PRIDE BEHAVIORAL HEALTH NPI 1134549579

NPI Information

NPI: 1134549579
Provider Name: PRIDE BEHAVIORAL HEALTH
Classification: Registered Nurse - 163WP0809X
Entity Type: Organization

Specialization: Psychiatric/Mental Health, Adult

Address:
4960 S GILBERT RD STE 109
CHANDLER, AZ
ZIP 85249
Phone: (928) 326-6082
Get Directions

PRIDE BEHAVIORAL HEALTH is a psychiatric/mental health and adult registered nurse in Chandler, AZ. PRIDE BEHAVIORAL HEALTH NPI is 1134549579. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4960 S GILBERT RD STE 109
CHANDLER, AZ
ZIP 85249-023
Phone: (928) 326-6082
Fax: (866) 812-0853

The provider's authorized official is Rebecca L James .
The authorized official title is Ceo and has the following contact phone number (602) 326-9135.

The enumeration date for this NPI number is 4/24/2014 and was last updated on 12/18/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Z184979	OTHER	ARIZONA	PTAN
2	922548	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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