Olive Branch Behavioral Residencial Network, LLC
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)

Address: 2421 E Robert E Lee St, Phoenix, AZ 85032-1082
Phone: 6025690806

Olive Branch Behavioral Residencial Network, LLC (NPI# 1215574496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1215574496
Entity Type Organization
Organization Name OLIVE BRANCH BEHAVIORAL RESIDENCIAL NETWORK, LLC
Practice Address 2421 E Robert E Lee St
Phoenix
AZ 85032-1082
Practice Telephone 6025690806
Practice Fax Number 6025690537
Mailing Address 15712 W Eucalyptus Ct
Surprise
AZ 85374-3308
Mailing Telephone 7082778673
Authorized Official Name Ms. Tracy Barshell Ketchum (CAO,ADMINISTRATOR)
Authorized Official Telephone 7082778673
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-12-05
Last Update Date 2019-12-05

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2084B0040X Psychiatry & Neurology · Behavioral Neurology & Neuropsychiatry Allopathic & Osteopathic Physicians

Other Provider Identifier

State Identifier Issuer Type Code
AZ 1028196670 OTHER BEHAVIORAL HEALTH

Taxonomy Information

Taxonomy Code 2084B0040X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Behavioral Neurology & Neuropsychiatry

Taxonomy Definition

Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184961674 Jack Edward Games Psychiatry & Neurology 4107 E Mcdonald Dr, Phoenix, AZ 85018-1116 2013-01-03
1952532475 Po-heng Tsai Psychiatry & Neurology 901 E Willetta St, Phoenix, AZ 85006 2009-07-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841693710 Mehmud Ahmed M D P C Psychiatry & Neurology 70 N Mcclintock Dr, Suite 4, Chandler, AZ 85226-3711 2014-10-06
1962802801 Aurora Behavioral Health Systems, LLC Psychiatry & Neurology 6015 W Peoria Ave, Glendale, AZ 85302-1213 2014-08-28
1528468782 Aurora Behavioral Healthcare - Tempe, LLC Psychiatry & Neurology 6350 S Maple Ave, Tempe, AZ 85283-2857 2014-08-25
1538593165 Sandra Leticia Combs Psychiatry & Neurology 1501 W Commerce Ct, Tucson, AZ 85746-6016 2013-08-30
1497804827 Frederique P. Delhaye Psychiatry & Neurology 5750 E Highway 90 Ste 200, Sierra Vista, AZ 85635-9113 2007-01-08

Office Location

Street Address 2421 E ROBERT E LEE ST
City PHOENIX
State AZ
Zip Code 85032-1082

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740836642 Integrated Medical Services Inc Podiatrist 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 2019-08-15
1639739576 Sarah Martin Physical Therapy Assistant Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 2019-06-13
1750846168 Conte Sport Performance Therapy LLC Physical Therapist 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 2019-02-11
1659848208 Pacific Dental Services Foundation Physician Assistant 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 2018-10-31
1083100812 Phoenix Interventional Pain Management, Pllc Anesthesiology 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 2018-07-04
1770074635 Np Professional LLC Clinic/Center 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 2018-05-25
1932600020 North Phoenix Asc LLC Clinic/Center 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 2018-02-23
1396263307 Cheryl Anne Miller Registered Nurse 15002 N. 32nd St., Phoenix, AZ 85032 2017-08-30
1518480896 Katherine Smith Massage Therapist 4242 E Cactus Rd, Apt 432, Phoenix, AZ 85032 2017-07-19
1376063032 Veronica Herrera Occupational Therapy Assistant 18228 N 43rd Pl., Phoenix, AZ 85032 2017-06-23
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Competitor

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City PHOENIX
Zip Code 85032

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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