Ubh of Phoenix LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

UBH OF PHOENIX LLC

Doing business as

Valley Hospital

Practice address

3550 E Pinchot Ave
Phoenix, AZ 85018-7434

Phone

(602) 957-4000

Fax

(602) 368-2598

NPI assigned

Jan 13, 2014

Last updated

Jun 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steve Filton

Title

Sr VP Cfo

Phone

(610) 768-3300

Specialties & licenses 2

Addresses

Other names 1

• Valley Hospital Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437571213. Details of each certification follow.

• CCN 034026 Hospital · Active · Details

Hospital certification: CCN 034026

Legal name

UBH OF PHOENIX, LLC

Doing business as

VALLEY HOSPITAL

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Apr 22, 2011

Last certification

Dec 4, 2019

Beds

122

Ownership / control type

Private (for profit)

Organization structure

LLCProprietary

Incorporated

Nov 9, 2007 in DE

Enrollment address

3550 E Pinchot Ave
Phoenix, AZ 85018-7434
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.

• Ubh of Phoenix LLC

  dba Valley Hospital

  • Psychiatric Hospital
  • Phoenix, AZ
  • NPI 1083942098

  O20100513000504, O20110209000009

  Same enrollment

Listed as

Valley HospitalCCN 034026 · All quality measures

Type

Psychiatric

Ownership

Proprietary

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

Locations

All disclosed owners & managing parties 14

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

Practitioners 15

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.

• Ehab Salem Abdelkriem Abdallah, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Scottsdale, AZ
  • NPI 1922112572
  NPD
• Nazila Adib, MD

  • Psychiatry Physician
  • Scottsdale, AZ
  • NPI 1740202613
  NPD
• Mehmud Ahmed, MD

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1942221635
  NPD
• Safdar Ali, M.D.

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1114005808
  NPD
• Joaquin Baca Bermudez, D.O.

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1104086784
  NPD
• Lauren T Bonner, MD

  • Psychiatry Physician
  • Scottsdale, AZ
  • NPI 1740265990
  NPD
• Chase Crookham, DO

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1306465042
  NPD
• Tallan Depriest

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1548794399
  NPD
• Amol Rohit Patel, MD

  • Psychiatry Physician
  • Mesa, AZ
  • NPI 1003139171
  NPD
• Roland Segal, M.D.

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1972671022
  NPD
• Sami Victor, M.D.

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1023264587
  NPD
• Adeel Zafar, M.D.

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1497950661
  NPD

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1437571213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 E PINCHOT AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187434",
            "telephone_number": "602-957-4000",
            "fax_number": "602-368-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 E PINCHOT AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187434",
            "telephone_number": "602-957-4000",
            "fax_number": "602-368-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UBH OF PHOENIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SR VP CFO",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• U-N-I Anesthesia LLC
• U.S. Healthworks Medical Group of Arizona, Inc.
• Uacc St. Jospeh's Hospital and Medical Center
• Chikodili Catherine Uba
• Ubh of Phoenix LLC (Valley Hospital)
• Ubh, LLC (Umbrella Behavioral Health)
• Ubl Ur Care LLC
• Ubuntu Health LLC
• Stanley Uche, DO
• Dumebi Uchendu, NP

• Adult Mental Health Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.