PANTANO BEHAVIORAL HEALTH SERVICES, INC
NPI 1568693075
Clinic/Center - Adolescent and Children Mental Health in Nogales, AZ

NPI Status: Active since July 31, 2009

Contact Information

1740 N MASTICK WAY STE B
NOGALES, AZ
ZIP 85621
Phone: (520) 281-1255
Fax: (520) 281-1266

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About PANTANO BEHAVIORAL HEALTH SERVICES, INC

This page provides the complete NPI Profile along with additional information for Pantano Behavioral Health Services, Inc, a provider established in Nogales, Arizona operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1568693075 assigned on July 2009. The practitioner's primary taxonomy code is 261QM0855X with license number BH3359 (AZ). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Patricia D Treeful (Ceo)

NPI
1568693075
Provider Name
PANTANO BEHAVIORAL HEALTH SERVICES, INC
Entity Type
Organization
Location Address
1740 N MASTICK WAY STE B NOGALES, AZ 85621
Location Phone
(520) 281-1255
Location Fax
(520) 281-1266
Mailing Address
5055 E BROADWAY BLVD STE C104 TUCSON, AZ 85711
Mailing Phone
(520) 623-9833
Mailing Fax
(520) 281-1266
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-31-2009
Last Update Date
07-31-2009
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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 Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
License No.
BH3359
License State
AZ
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PATRICIA D TREEFUL

Authorized Official Title
CEO
Authorized Official Phone
(520) 623-9833

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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.
1568693075
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251281296014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 2 + 9 + 6 + 0 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1568693075 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568693075, enumerated in the NPI registry as an "organization" on July 31, 2009

The provider is located at 1740 N Mastick Way Ste B Nogales, Az 85621 and the phone number is (520) 281-1255

This medical organization specializes in Clinic/Center with taxonomy code 261QM0855X with a focus in Adolescent and Children Mental Health

This NPI record was last updated on July 31, 2009. 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].
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