BLACK MOUNTAIN BEHAVIORAL HEALTH LLC NPI 1639589930

NPI Information

NPI: 1639589930
Provider Name: BLACK MOUNTAIN BEHAVIORAL HEALTH, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
33755 N SCOTTSDALE RD
SUITE J-105
SCOTTSDALE, AZ
ZIP 85266
Phone: (480) 595-1555
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BLACK MOUNTAIN BEHAVIORAL HEALTH, LLC is a rehabilitation and substance use disorder clinic center in Scottsdale, AZ. BLACK MOUNTAIN BEHAVIORAL HEALTH, LLC NPI is 1639589930. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

33755 N SCOTTSDALE RD
SUITE J-105
SCOTTSDALE, AZ
ZIP 85266-567
Phone: (480) 595-1555
Fax: (866) 307-0007

The provider's authorized official is Konstantinos Dimitrios Thomopoulos .
The authorized official title is Executive Director and has the following contact phone number (480) 595-1555.

The enumeration date for this NPI number is 5/8/2014 and was last updated on 5/8/2014.

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	103G00000X	Clinical Neuropsychologist		No
2	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
3	103TA0700X	Psychologist	Adult Development & Aging	No
4	103TB0200X	Psychologist	Cognitive & Behavioral	No
5	103TC0700X	Psychologist	Clinical	No
6	103TC2200X	Psychologist	Clinical Child & Adolescent	No
7	103TF0000X	Psychologist	Family	No
8	103TF0200X	Psychologist	Forensic	No
9	103TH0004X	Psychologist	Health	No
10	103TP2701X	Psychologist	Group Psychotherapy	No
11	103TR0400X	Psychologist	Rehabilitation	No
12	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
13	261QM0850X	Clinic/Center	Adult Mental Health	No
14	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
15	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	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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