Organization Active NPI

Surprise Behavioral Health LLC

  • Marriage & Family Therapist
  • Surprise, AZ
National Provider Identifier
1821237256
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
10219 Issued in AZ
Legal business name
SURPRISE BEHAVIORAL HEALTH LLC
Practice address
15535 N Reems Rd
Suite 12
Surprise, AZ 85374-9580
Phone
(623) 337-3388
Fax
(623) 322-1938
NPI assigned
Feb 9, 2009
Last updated
Sep 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Ms. Ruth J Gruen, RN, LMFT
Title
Owner
Phone
(623) 337-3388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 10219 AZ Primary

Addresses

Primary practice location

15535 N Reems Rd
Suite 12
Surprise, AZ 85374-9580

Mailing address

19920 N Canyon Whisper Dr
Surprise, AZ 85387-7269
Phone (623) 337-3388

National Provider Directory

National Provider Directory

Locations

15535 N Reems Rd
Ste 12
Surprise, AZ 85374
Phone (623) 337-3388

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1821237256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19920 N CANYON WHISPER DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853877269",
            "telephone_number": "623-337-3388",
            "fax_number": "623-322-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15535 N REEMS RD",
            "address_2": "SUITE 12",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749580",
            "telephone_number": "623-337-3388",
            "fax_number": "623-322-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURPRISE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "GRUEN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-337-3388",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "10219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.