HAVEN BEHAVIORAL SERVICES OF PHOENIX LLC NPI 1275716896

NPI Information

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

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 .

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 Laura Tarantino .
The authorized official title is Evp and has the following contact phone number (972) 464-0022.

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 3/12/2025.

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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 3/30/2025

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