Banner Telehealth LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BANNER TELEHEALTH LLC

Practice address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Phone

(602) 747-4000

NPI assigned

Mar 31, 2022

Last updated

Mar 27, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

BANNER HEALTHAs reported in NPPES

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

Authorized official

Name

Paris Labruzzo

Title

Sr Director

Phone

(602) 747-4000

Specialties & licenses 3

Addresses

Tax ID family

Banner Telehealth LLC3 organizations share this tax ID, including this one

Part of

Big Horn Family Med

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Banner Telehealth LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1386352714
  NPD tax ID
• Banner Telehealth LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Scottsdale, AZ
  • NPI 1396492005
  NPD tax ID

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1649910209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N CENTRAL AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 N CENTRAL AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122702",
            "telephone_number": "602-747-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 E Florence Blvd",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851225303",
            "country_code": "US",
            "telephone_number": "520-381-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7575 E Earll Dr",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852516915",
            "country_code": "US",
            "telephone_number": "480-448-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9201 W Thomas Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850373332",
            "country_code": "US",
            "telephone_number": "623-327-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 N Higley Rd",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852341604",
            "country_code": "US",
            "telephone_number": "480-543-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Navajo Dr",
            "address_2": "Mailing:PO Box 1447 Page 86040-1447",
            "address_purpose": "LOCATION",
            "city": "Page",
            "state": "AZ",
            "postal_code": "860401447",
            "country_code": "US",
            "telephone_number": "928-645-2424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 S Dobson Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024707",
            "country_code": "US",
            "telephone_number": "480-412-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14502 W Meeker Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755282",
            "country_code": "US",
            "telephone_number": "623-524-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 E McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062612",
            "country_code": "US",
            "telephone_number": "602-839-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 W Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Apache Junction",
            "state": "AZ",
            "postal_code": "851207305",
            "country_code": "US",
            "telephone_number": "480-733-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37000 N Gantzel Rd",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851407303",
            "country_code": "US",
            "telephone_number": "480-394-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 S Alma School Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852867144",
            "country_code": "US",
            "telephone_number": "480-256-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "807 S Ponderosa St",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "AZ",
            "postal_code": "855415542",
            "country_code": "US",
            "telephone_number": "928-471-3222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5555 W Thunderbird Rd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853064622",
            "country_code": "US",
            "telephone_number": "602-865-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 E Ajo Way",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857136204",
            "country_code": "US",
            "telephone_number": "520-874-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 N Campbell Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857194330",
            "country_code": "US",
            "telephone_number": "520-694-0111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6644 E Baywood Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852061747",
            "country_code": "US",
            "telephone_number": "480-321-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7575 E Earll Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852516915",
            "country_code": "US",
            "telephone_number": "480-684-8345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10401 W Thunderbird Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513004",
            "country_code": "US",
            "telephone_number": "623-832-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BANNER TELEHEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2022-03-31",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "LABRUZZO",
        "authorized_official_first_name": "PARIS",
        "authorized_official_title_or_position": "SR DIRECTOR",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.