Black Sheep Behavioral, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BLACK SHEEP BEHAVIORAL, PLLC

Practice address

104 E Riviera Dr
Tempe, AZ 85282-5118

Phone

(480) 363-3168

NPI assigned

Jan 24, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Chase, LPCNPI 1063942738

Title

Owner/Clinical Therapist

Phone

(480) 465-6033

Specialties & licenses 1

Addresses

Other names 1

• Black Sheep Behavioral Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Chase, LPC

  • Professional Counselor
  • Tempe, AZ
  • NPI 1063942738
  NPD Authorized official

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1487416673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E RIVIERA DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825118",
            "telephone_number": "480-363-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E RIVIERA DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825118",
            "telephone_number": "480-363-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK SHEEP BEHAVIORAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "480-465-6033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Sheep Behavioral",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Birdi, Inc.
• Kristopher Michael Birkeland, D.C.
• Capriana Bish
• Wayne Ronald Bishop, MA, LAC
• Shay Irwin Bjelland, BA
• Amy Blackburn, RN
• Danielle Nicole Blackburn, RBT
• Shane Kyle Blacker, DDS
• Charlotte Blackwell
• Matthew Stephen Blake, MOTR/L

• Professional Counselor in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.