Paradise Behavioral Health Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PARADISE BEHAVIORAL HEALTH SERVICES LLC

Practice address

1837 S Mesa Dr Ste B202
Mesa, AZ 85210-6219

Phone

(602) 855-0390

NPI assigned

Oct 25, 2021

Last updated

Oct 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Latosha Woodard

Title

Owner

Phone

(602) 855-0390

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1811651003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 S MESA DR STE B202",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106219",
            "telephone_number": "602-855-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 S MESA DR STE B202",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106219",
            "telephone_number": "602-855-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "LATOSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-855-0390"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Panagiotis Panotopoulos, M.D.
• Peter Anthony Pantera, D.P.M.
• David John Paolini, M.D.
• Tutankhamen A Pappoe, M.D.
• Donald J. Paquet, M.D.
• Paradise Lifestyle LLC
• Paradise Springs Homes
• Paragon Medical Associates
• Madison Brook Parduski
• Bhavya H Parekh

• Community/Behavioral Health Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.