NPIMap

Organization Active NPI

Red Mountain Behavioral Health Services, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Mesa, AZ
National Provider Identifier
1740397058
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
RED MOUNTAIN BEHAVIORAL HEALTH SERVICES, LLC
Practice address
6661 E Hermosa Vista Dr
Mesa, AZ 85215-2207
Phone
(480) 641-9552
Fax
(480) 981-0893
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Moshe Lobl
Title
Owner
Phone
(602) 800-6553

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary
Child Mental Illness Respite Care 385HR2055X BH-3633 AZ

Addresses

Primary practice location

6661 E Hermosa Vista Dr
Mesa, AZ 85215-2207

Mailing address

890 W Elliot Rd Ste 103
Gilbert, AZ 85233-5127
Phone (480) 641-9552

National Provider Directory

National Provider Directory
Tax ID family
Red Mountain Behavioral Health Services LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1740397058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 W ELLIOT RD STE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335127",
            "telephone_number": "480-641-9552",
            "fax_number": "480-981-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6661 E HERMOSA VISTA DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152207",
            "telephone_number": "480-641-9552",
            "fax_number": "480-981-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED MOUNTAIN BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "LOBL",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-800-6553"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": "BH-3633",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.