Keystone Behavioral Health PLLC

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Taylor, AZ

NPI 1639044191 · NPPES record last updated Oct 6, 2025

Key facts

NPI
1639044191
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Legal business name
KEYSTONE BEHAVIORAL HEALTH PLLC
Practice address
14 E Tumbleweed LN
Taylor, AZ 85939-2639
Phone
(928) 457-2019
NPI assigned
Oct 6, 2025
Organization subpart
No

Authorized official

Name
Megan McCartney
Title
Office Manager
Phone
(928) 457-2019

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AZ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20260127002007 AZ Part B Supplier - Clinic/Group Practice 6406333970 Receives reassigned benefits from 1 practitioner
Practice locations: Taylor, AZ

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LP0808X Yes

Addresses

Primary practice location

14 E Tumbleweed LN
Taylor, AZ 85939-2639

Mailing address

PO Box 468
Taylor, AZ 85939-0468
Phone (928) 457-2019

Other providers in Taylor, AZ

All providers in Taylor, AZ · Psychiatric/Mental Health Nurse Practitioner in Arizona

Sources for this page

Verify at the official NPI Registry.