Pasadera Behavioral Health Network, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

OTC7152 Issued in AZ

Legal business name

PASADERA BEHAVIORAL HEALTH NETWORK, INC.

Practice address

15390 W Ajo Hwy
Tucson, AZ 85735-2023

Phone

(520) 628-4000

Fax

(520) 547-7003

NPI assigned

Jun 4, 2015

Organization subpart

Yes

Parent organization

PASADERA BEHAVIORAL HEALTH NETWORK, INC.As reported in NPPES

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

Authorized official

Name

Stephanie Oliver, CPC, RMM, ICD10CT-CM

Title

Chief Quality Management Officer

Phone

(520) 628-3400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pasadera Robles Junction Clinic Doing business as

Part of

Pasadera Behavioral Health Network Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pasadera Behavioral Health Network, Inc.

  • Substance Abuse Rehabilitation Facility
  • Tucson, AZ
  • NPI 1609229574
  NPPES parent name

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1922488907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S 8TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857134730",
            "telephone_number": "520-628-3400",
            "fax_number": "520-628-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15390 W AJO HWY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857352023",
            "telephone_number": "520-628-4000",
            "fax_number": "520-547-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADERA BEHAVIORAL HEALTH NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PASADERA BEHAVIORAL HEALTH NETWORK, INC.",
        "enumeration_date": "2015-06-04",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CHIEF QUALITY MANAGEMENT OFFICER",
        "authorized_official_telephone_number": "520-628-3400",
        "authorized_official_credential": "CPC, RMM, ICD10CT-CM"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC7152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025271",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OTC7152",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pasadera Robles Junction Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pasadera Behavioral Health Network, Inc.
• Pasadera Behavioral Health Network, Inc.
• Pasadera Behavioral Health Network, Inc.
• Pasadera Behavioral Health Network, Inc.
• Pasadera Behavioral Health Network, Inc.
• Kiara Caber Pasaye, M.A., CCC-SLP
• Pascua Yaqui Tribe
• Pascua Yaqui Tribe
• Pascua Yaqui Tribe
• Pascua Yaqui Tribe

• Community/Behavioral Health Agency in Tucson, AZ
• Providers in Tucson, 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 Mar 8, 2016; 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.