NPIMap

Organization Active NPI

Pasadera Behavioral Health Network, Inc.

  • Substance Abuse Rehabilitation Facility
  • Tucson, AZ
National Provider Identifier
1609229574
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
BH-4798 Issued in AZ
Legal business name
PASADERA BEHAVIORAL HEALTH NETWORK, INC.
Practice address
2502 N Dodge Blvd Ste 190
Tucson, AZ 85716-2675
Phone
(520) 628-3400
Fax
(520) 628-3151
NPI assigned
Jul 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Authorized official

Name
Andrea R Canchola, BS
Title
Contracts, Compliance Manager
Phone
(520) 628-3450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X BH-4798 AZ Primary

Addresses

Primary practice location

2502 N Dodge Blvd Ste 190
Tucson, AZ 85716-2675

Mailing address

2700 S 8TH Ave
Tucson, AZ 85713-4730
Phone (520) 628-3400

National Provider Directory

National Provider Directory
Tax ID family
Pasadera Behavioral Health Network Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 14

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1609229574",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 N DODGE BLVD STE 190",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162675",
            "telephone_number": "520-628-3400",
            "fax_number": "520-628-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADERA BEHAVIORAL HEALTH NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "CANCHOLA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CONTRACTS, COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "520-628-3450",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BH-4798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.