Buckhorn Treatment Center at South Mountain

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BUCKHORN TREATMENT CENTER AT SOUTH MOUNTAIN

Practice address

8222 S 48TH St
Phoenix, AZ 85044-5364

Phone

(480) 293-4327

NPI assigned

Oct 24, 2023

Organization subpart

No

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

Authorized official

Name

Michael Johnson Jr.

Title

C.E.O.

Phone

(480) 293-4327

Specialties & licenses 3

Addresses

Other names 1

• Buckhorn Treatment Center Other name

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1639941537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8006 S 38TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850429621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 S 48TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445364",
            "telephone_number": "480-293-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHORN TREATMENT CENTER AT SOUTH MOUNTAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "480-293-4327",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckhorn Treatment Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Johnny Jason Buck, LPC
• Rachel Groetsch Buck, DO
• Ryan James Buck
• Sean Donovan Buck, MD
• Buckhorn Residential
• Bradley C Buckhout, MD
• Sarah Buckingham
• Steven James Buckle, M.D.
• Buckler Chiropractic Group LLC
• Buckler Chiropractic, Inc.

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, 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 Oct 24, 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.