Pasadera Behavioral Health Network, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X

License

IFBH7082 Issued in AZ

Legal business name

PASADERA BEHAVIORAL HEALTH NETWORK, INC.

Practice address

2502 N Dodge Blvd
Suite 190
Tucson, AZ 85716-2671

Phone

(520) 618-8600

Fax

(520) 617-1608

NPI assigned

Apr 6, 2015

Organization subpart

Yes

Parent organization

PASADERA BEHAVIORAL HEALTH NETWORK, INC.As reported in NPPES

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

Authorized official

Name

Stephanie Oliver, CPC, RMM, ICD10CT-CM

Title

Chief Quality Management Officer

Phone

(520) 628-3400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dodge Detoxification Center Doing business as

Part of

Pasadera Behavioral Health Network Inc

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.

• Pasadera Behavioral Health Network, Inc.

  • Substance Abuse Rehabilitation Facility
  • Tucson, AZ
  • NPI 1609229574
  NPPES parent name

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1457746497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S 8TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857134730",
            "telephone_number": "520-628-3400",
            "fax_number": "520-628-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 N DODGE BLVD",
            "address_2": "SUITE 190",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162671",
            "telephone_number": "520-618-8600",
            "fax_number": "520-617-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADERA BEHAVIORAL HEALTH NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PASADERA BEHAVIORAL HEALTH NETWORK, INC.",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CHIEF QUALITY MANAGEMENT OFFICER",
        "authorized_official_telephone_number": "520-628-3400",
        "authorized_official_credential": "CPC, RMM, ICD10CT-CM"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "AZ",
            "license": "IFBH7082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019108",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "IFBH7082",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dodge Detoxification Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pasadera Behavioral Health Network Dba Level II Detoxification
• Pasadera Behavioral Health Network, Inc.
• Pasadera Behavioral Health Network, Inc.
• Pasadera Behavioral Health Network, Inc.
• Pasadera Behavioral Health Network, Inc.
• Pasadera Behavioral Health Network, Inc.
• Pasadera Behavioral Health Network, Inc.
• Pasadera Behavioral Health Network, Inc.
• Pasadera Behavioral Health Network, Inc.
• Kiara Caber Pasaye, M.A., CCC-SLP

• Substance Use Disorder Rehabilitation Hospital Unit in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Substance Use Disorder Rehabilitation Hospital Unit in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.