857194330",
"country_code": "US",
"telephone_number": "520-694-0111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2800 E Ajo Way",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857136204",
"country_code": "US",
"telephone_number": "520-874-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 E McDowell Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850062612",
"country_code": "US",
"telephone_number": "602-839-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BANNER TELEHEALTH LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BANNER HEALTH",
"enumeration_date": "2022-03-03",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A",
"authorized_official_last_name": "WERNER",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "DIVISION PRESIDENT",
"authorized_official_telephone_number": "602-474-4000"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"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": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
- Banner Behavioral Health Hospital Pro Fee
- Banner Behavioral Health Hospital Pro Fee
- Banner Pharmacy Services LLC
- Banner Psychiatric Center
- Banner Psychiatric Center Pro Fee
- Banner Urgent Care Services, LLC
- Banner Urgent Care Services, LLC
- Banner Urgent Care Services, LLC
- Banner Urgent Care Services, LLC
- Reena Bansal, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.