BANNER TELEHEALTH LLC
NPI 1386352714
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tucson, AZ
NPI Status: Active since November 15, 2022
Contact Information
1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719
Phone: (520) 694-0111
Fax: (520) 694-4805
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About BANNER TELEHEALTH LLC
This page provides the complete NPI Profile along with additional information for Banner Telehealth Llc, a provider established in Tucson, Arizona operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1386352714 assigned on November 2022. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Todd Werner (Division President)
- NPI
- 1386352714
- Provider Name
- BANNER TELEHEALTH LLC
- Entity Type
- Organization
- Location Address
- 1625 N CAMPBELL AVE TUCSON, AZ 85719
- Location Phone
- (520) 694-0111
- Location Fax
- (520) 694-4805
- Mailing Address
- 2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-15-2022
- Last Update Date
- 11-15-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 8 | 6 | 3 | 5 | 2 | 7 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 6 | 5 | 4 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 6 + 6 + 6 + 5 + 4 + 7 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1386352714 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073836722 | NANCY CHEN MD Individual | Hospitalist | 1625 N CAMPBELL AVE TUCSON, AZ 85719 (520) 626-6614 |
| 1578025193 | JAMES H SMITT MD Individual | Emergency Medicine | 1625 N CAMPBELL AVE TUCSON, AZ 85719 (520) 626-7233 |
| 1437506904 | DR. CHRISTOPHER BRIAN JOHNSON M.D. Individual | Internal Medicine | 1625 N CAMPBELL AVE TUCSON, AZ 85719 (520) 694-0111 |
| 1104488253 | LAURA SANDT FNP-C Individual | Nurse Practitioner (Family) | 1625 N CAMPBELL AVE TUCSON, AZ 85719 (520) 694-6000 |
| 1255890737 | HEATHER FYDRYCH Individual | Nurse Practitioner (Pediatrics) | 1625 N CAMPBELL AVE TUCSON, AZ 85719 (520) 694-0000 |
| 1730739152 | GRACE HYEYOUNG PARK Individual | Pharmacist | 1625 N CAMPBELL AVE TUCSON, AZ 85719 (520) 694-0111 |
| 1255779385 | MICHELINA CALIN DE LA MAZA MD Individual | Pediatrics | 1625 N CAMPBELL AVE TUCSON, AZ 85719 (520) 626-7053 |
| 1982040036 | GALEN GARCIA M.D. Individual | Anesthesiology (Pediatric Anesthesiology) | 1625 N CAMPBELL AVE TUCSON, AZ 85719 (520) 694-0111 |
| 1396381190 | SHEILA MICKELS Individual | Nurse Anesthetist, Certified Registered | 1625 N CAMPBELL AVE TUCSON, AZ 85719 (520) 694-0111 |
| 1477924082 | MRS. STEPHANIE WALLACE PA-C Individual | Physician Assistant | 1625 N CAMPBELL AVE TUCSON, AZ 85719 (520) 694-0111 |
| 1467099143 | MRS. ADRIANA JAZMIN MEDEIROS FNP Individual | Nurse Practitioner (Family) | 1625 N CAMPBELL AVE TUCSON, AZ 85719 (520) 694-0111 |
| 1447879267 | BARBARA ALVA MAYER NP Individual | Nurse Practitioner (Acute Care) | 1625 N CAMPBELL AVE TUCSON, AZ 85719 (520) 694-0111 |
| 1891324992 | KATIE SANDUSKY MSN/FNP-BC Individual | Nurse Practitioner (Family) | 1625 N CAMPBELL AVE TUCSON, AZ 85719 (520) 694-0111 |
| 1730708397 | SPENCER JEFFREY KNIGHT MD Individual | Student in an Organized Health Care Education/Training Program | 1625 N CAMPBELL AVE TUCSON, AZ 85719 (520) 694-0111 |
| 1669092599 | MADELINE MERCIER Individual | Emergency Medicine | 1625 N CAMPBELL AVE TUCSON, AZ 85719 (520) 626-7233 |
| 1235759945 | ALEXANDRA JORDAN BARBOSA MD Individual | Emergency Medicine | 1625 N CAMPBELL AVE TUCSON, AZ 85719 (520) 626-7233 |
| 1134749872 | ALFONSO TADEUS ZAVALA Individual | Student in an Organized Health Care Education/Training Program | 1625 N CAMPBELL AVE TUCSON, AZ 85719 (520) 694-0111 |
| 1457971996 | DR. JONATHAN ALLEN SEAMAN MD Individual | Urology | 1625 N CAMPBELL AVE TUCSON, AZ 85719 (520) 694-0111 |
| 1992325435 | DR. JONATHAN PATRICK COSS MD Individual | Emergency Medicine | 1625 N CAMPBELL AVE TUCSON, AZ 85719 (520) 626-7233 |
| 1750902110 | SAMUEL MEADE FREEDMAN Individual | Emergency Medicine | 1625 N CAMPBELL AVE TUCSON, AZ 85719 (520) 626-7233 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386352714, enumerated in the NPI registry as an "organization" on November 15, 2022
The provider is located at 1625 N Campbell Ave Tucson, Az 85719 and the phone number is (520) 694-0111
This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
This NPI record was last updated on November 15, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.