Pasadera Behavioral Health Network, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

OTC6164 Issued in AZ

Legal business name

PASADERA BEHAVIORAL HEALTH NETWORK, INC.

Doing business as

Pasadera Three Points Site

Practice address

15921 W. Ajo Highway
Tucson, AZ 85735-2032

Phone

(520) 407-5700

Fax

(520) 407-5990

NPI assigned

Jan 10, 2014

Last updated

Mar 8, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

PASADERA BEHAVIORAL HEALTH NETWORK, INC.As reported in NPPES

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

Authorized official

Name

Stephanie Oliver, CPC, RMM, ICD10CT-CM

Title

Chief Quality Management Officer

Phone

(520) 628-3400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pasadera Three Points Site Doing business as

Part of

Pasadera Behavioral Health Network

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pasadera Behavioral Health Network, Inc.

  • Substance Abuse Rehabilitation Facility
  • Tucson, AZ
  • NPI 1609229574
  NPPES parent name

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1639591670",
    "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": "520-618-8622",
            "fax_number": "520-628-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15921 W. AJO HIGHWAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857352032",
            "telephone_number": "520-407-5700",
            "fax_number": "520-407-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADERA BEHAVIORAL HEALTH NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PASADERA BEHAVIORAL HEALTH NETWORK, INC.",
        "enumeration_date": "2014-01-10",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CHIEF QUALITY MANAGEMENT OFFICER",
        "authorized_official_telephone_number": "520-628-3400",
        "authorized_official_credential": "CPC, RMM, ICD10CT-CM"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC6164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "882049",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OTC6164",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pasadera Three Points Site",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pasadera Behavioral Health Network, Inc. (Desert Hope Inpatient Services)
• Pasadera Behavioral Health Network, Inc. (Dodge Detoxification Center)
• Pasadera Behavioral Health Network, Inc.
• Pasadera Behavioral Health Network, Inc. (Pasadera Administrative Office)
• Pasadera Behavioral Health Network, Inc. (Pasadera Robles Junction Clinic)
• Kiara Caber Pasaye, M.A., CCC-SLP
• Pascua Yaqui Tribe
• Pascua Yaqui Tribe

• Community/Behavioral Health Agency in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.