Active NPI
Triple R Behavioral Health, Inc.
- Community/Behavioral Health Agency
- Phoenix, AZ
National Provider Identifier
1942371992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- BH-3532
- Legal business name
- TRIPLE R BEHAVIORAL HEALTH, INC.
- Practice address
- 2505 W Beryl Ave
Phoenix, AZ 85021-1607 - Phone
- (602) 262-2100
- Fax
- (602) 262-2111
- NPI assigned
- Nov 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Wayne E. Hochstrasser
- Title
- President, Ceo
- Phone
- (602) 995-7474
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | BH-3532 | AZ | Primary |
Addresses
Primary practice location
2505 W Beryl Ave
Phoenix, AZ 85021-1607
Mailing address
40 E. Mitchell Dr.
Suite 100
Phoenix, AZ 85012-2330
Phone (602) 995-7474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 514617 | Other | AZ | STATE MEDICADE PROGRAM NUMBER--AHCCCS |
National Provider Directory
National Provider Directory- Tax ID family
- Triple R Behavioral Health Inc
Other organizations with this tax ID 13
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
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-
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-
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-
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-
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- NPI 1861563801
-
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-
- Community/Behavioral Health Agency
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276041600000",
"number": "1942371992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 E. MITCHELL DR.",
"address_2": "SUITE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122330",
"telephone_number": "602-995-7474",
"fax_number": "602-973-2993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 W BERYL AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850211607",
"telephone_number": "602-262-2100",
"fax_number": "602-262-2111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIPLE R BEHAVIORAL HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2010-06-09",
"status": "A",
"authorized_official_last_name": "HOCHSTRASSER",
"authorized_official_first_name": "WAYNE",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT, CEO",
"authorized_official_telephone_number": "602-995-7474",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AZ",
"license": "BH-3532",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICADE PROGRAM NUMBER--AHCCCS",
"identifier": "514617",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.