NPIMap

Organization Active NPI

Ebh Southwest Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1780005033
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
EBH SOUTHWEST SERVICES, INC.
Practice address
11624 E Shea Blvd
Scottsdale, AZ 85259-5111
Phone
(480) 840-2588
Fax
(480) 767-2701
NPI assigned
Jan 3, 2014
Organization subpart
Yes
Parent organization
ELEMENTS BEHAVIORAL HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Mrs. Cheryl Maplesden, CPC, CHC, CHPC
Title
Director of Revenue Cycle
Phone
(615) 510-3078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

11624 E Shea Blvd
Scottsdale, AZ 85259-5111

Mailing address

PO Box 670595
Dallas, TX 75267-0595
Phone (615) 567-7282

Other names 1

  • Promises Scottsdale Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ebh Southwest Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1780005033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670595",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752670595",
            "telephone_number": "615-567-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11624 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595111",
            "telephone_number": "480-840-2588",
            "fax_number": "480-767-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBH SOUTHWEST SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELEMENTS BEHAVIORAL HEALTH, INC.",
        "enumeration_date": "2014-01-03",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "MAPLESDEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "615-510-3078",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC, CHC, CHPC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promises Scottsdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.