STARGATE BEHAVIORAL HEALTH SERVICES LLC
NPI 1063974533
Community/Behavioral Health in Phoenix, AZ

Q: What is Stargate Behavioral Health Services LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since April 03, 2019

1924 W ALTA VISTA RD, PHOENIX, AZ 85041(901) 652-8154 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2020, Apr 3, 2019 (2 updates tracked since 2019).

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About Stargate Behavioral Health Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STARGATE BEHAVIORAL HEALTH SERVICES LLC (NPI 1063974533) is a healthcare organization registered as a community/behavioral health in Phoenix, Arizona and active in the NPI registry since April 2019. The organization maintains a secondary practice location in Glendale and lists Sekou A Donzo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063974533

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSTARGATE BEHAVIORAL HEALTH SERVICES LLC

Location Address1924 W ALTA VISTA RDPhoenix, AZ 85041-5443

Mailing Address1924 W Alta Vista RdPhoenix, AZ 85041-5443 · (901) 652-8154

Phone(901) 652-8154

Organization SubpartNo

Authorized OfficialSekou A DonzoCeo · (216) 630-9350

Enumeration DateApril 3, 2019

Last NPPES UpdateJanuary 28, 20202 updates tracked since enumeration

✔ NPI 1063974533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1924 W ALTA VISTA RD, Phoenix, AZ 85041

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Secondary Practice Location 1

Location 17346 N 72nd AveGlendale, AZ 85303-1602 · Phone (216) 630-9350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stargate Behavioral Health Services LLC's NPI number?

The NPI number for Stargate Behavioral Health Services LLC is 1063974533. It was assigned to this organization in the NPPES registry on April 3, 2019.

Where is Stargate Behavioral Health Services LLC located?

Stargate Behavioral Health Services LLC is located at 1924 W Alta Vista Rd, Phoenix, AZ 85041. The listed phone number is (901) 652-8154.

What is Stargate Behavioral Health Services LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Stargate Behavioral Health Services LLC was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.