PANTANO BEHAVIORAL HEALTH SERVICES, INC – NPI #1548491053
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

PANTANO BEHAVIORAL HEALTH SERVICES, INC is an AHC clinic located in SIERRA VISTA, AZ. NPPES has assigned the NPI number 1548491053 to PANTANO BEHAVIORAL HEALTH SERVICES, INC on July 31, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PANTANO BEHAVIORAL HEALTH SERVICES, INC below.

NPI Profile for
PANTANO BEHAVIORAL HEALTH SERVICES, INC

NPI Number
1548491053
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PANTANO BEHAVIORAL HEALTH SERVICES, INC
Primary location
174 S CORONADO DR STE B
SIERRA VISTA, AZ 85635-6356
Phone: (520) 458-1044 Fax: (520) 458-1192
Mailing address
5055 E BROADWAY BLVD STE C104
TUCSON, AZ 85711-3641
Phone: (520) 623-9833 Fax: (520) 623-9083
Organization Subpart
Yes - PANTANO BEHAVIORAL HEALTH SERVICES, INC is subpart of another organization.
Authorized Official
PATRICIA TREEFUL
CEO
Phone: (520) 623-9833
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health (Primary)
AZ BH3328

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.