SEQUOIA SUPPORT SEVICES NPI 1609200237

Community/Behavioral Health in Phoenix, AZ

NPI 1609200237 Organization Community/Behavioral Health

About SEQUOIA SUPPORT SEVICES

Sequoia Support Sevices is a provider established in Phoenix, Arizona specializing in community/behavioral health. The NPI number of Sequoia Support Sevices is 1609200237 and was assigned on August 2013. The practitioner's primary taxonomy code is 251S00000X with license number BH-4371 (AZ). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Douglas Pike (President/ceo)

NPI

1609200237

Provider NameSEQUOIA SUPPORT SEVICES
Provider Location Address1648 S 16TH ST PHOENIX, AZ 85034
Provider Mailing Address1648 S 16TH ST PHOENIX, AZ 85034
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-30-2013
Last Update Date08-30-2013


Primary Taxonomy

Taxonomy Code251S00000X
ClassificationCommunity/Behavioral Health
TypeAgencies
License No.BH-4371
License StateAZ
Taxonomy DescriptionA 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.

Business Address

SEQUOIA SUPPORT SEVICES
1648 S 16TH ST
PHOENIX, AZ
ZIP 85034
Phone: (602) 448-0935

Get Directions


Mailing Address

SEQUOIA SUPPORT SEVICES
1648 S 16TH ST
PHOENIX, AZ
ZIP 85034
Phone:



Authorized Official

Authorized Official Name DOUGLAS PIKE
Authorized Official TitlePRESIDENT/CEO
Authorized Official Phone(602) 570-0360

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578999041 BONNY MARGUERITE BEACH LISAC
Individual
Counselor1648 S 16TH ST
PHOENIX, AZ 85034
(602) 448-0935
1003030107 PHILIP LEE MCDONALD LMSW
Individual
Counselor (Mental Health)1648 S 16TH ST
PHOENIX, AZ 85034

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.