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HAVEN BEHAVIORAL SERVICES OF PHOENIX LLC NPI 1275716896


NPI Information

NPI: 1275716896
Provider Name: HAVEN BEHAVIORAL SERVICES OF PHOENIX, LLC

Doing Business As: HAVEN BEHAVIORAL HOSPITAL OF PHOENIX

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 03D1089844

Address:
1201 S 7TH AVE
SUITE 200
PHOENIX, AZ
ZIP 85007
Phone: (623) 236-2000
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HAVEN BEHAVIORAL SERVICES OF PHOENIX, LLC is a psychiatric hospital in Phoenix, AZ. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. HAVEN BEHAVIORAL SERVICES OF PHOENIX, LLC NPI is 1275716896. The provider is registered as an organization entity type.
The provider Is Doing Business As Haven Behavioral Hospital Of Phoenix.

The provider's business location address is:

1201 S 7TH AVE
SUITE 200
PHOENIX, AZ
ZIP 85007-913
Phone: (623) 236-2000
Fax: (623) 236-2050

The provider's authorized official is Janie Pickle .
The authorized official title is Vp, Comptroller and has the following contact phone number (615) 393-8809.

The CLIA number assigned to this NPI record is 03D1089844 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2007 and was last updated on 6/2/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1283Q00000XPsychiatric HospitalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1417059MEDICAIDARIZONA
2Z136159OTHERARIZONAMEDICARE B

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.