NPIMap

Organization Active NPI

Superior Behavioral Care, LLC

  • Community/Behavioral Health Agency
  • Laveen, AZ
National Provider Identifier
1528686227
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUPERIOR BEHAVIORAL CARE, LLC
Practice address
7028 S 58TH Ave
Laveen, AZ 85339-2265
Phone
(480) 823-8848
Fax
(408) 422-9187
NPI assigned
Jul 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Authorized official

Name
Ernesta PearlNPI 1912547860
Title
Manager
Phone
(480) 823-8848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7028 S 58TH Ave
Laveen, AZ 85339-2265

Mailing address

1089 S Amber St
Chandler, AZ 85286-1415
Phone (480) 823-8848

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1528686227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 S AMBER ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861415",
            "telephone_number": "480-823-8848",
            "fax_number": "480-422-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7028 S 58TH AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392265",
            "telephone_number": "480-823-8848",
            "fax_number": "408-422-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR BEHAVIORAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "PEARL",
        "authorized_official_first_name": "ERNESTA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-823-8848"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.