St. Lukes Behavioral Hospital LP

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

ST. LUKES BEHAVIORAL HOSPITAL LP

Practice address

1800 E Van Buren St
Phoenix, AZ 85006-3742

Phone

(602) 251-8535

NPI assigned

Aug 2, 2010

Reactivated

Jun 25, 2020

Last updated

Jun 25, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

ST LUKES BEHAVIORAL HOSPITAL LPAs reported in NPPES

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

Authorized official

Name

Gregory L Jahn

Title

Hospital Ceo

Phone

(602) 251-8535

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Outpatient Billing Other name

Tax ID family

St Lukes Behavioral Hospital LP2 organizations share this tax ID, including this one

Part of

St Lukes Behavioral Hospital LP

Other organizations with this tax ID 1

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

• St Lukes Behavioral Hospital LP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1932709342
  NPD tax ID

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1437463486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SEABOARD LN BLDG E",
            "address_2": "ATTN: IASIS CORPORATE LEGAL DEPARTMENT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672855",
            "telephone_number": "615-844-2747",
            "fax_number": "615-467-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E VAN BUREN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850063742",
            "telephone_number": "602-251-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKES BEHAVIORAL HOSPITAL LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKES BEHAVIORAL HOSPITAL LP",
        "enumeration_date": "2010-08-02",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "deactivation_date": "2017-01-20",
        "reactivation_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "JAHN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "HOSPITAL CEO",
        "authorized_official_telephone_number": "602-251-8535"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500670",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outpatient Billing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• St. Josephs Hospital and Medical Center
• St. Luke's Pediatrics
• St. Michael's Manor
• St. Rita Hospice Inc
• Naomi Ruth St.Amand, MT-BC, NMT
• Justin Charles St.James, D.P.T
• Robert Nicholas Staab, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.