NPIMap

Organization Active NPI

Red Mountain Behavioral Health Services, LLC

  • Child Mental Illness Respite Care
  • Mesa, AZ
National Provider Identifier
1962517326
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Mental Illness Respite CareTaxonomy code 385HR2055X
License
BH-3639 Issued in AZ
Legal business name
RED MOUNTAIN BEHAVIORAL HEALTH SERVICES, LLC
Practice address
7416 E Navarro Ave
Mesa, AZ 85209-6267
Phone
(480) 641-9552
Fax
(480) 981-0893
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Randy R Kinsel
Title
Manager
Phone
(480) 734-7021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Mental Illness Respite Care 385HR2055X BH-3639 AZ Primary

Addresses

Primary practice location

7416 E Navarro Ave
Mesa, AZ 85209-6267

Mailing address

1223 S Clearview Ave Ste 109
Mesa, AZ 85209-3306
Phone (480) 641-9552

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1962517326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 S CLEARVIEW AVE STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093306",
            "telephone_number": "480-641-9552",
            "fax_number": "480-981-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7416 E NAVARRO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852096267",
            "telephone_number": "480-641-9552",
            "fax_number": "480-981-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED MOUNTAIN BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "KINSEL",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-734-7021"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": "BH-3639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 4, 2011; 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.