NPIMap

Organization Active NPI

Banner Thunderbird Medical Center

  • Psychiatric Hospital Unit
  • Glendale, AZ
National Provider Identifier
1699829929
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
BANNER THUNDERBIRD MEDICAL CENTER
Practice address
5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone
(602) 865-5555
Fax
(602) 865-5930
NPI assigned
Jan 23, 2007
Last updated
Apr 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BANNER HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Dale Johns
Title
Ceo
Phone
(602) 747-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NU Primary

Addresses

Primary practice location

5555 W Thunderbird Rd
Glendale, AZ 85306-4622

Mailing address

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

Other practice location 1

13041 N Del Webb Blvd Ste 100
Sun City, AZ 85351-3034
Phone (623) 832-5589

Other practice location 2

5757 W Thunderbird Rd Ste E250
Glendale, AZ 85306-4641
Phone (602) 865-4470

Other practice location 3

13041 N Del Webb Blvd Ste 200
Sun City, AZ 85351-3034
Phone (623) 832-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101013001096 AZ Part A Provider - Hospital 1355250192 Practice locations: Glendale, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699829929. Details of each certification follow.

Hospital certification: CCN 03S089

Legal name
BANNER THUNDERBIRD MEDICAL CENTER
Organization structure
CorporationNon-profit
Enrollment address
5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Banner Thunderbird Med Ctr7 organizations share this tax ID, including this one
Part of
Big Horn Family Med

Other organizations with this tax ID 6

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Banner Health

    dba Banner Hospice of Northern Colorado

    • Community Based Hospice Care Agency
    • Greeley, CO
    • NPI 1407409964

    Member Of

    NPD member

Locations

5555 W Thunderbird Rd
Lowr
Glendale, AZ 85306

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Julie Ann Alvarado-Dubek Individual Corporate OfficerOfficer Feb 1, 2022
Marjorie J Bessel Individual Corporate OfficerOfficer Jan 1, 2018
Jean Lance Individual Corporate OfficerChief Legal Officer Jun 30, 2022
Carole Faig Individual Corporate DirectorBoard Member Mar 1, 2026
Paris Labruzzo Individual Corporate DirectorSr Director Feb 1, 2026
W-2 Managing Employee Feb 1, 2026
Dean M Harrison Individual Corporate DirectorBoard Member Sep 1, 2023
Anne Mariucci Individual Corporate DirectorBoard Member Mar 1, 2015
Sujata Gosalia Individual Corporate Director Sep 1, 2018
Brenda a Schaefer Individual Corporate OfficerVP Mar 6, 2014
Quentin P Smith Individual Corporate DirectorBoard Member Sep 1, 1999
Vicki Keiser Individual Corporate DirectorDirector Jun 1, 2017
Holly Gregory Individual Corporate DirectorSr Manager Feb 1, 2026
W-2 Managing Employee Feb 1, 2026
Sara Ward Individual Corporate DirectorBoard Member Sep 1, 2023
Dale a Johns Individual Corporate DirectorCeo Mar 16, 2026
W-2 Managing Employee Mar 16, 2026
Michael L Butler Individual Corporate DirectorBoard Member Sep 1, 2025
Mary Schubert Individual Corporate OfficerAssistant Secretary Jan 1, 2024
Amy Perry Individual Corporate OfficerOfficer Nov 1, 2021
Rick Myers Individual Corporate DirectorBoard Member Sep 1, 2023
John F Koster Individual Corporate DirectorBoard Member Dec 11, 2015
Mark Wallace Individual Corporate DirectorDirector Sep 1, 2021
Christopher H Volk Individual Corporate DirectorBoard Member Dec 9, 2009
Michael Garnreiter Individual Corporate DirectorBoard Member Aug 1, 2012
Banner Health Organization, Phoenix, AZ 5% Or Greater Direct Ownership Interest Sep 1, 1999 100%

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Banner Health

    dba Banner Casa Grande Medical Center

    • General Acute Care Hospital
    • Casa Grande, AZ
    • NPI 1003232976

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center

    • Critical Access Hospital
    • Payson, AZ
    • NPI 1063923340

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center - Banner Health Clinic Payson

    • Rural Health Clinic/Center
    • Payson, AZ
    • NPI 1073223012

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center - Banner Health Clinic Pine

    • Rural Health Clinic/Center
    • Pine, AZ
    • NPI 1245940287

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center

    • Medicare Defined Swing Bed Hospital Unit
    • Payson, AZ
    • NPI 1861077414

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health

    dba Banner Ocotillo Medical Center

    • General Acute Care Hospital
    • Chandler, AZ
    • NPI 1972139004

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Marjorie Bessel, MD
    • Internal Medicine Physician
    • Gilbert, AZ
    • NPI 1710002068

    Corporate Officer

    CMS ownership
  • Banner Health
    • Multi-Specialty Clinic/Center
    • Susanville, CA
    • NPI 1205267549

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health

    dba Banner Hospice of Northern Colorado

    • Community Based Hospice Care Agency
    • Greeley, CO
    • NPI 1407409964

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health
    • Radiology Clinic/Center
    • Susanville, CA
    • NPI 1427740570

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health
    • Durable Medical Equipment & Medical Supplies
    • Casper, WY
    • NPI 1528846912

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health

    dba Banner Fort Collins Medical Center

    • General Acute Care Hospital
    • Fort Collins, CO
    • NPI 1659787554

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 59

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 59

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1699829929",
    "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": "5555 W THUNDERBIRD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064622",
            "telephone_number": "602-865-5555",
            "fax_number": "602-865-5930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13041 N Del Webb Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513034",
            "country_code": "US",
            "telephone_number": "623-832-5589",
            "fax_number": "623-832-7992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5757 W Thunderbird Rd Ste E250",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853064641",
            "country_code": "US",
            "telephone_number": "602-865-4470",
            "fax_number": "602-865-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13041 N Del Webb Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513034",
            "country_code": "US",
            "telephone_number": "623-832-0300",
            "fax_number": "623-285-2801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BANNER THUNDERBIRD MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2007-01-23",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.