Banner Telehealth LLC

Primary specialty

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

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

Last updated

Sep 2, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

BANNER HEALTHAs reported in NPPES

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

Addresses

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.

• Banner Telehealth LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1386352714

  O20220420002128

  Same enrollment

Tax ID family

Banner Telehealth LLC3 organizations share this tax ID, including this one

Part of

Custer Comm Hosp Rad

Other organizations with this tax ID 2

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

• Banner Telehealth LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1386352714
  NPD tax ID
• Banner Telehealth LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1649910209
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Banner Health

  dba Banner Hospice of Northern Colorado

  • Community Based Hospice Care Agency
  • Greeley, CO
  • NPI 1407409964

  Member Of

  NPD member

Practitioners 13

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.

• Jaclyn Ann Grajewski

  • Social Worker
  • Mesa, AZ
  • NPI 1376106294
  Medicare reassignment Care Compare group NPD
• Felisha M Hudson, LCSW

  • Clinical Social Worker
  • Tempe, AZ
  • NPI 1811376338
  Medicare reassignment Care Compare group NPD
• Kelly Young Kelley, MSW

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1811060924
  Medicare reassignment Care Compare group NPD
• Sean McCarthy, LMSW

  • Social Worker
  • Mesa, AZ
  • NPI 1134784895
  Medicare reassignment Care Compare group NPD
• Lisa L McKirchy, LCSW

  • Clinical Social Worker
  • Mesa, AZ
  • NPI 1881218212
  Medicare reassignment Care Compare group NPD
• Kimberly S Noll, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1215264221
  Medicare reassignment Care Compare group NPD
• Margaret Kenan Comford, MSW

  • Clinical Social Worker
  • Columbia, MO
  • NPI 1750335394

  AZ

  Medicare reassignment Care Compare group NPD
• Amy E Latham, LMSW

  • Clinical Social Worker
  • Tempe, AZ
  • NPI 1528452984
  Medicare reassignment Care Compare group
• Nicole Carlson, LCSW, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tempe, AZ
  • NPI 1427556240
  Medicare reassignment NPD
• Zachary Antil Fincher, LCSW

  • Clinical Social Worker
  • Scottsdale, AZ
  • NPI 1851879068
  Medicare reassignment NPD
• Stephanie Henry

  • Clinical Social Worker
  • Peoria, AZ
  • NPI 1033654272
  Medicare reassignment NPD
• Parris Watson, MSW, LCSW

  • Clinical Social Worker
  • Tempe, AZ
  • NPI 1144767252
  Medicare reassignment NPD

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": "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": "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": "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": "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": []
}

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• Reena Bansal, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Scottsdale, AZ
• Providers in Scottsdale, 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 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.

Verify at the official NPI Registry.