Organization Active NPI

Tusa Saddle Behavioral Health Services LLC

  • Community/Behavioral Health Agency
  • Casa Grande, AZ
National Provider Identifier
1770260887
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TUSA SADDLE BEHAVIORAL HEALTH SERVICES LLC
Practice address
615 W Cottonwood LN Ste 5
Casa Grande, AZ 85122-2250
Phone
(702) 849-2173
NPI assigned
Jun 29, 2023
Last updated
Jun 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Isaac Mutabazi
Title
Ceo
Phone
(702) 849-2173

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Adult Mental Health Clinic/Center 261QM0850X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

615 W Cottonwood LN Ste 5
Casa Grande, AZ 85122-2250

Mailing address

7728 Coronado Island St
Las Vegas, NV 89139-6298
Phone (702) 849-2173

National Provider Directory

National Provider Directory

Locations

615 W Cottonwood Ln
Ste 56
Casa Grande, AZ 85122
Phone (480) 999-7779

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1770260887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7728 CORONADO ISLAND ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396298",
            "telephone_number": "702-849-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W COTTONWOOD LN STE 5",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222250",
            "telephone_number": "702-849-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSA SADDLE BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "MUTABAZI",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-849-2173"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.