Copper Springs Hospital, LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

COPPER SPRINGS HOSPITAL, LLC

Doing business as

Copper Springs East

Practice address

3755 S Rome St
Gilbert, AZ 85297-7361

Phone

(480) 667-5500

Fax

(480) 667-5501

NPI assigned

Mar 2, 2020

Last updated

Jan 14, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

COPPER SPRINGS HOSPITAL, LLCAs reported in NPPES

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

Authorized official

Name

Charlotte Lawrence

Title

Secretary

Phone

(615) 920-7688

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Copper Springs East Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407480254. Details of each certification follow.

• CCN 034032 Hospital · Active · Details

Hospital certification: CCN 034032

Legal name

COPPER SPRINGS HOSPITAL LLC

Doing business as

COPPER SPRINGS - EAST

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Jun 1, 2016

Last certification

Apr 9, 2019

Beds

72

Ownership / control type

Private (for profit)

Organization structure

LLCProprietary

Incorporated

Sep 24, 2014 in DE

Enrollment address

10550 W McDowell Rd
Avondale, AZ 85392-4864
Main/Primary Hospital Location

Hospital subgroups

Psychiatric

Other NPIs on the same Medicare enrollment 1

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

• Copper Springs Hospital, LLC

  dba Copper Springs

  • Psychiatric Hospital
  • Avondale, AZ
  • NPI 1336504380

  O20160426001782

  Same enrollment

Listed as

Copper Springs East- GilbertCCN 034032 · All quality measures

Type

Psychiatric

Ownership

Proprietary

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

Yes

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Copper Springs Hospital LLC2 organizations share this tax ID, including this one

Part of

Copper Springs Hospital LLC

Other organizations with this tax ID 1

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

• Copper Springs Hospital, LLC

  dba Copper Springs

  • Psychiatric Hospital
  • Avondale, AZ
  • NPI 1336504380
  NPD tax ID

Locations

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Copper Springs Hospital, LLC

  dba Copper Springs

  • Psychiatric Hospital
  • Avondale, AZ
  • NPI 1336504380
  NPPES parent name

Practitioners 3

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.

• Pedram E Amani, M.D.

  • Psychiatry Physician
  • Scottsdale, AZ
  • NPI 1174814594
  NPD (past)
• Khalid Salim Khan

  • Psychiatry Physician
  • Tempe, AZ
  • NPI 1821452418
  NPD (past)
• Adeel Zafar, M.D.

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1497950661
  NPD (past)

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1407480254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S 5TH ST STE 3850",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023127",
            "telephone_number": "502-792-9864",
            "fax_number": "502-719-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 S ROME ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977361",
            "telephone_number": "480-667-5500",
            "fax_number": "480-667-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER SPRINGS HOSPITAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COPPER SPRINGS HOSPITAL, LLC",
        "enumeration_date": "2020-03-02",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7688"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "SH7665",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Copper Springs East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Copper Valley Health, LLC (Copper Valley Health)
• Elaina Corbin, OTR/L
• George M Corcoran, MD
• Krystal Cordell, HIS

• Psychiatric Hospital in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Psychiatric Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.