BANNER TELEHEALTH LLC NPI 1396492005

NPI Information

  • NPI: 1396492005
  • Provider Name: BANNER TELEHEALTH LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 7575 E EARLL DR STE 101
    SCOTTSDALE, AZ
    ZIP 85251
  • Phone: (480) 684-8345

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NPI Details

BANNER TELEHEALTH LLC is a mental health (including community mental health center) clinic center in Scottsdale, AZ. BANNER TELEHEALTH LLC NPI is 1396492005. The provider is registered as an organization entity type.

The provider's business location address is:

7575 E EARLL DR STE 101
SCOTTSDALE, AZ
ZIP 85251-915
Phone: (480) 684-8345
Fax: (480) 412-5477

The provider's authorized official is Todd Werner .
The authorized official title is Division President and has the following contact phone number (602) 474-4000.

The enumeration date for this NPI number is 3/3/2022 and was last updated on 9/2/2025.

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
1261Q00000XClinic/CenterNo
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 11/21/2025

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