MY BEHAVIORAL HEALTH TREATMENT CENTER (MYBHTC) NPI 1376209916

NPI Information

NPI: 1376209916
Provider Name: MY BEHAVIORAL HEALTH TREATMENT CENTER (MYBHTC)
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 03D2290855

Address:
19840 N CAVE CREEK RD
PHOENIX, AZ
ZIP 85024
Phone: (602) 888-6779
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MY BEHAVIORAL HEALTH TREATMENT CENTER (MYBHTC) is an adult mental health clinic center in Phoenix, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MY BEHAVIORAL HEALTH TREATMENT CENTER (MYBHTC) NPI is 1376209916. The provider is registered as an organization entity type.

The provider's business location address is:

19840 N CAVE CREEK RD
PHOENIX, AZ
ZIP 85024-226
Phone: (602) 888-6779
Fax: (312) 610-5767

The provider's authorized official is Rosalyn Young .
The authorized official title is Administrator and has the following contact phone number (602) 888-6779.

The CLIA number assigned to this NPI record is 03D2290855 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2021 and was last updated on 11/9/2021.

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	Primary
1	251S00000X	Community/Behavioral Health		No
2	261QD1600X	Clinic/Center	Developmental Disabilities	No
3	261QH0100X	Clinic/Center	Health Service	No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
5	291U00000X	Clinical Medical Laboratory		No
6	385HR2055X	Respite Care	Respite Care, Mental Illness, Child	No
7	261QM0850X	Clinic/Center	Adult Mental Health	Yes

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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