BLACK MOUNTAIN BEHAVIORAL HEALTH, LLC
NPI 1639589930
Clinic/Center - Rehabilitation, Substance Use Disorder in Scottsdale, AZ

NPI Status: Active since May 08, 2014

Contact Information

33755 N SCOTTSDALE RD
SUITE J-105
SCOTTSDALE, AZ
ZIP 85266
Phone: (480) 595-1555
Fax: (866) 307-0007

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About BLACK MOUNTAIN BEHAVIORAL HEALTH, LLC

This page provides the complete NPI Profile along with additional information for Black Mountain Behavioral Health, Llc, a provider established in Scottsdale, Arizona operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1639589930 assigned on May 2014. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Black Mountain Behavioral Health, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Konstantinos Dimitrios Thomopoulos Psyd (Executive Director)

NPI
1639589930
Provider Name
BLACK MOUNTAIN BEHAVIORAL HEALTH, LLC
Entity Type
Organization
Location Address
33755 N SCOTTSDALE RD SUITE J-105 SCOTTSDALE, AZ 85266
Location Phone
(480) 595-1555
Location Fax
(866) 307-0007
Mailing Address
33755 N SCOTTSDALE RD SUITE J-105 SCOTTSDALE, AZ 85266
Mailing Phone
(480) 595-1555
Mailing Fax
(866) 307-0007
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-08-2014
Last Update Date
05-08-2014
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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 Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
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)
1103G00000XBehavioral Health & Social Service Providers

Clinical Neuropsychologist

 
2103TA0400XBehavioral Health & Social Service Providers

Psychologist
Addiction (Substance Use Disorder)

 
3103TA0700XBehavioral Health & Social Service Providers

Psychologist
Adult Development & Aging

 
4103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

 
5103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

 
6103TC2200XBehavioral Health & Social Service Providers

Psychologist
Clinical Child & Adolescent

 
7103TF0000XBehavioral Health & Social Service Providers

Psychologist
Family

 
8103TF0200XBehavioral Health & Social Service Providers

Psychologist
Forensic

 
9103TH0004XBehavioral Health & Social Service Providers

Psychologist
Health

 
10103TP2701XBehavioral Health & Social Service Providers

Psychologist
Group Psychotherapy

 
11103TR0400XBehavioral Health & Social Service Providers

Psychologist
Rehabilitation

 
12261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
13261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
14261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

DR. KONSTANTINOS DIMITRIOS THOMOPOULOS PSYD

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(480) 595-1555

Reviews for BLACK MOUNTAIN BEHAVIORAL HEALTH, LLC

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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.
1639589930
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691081896
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 0 + 8 + 1 + 8 + 9 + 6 + 24 = 80
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1639589930 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861522419JOHN S BICKLE DO PLC
Organization
Family Medicine33755 N SCOTTSDALE RD SUITE 120
SCOTTSDALE, AZ 85266
(480) 595-8900
1568681104ARIZONA HEALTH CARE CLINIC PC
Organization
Chiropractor33755 N SCOTTSDALE RD SUITE 101
SCOTTSDALE, AZ 85266
(480) 595-6100
1801206115DR. KONSTANTINOS D. THOMOPOULOS PSYD
Individual
Clinical Neuropsychologist33755 N SCOTTSDALE RD SUITE J-105
SCOTTSDALE, AZ 85266
(480) 575-5700
1710398995DR. MELANIE S ANDERSON PSYD
Individual
Psychologist (Addiction (Substance Use Disorder))33755 N SCOTTSDALE RD SUITE J-105
SCOTTSDALE, AZ 85266
(480) 595-1555
1528473055MELANIE S ANDERSON PSYD PLLC
Organization
Psychologist (Addiction (Substance Use Disorder))33755 N SCOTTSDALE RD SUITE J105
SCOTTSDALE, AZ 85266
(480) 595-1555
1548675077BLACK MOUNTAIN NEUROPSYCHOLOGY, PLLC
Organization
Clinical Neuropsychologist33755 N SCOTTSDALE RD SUITE J105
SCOTTSDALE, AZ 85266
(480) 575-5700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639589930, enumerated in the NPI registry as an "organization" on May 08, 2014

The provider is located at 33755 N Scottsdale Rd Suite J-105 Scottsdale, Az 85266 and the phone number is (480) 595-1555

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

This NPI record was last updated on May 08, 2014. 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.