Organization Active NPI

Sequoia Behavioral Health LLC

  • Substance Abuse Rehabilitation Facility
  • Mesa, AZ
National Provider Identifier
1861113185
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SEQUOIA BEHAVIORAL HEALTH LLC
Practice address
5525 S Coyote Cyn
Mesa, AZ 85212-9149
Phone
(928) 460-0862
NPI assigned
Sep 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Mr. Sean C Parsons, AASM
Title
Ceo
Phone
(928) 460-0862

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Psychiatric Residential Treatment Facility 323P00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

5525 S Coyote Cyn
Mesa, AZ 85212-9149

Mailing address

9221 E Baseline Rd
Ste 109 #443
Mesa, AZ 85209
Phone (928) 460-0862

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sean@sequoiabh.org Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2269617Sequoia Behavioral Health, LLC5525 S Coyote Canyon, Mesa, AZ 85212Certificate of waiverSep 28, 2026

National Provider Directory

National Provider Directory
Tax ID family
Sequoia Behavioral Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9221 E Baseline Rd
Ste 109
Mesa, AZ 85209
Phone (805) 325-1421

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1861113185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 E BASELINE RD",
            "address_2": "STE 109 #443",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85209",
            "telephone_number": "928-460-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 S COYOTE CYN",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852129149",
            "telephone_number": "928-460-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-460-0862",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AASM"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sean@sequoiabh.org",
            "affiliation": "N",
            "endpointDescription": "secure hippa compliant email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5525 S Coyote Cyn",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852129149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.