SAN TAN BEHAVIORAL HEALTH SERVICES NPI 1770052292

NPI Information

  • NPI: 1770052292
  • Provider Name: SAN TAN BEHAVIORAL HEALTH SERVICES
  • Classification: Respite Care - 385HR2055X
  • Specialization: Respite Care, Mental Illness, Child
  • Entity Type: Organization
  • Address: 3970 EAST JUANITA AVENUE
    GILBERT, AZ
    ZIP 85234
  • Phone: (480) 507-3644

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NPI Details

SAN TAN BEHAVIORAL HEALTH SERVICES is a respite care and mental illness and child respite care in Gilbert, AZ. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. SAN TAN BEHAVIORAL HEALTH SERVICES NPI is 1770052292. The provider is registered as an organization entity type.

The provider's business location address is:

3970 EAST JUANITA AVENUE
GILBERT, AZ
ZIP 85234
Phone: (480) 507-3644
Fax: (480) 632-0026

The provider's authorized official is Melissa Dawn Nelson .
The authorized official title is Owner and has the following contact phone number (480) 507-3644.

The enumeration date for this NPI number is 11/14/2018 and was last updated on 11/14/2018.

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
1385HR2055XRespite CareRespite Care, Mental Illness, ChildYes

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
1308968MEDICAIDARIZONA

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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