SAGE MEMORIAL HOSPITAL BEHAVIORAL HEALTH CLINIC - NPI 1407026651

Q: What is Sage Memorial Hospital Behavioral Health Clinic's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

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About Sage Memorial Hospital Behavioral Health Clinic NPPES

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

SAGE MEMORIAL HOSPITAL BEHAVIORAL HEALTH CLINIC (NPI 1407026651) is a healthcare organization registered as a counselor in Ganado, Arizona and active in the NPI registry since March 2008. The organization lists Andrea Curley, Medical Staff Credentialist, as its authorized official.

NPPES Registry Identity

NPI1407026651

Entity TypeOrganization

Primary Taxonomy101Y00000X

Legal Business NameSAGE MEMORIAL HOSPITAL BEHAVIORAL HEALTH CLINIC

Location AddressUS 191 & AZ 264, SALSBURY HALL SAGE MEMORIAL HOSPITAL CAMPUSGanado, AZ 86505

Mailing AddressPo Box 457Ganado, AZ 86505-0457 · (928) 755-4500 · Fax (928) 755-4747

Phone(928) 755-4500

Fax(928) 755-4934

Organization SubpartNo

Authorized OfficialAndrea CurleyMedical Staff Credentialist · (928) 755-4500

Enumeration DateMarch 4, 2008

Last NPPES UpdateNovember 14, 2024

NPPES CertifiedNovember 12, 2024

✔ NPI 1407026651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Licenses✔ Licensed in AZ · 13084✔ Licensed in AZ · 5168T

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedSocial WorkerTaxonomy 104100000X · License 11643 (AZ)

US 191 & AZ 264, Ganado, AZ 86505

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Other Identifiers 1

Medicaid942757AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC.

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