Milagro Behavioral Health

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MILAGRO BEHAVIORAL HEALTH

Practice address

6375 E Tanque Verde Rd Ste 140
Tucson, AZ 85715-3863

Phone

(520) 885-4679

Fax

(520) 296-9556

NPI assigned

Aug 13, 2019

Organization subpart

No

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

Authorized official

Name

Shannon Lorraine Padilla, DNP, PMHNP-BCNPI 1871840520

Title

Owner

Phone

(520) 990-8107

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Shannon Lorraine Padilla, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
  • NPI 1871840520

  AZ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1629624911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 E TANQUE VERDE RD STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153863",
            "telephone_number": "520-885-4679",
            "fax_number": "520-296-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 E TANQUE VERDE RD STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153863",
            "telephone_number": "520-885-4679",
            "fax_number": "520-296-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILAGRO BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-990-8107",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalia Mikhael, M.D.
• Amanda Mikhail, PHARMD
• Natalie F Mikiska
• Molly Kiersten Mikles, PT
• James David Mikolajczak, D.O.
• Milagros Family Healthcare LLC
• Sharon Milan, CNM
• Ramin Milani, M.D.
• Aleigha Kiana Milazzo, M.M.S.
• Maureen J Milazzo, LCSW

• All providers in Tucson, AZ
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.