Ebh Southwest Services, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

BH4435 Issued in AZ

Legal business name

EBH SOUTHWEST SERVICES, INC.

Practice address

12816 E Turquoise Ave
Scottsdale, AZ 85259-5300

Phone

(480) 840-2588

Fax

(480) 773-7340

NPI assigned

Dec 31, 2013

Organization subpart

Yes

Parent organization

ELEMENTS BEHAVORIAL HEALTH, INC.As reported in NPPES

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

Authorized official

Name

Ms. Cheryl Maplesden, CPC, CHC, CHPC

Title

Director, Revenue Cycle

Phone

(615) 510-3708

Specialties & licenses 1

Addresses

Other names 1

• Promises Scottsdale Doing business as

Tax ID family

Ebh Southwest Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Ebh Southwest Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Scottsdale, AZ
  • NPI 1780005033
  NPD tax ID
• Ebh Southwest Services, Inc.

  • Substance Abuse Rehabilitation Facility
  • Salt Lake City, UT
  • NPI 1144641564
  NPD tax ID

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

{
    "created_epoch": "1388448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1629499165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670595",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752679585",
            "telephone_number": "615-567-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12816 E TURQUOISE AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595300",
            "telephone_number": "480-840-2588",
            "fax_number": "480-773-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBH SOUTHWEST SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELEMENTS BEHAVORIAL HEALTH, INC.",
        "enumeration_date": "2013-12-31",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "MAPLESDEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE",
        "authorized_official_telephone_number": "615-510-3708",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC, CHC, CHPC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BH4435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promises Scottsdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha L Easterly, RD
• Eastwood Surgical Associates PLLC
• Easy Mobile Labs, Inc.
• Eat, Talk & Play Therapy LLC
• Jennifer Lynne Ebertshauser, PA-C, MPH
• Ebh Southwest Services, Inc.
• Sumaia Sulaiman Ebrahim, PMHNP-BC
• Echo Canyon Healthcare, Inc.
• Kayla McPherson Eckart, ND
• Dennis Eckel, M.D.

• All providers in Scottsdale, AZ
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.