Gardenia Tranquility

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

BH3855 Issued in AZ

Legal business name

GARDENIA TRANQUILITY

Practice address

4929 E Laurel LN
Scottsdale, AZ 85254-4640

Phone

(480) 888-2123

NPI assigned

May 2, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Delphine Marie Thompson

Title

Credentialinf Specialist

Phone

(480) 888-2123

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Living Springs Behavioral Health Agency Doing business as

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1831625532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 E LAUREL LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544640",
            "telephone_number": "480-888-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 E LAUREL LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544640",
            "telephone_number": "480-888-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENIA TRANQUILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DELPHINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CREDENTIALINF SPECIALIST",
        "authorized_official_telephone_number": "480-888-2123",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AZ",
            "license": "BH3855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231735",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Springs Behavioral Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roxana Garcia, MD
• Serena Gabrielle Garcia, PA-C
• Shayla Garcia, LMSW
• Stephanie Garcia
• Leilani Gardea
• Ashlee Gardner, SLP
• Jeffrey Thomas Gardner, D.O.
• Jenna Ann Gardner, LMSW
• Anna L Garner, CCC-SLP
• Joseph Herman Garner, L.AC.

• Psychiatric Residential Treatment Facility in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Psychiatric Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.