NPIMap

Organization Active NPI

Mountain Top Behavioral Health Services

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1932433448
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH 3443 Issued in AZ
Legal business name
MOUNTAIN TOP BEHAVIORAL HEALTH SERVICES
Practice address
3331 W Fraktur Rd
Phoenix, AZ 85041-4323
Phone
(602) 268-2462
Fax
(602) 276-5393
NPI assigned
Sep 30, 2009
Last updated
Sep 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Authorized official

Name
Mr. Olugbenga A Tepede
Title
Ceo/Program Director
Phone
(623) 363-6408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BH 3443 AZ Primary

Addresses

Primary practice location

3331 W Fraktur Rd
Phoenix, AZ 85041-4323

Mailing address

3331 W Fraktur Rd
Phoenix, AZ 85041-4323
Phone (602) 268-2462

Other identifiers 1

IdentifierTypeStateIssuer
BH 3443OtherAZARIZONA DEPARTMENT OF HEALTH SERVICES

National Provider Directory

National Provider Directory
Tax ID family
Mountain Top Behavioral Health Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1932433448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 W FRAKTUR RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414323",
            "telephone_number": "602-268-2462",
            "fax_number": "602-276-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 W FRAKTUR RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414323",
            "telephone_number": "602-268-2462",
            "fax_number": "602-276-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN TOP BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "TEPEDE",
        "authorized_official_first_name": "OLUGBENGA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "623-363-6408",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH 3443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "BH 3443",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.