Pelagio Behavioral Health, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

PELAGIO BEHAVIORAL HEALTH, LLC

Doing business as

Pelagio Behavioral Health, LLC

Practice address

35970 W Merced St
Maricopa, AZ 85138-2195

Phone

(602) 516-4184

NPI assigned

Jan 23, 2024

Organization subpart

No

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

Authorized official

Name

Maria Lourdes Pelagio

Title

Administrator

Phone

(602) 516-4184

Specialties & licenses 2

Addresses

Other names 1

• Pelagio Behavioral Health, LLC Doing business as

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1558123869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35970 W MERCED ST",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851382195",
            "telephone_number": "602-516-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35970 W MERCED ST",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851382195",
            "telephone_number": "602-516-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELAGIO BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "PELAGIO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LOURDES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-516-4184"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pelagio Behavioral Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pelagio Behavioral Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Illness Community Based Residential Treatment Facility in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.