Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PASADERA BEHAVIORAL HEALTH NETWORK, INC.
Active
Organization
PASADERA BEHAVIORAL HEALTH NETWORK, INC.
Active
Parent organization
PASADERA BEHAVIORAL HEALTH NETWORK, INC.
Other names
Pasadera Walk-In Clinic (SAMHC)
Organization subpart
Yes
Provider details
NPI number
Legal business name
PASADERA BEHAVIORAL HEALTH NETWORK, INC.
Authorized official
STEPHANIE OLIVER CPC, RMM, ICD10CT-CM (CHIEF QUALITY MANAGEMENT OFFICER)
(520) 628-3400
Entity
Organization
Contact information
Practice address
2502 N. DODGE BLVD., SUITE 190, TUCSON, AZ 85716-2675
(520) 618-8600
(520) 617-1608
Mailing address
2700 S 8TH AVE, TUCSON, AZ 85713-4730
(520) 628-3400
(520) 628-3401
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
OTC6597
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
848952
—
AZ
01
—
OTC6597
STATE LICENSE
AZ
Enumeration date
05/07/2007
Last updated
03/08/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up