Organization Active NPI

Bayoh Behavioral Health Services LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Avondale, AZ
National Provider Identifier
1629754114
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
BAYOH BEHAVIORAL HEALTH SERVICES LLC
Practice address
10909 W Adams St
Avondale, AZ 85323-6895
Phone
(623) 330-0184
Fax
(623) 399-8672
NPI assigned
Jun 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Ebrima BayohNPI 1982380473
Title
Administrator
Phone
(623) 330-0184

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
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

10909 W Adams St
Avondale, AZ 85323-6895

Mailing address

17185 W Hammond St
Goodyear, AZ 85338-7572

Other names 1

  • Bayoh Behavioral Health Services LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bayoh Behavioral Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1629754114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17185 W HAMMOND ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10909 W ADAMS ST",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853236895",
            "telephone_number": "623-330-0184",
            "fax_number": "623-399-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOH BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "BAYOH",
        "authorized_official_first_name": "EBRIMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-330-0184"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayoh Behavioral Health Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.