Organization Active NPI

Behavior Innovation

  • Psychiatric/Mental Health Nurse Practitioner
  • Sun City, AZ
National Provider Identifier
1821716127
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BEHAVIOR INNOVATION
Practice address
9802 W Bell Rd Unit 1217
Sun City, AZ 85372-7010
Phone
(520) 244-4680
Fax
(623) 666-5795
NPI assigned
Aug 22, 2022
Last updated
May 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Carolyn W Tellez, PMHNP-BCNPI 1285122408
Title
Owner
Phone
(520) 244-4680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

9802 W Bell Rd Unit 1217
Sun City, AZ 85372-7010

Mailing address

10158 W Ross Ave
Peoria, AZ 85382-2557
Phone (520) 244-4680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221010002991 AZ Part B Supplier - Clinic/Group Practice 5496131732 Receives reassigned benefits from 1 practitioner
Practice locations: Peoria, AZ

National Provider Directory

National Provider Directory

Locations

9802 W Bell Rd
Unit 1217
Sun City, AZ 85372
Phone (520) 244-4680

Practitioners & affiliated clinicians

Practitioners 2

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": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1821716127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10158 W ROSS AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822557",
            "telephone_number": "520-244-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9802 W BELL RD UNIT 1217",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853727010",
            "telephone_number": "520-244-4680",
            "fax_number": "623-666-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR INNOVATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "TELLEZ",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-244-4680",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.