MESA DEVELOPMENT SUB, LLC
NPI 1346052867
Clinic/Center - Mental Health (Including Community Mental Health Center) in Mesa, AZ
About Mesa Development Sub, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MESA DEVELOPMENT SUB, LLC (NPI 1346052867), doing business as Agave Ridge Behavioral Hospital, is a healthcare organization registered as a mental health (including community mental health center) in Mesa, Arizona and active in the NPI registry since January 2025. The organization lists Brian Phillip Farley, Vice President & Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mesa Development Sub, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mesa Development Sub, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mesa Development Sub, LLC's NPI number?
The NPI number for Mesa Development Sub, LLC is 1346052867. It was assigned to this organization in the NPPES registry on January 22, 2025. The provider is doing business as Agave Ridge Behavioral Hospital.
Where is Mesa Development Sub, LLC located?
Mesa Development Sub, LLC is located at 3322 S Ellsworth Rd, Mesa, AZ 85212. The listed phone number is (623) 254-7220.
What is Mesa Development Sub, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Mesa Development Sub, LLC enrolled in Medicare?
Yes. Mesa Development Sub, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mesa Development Sub, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Mesa Development Sub, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mesa Development Sub, LLC was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Mesa Development Sub, Llc · NPI 1346052867
Mental Health (Including Community Mental Health Center) organization in Mesa, Arizona. Organization record, active in the CMS NPPES registry since January 22, 2025.
## Identity
- **NPI:** 1346052867 (Entity type: Organization)
- **Enumerated:** January 22, 2025
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Also known as:** Agave Ridge Behavioral Hospital (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Brian Farley, VICE PRESIDENT & SECRETARY
## Practice location
- **Address:** 3322 S ELLSWORTH RD, Mesa, AZ 85212-2730
- **Phone:** (623) 254-7220
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Psychiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1346052867) · Data from the CMS NPPES public registry.