Individual provider Active NPI

Dorothy Chiabi Forchu, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1982272431
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
257863 Issued in AZ
Practice address
Southwest Behavioral Services Inc
1601 W Desert Cove Ave
Phoenix, AZ 85029
Phone
(602) 943-0726
NPI assigned
Jun 11, 2021
Last updated
Jun 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 257863 AZ Primary

Addresses

Primary practice location

Southwest Behavioral Services Inc
1601 W Desert Cove Ave
Phoenix, AZ 85029

Mailing address

8032 Branch Hollow TRL
Fort Worth, TX 76123-5002
Phone (817) 724-2451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210730000803 AZ Practitioner - Nurse Practitioner 1658774476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1110 E Missouri Ave
Suite 340
Phoenix, AZ 85014-2753
Phone (602) 357-9986

2215 Hualapai Mountain Rd
Suite H
Kingman, AZ 86401-8324
Phone (928) 753-9387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Behavioral Health Services, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Southwest Behavioral Health Services Inc Current Accepting new patients
Southwest Behavioral Health Services, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Southwest Behavioral Health Services, Inc. PastSince Jun 15, 2021 Accepting new patients
Southwest Behavioral Health Services, Inc. PastSince Sep 5, 2023 Accepting new patients

Locations

2215 Hualapai Mountain Rd
Ste H
Kingman, AZ 86401
Phone 9287539387 ext. 304

404 W Aero Dr
Payson, AZ 85541
Phone (928) 238-3024

2042 N 35th Ave
Phoenix, AZ 85009
Phone (602) 233-0115

3450 N 3rd St
Phoenix, AZ 85012
Phone (602) 257-9339

7600 E Florentine Rd
Ste 101
Prescott Valley, AZ 86314
Phone (928) 775-7088

7600 E Florentine Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 775-7088

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1982272431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8032 BRANCH HOLLOW TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761235002",
            "telephone_number": "817-724-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOUTHWEST BEHAVIORAL SERVICES INC",
            "address_2": "1601 W DESERT COVE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85029",
            "telephone_number": "602-943-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORCHU",
        "first_name": "DOROTHY",
        "middle_name": "CHIABI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "257863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.