MILAGRO BEHAVIORAL HEALTH
NPI 1629624911
Psychiatry & Neurology - Psychiatry in Tucson, AZ

Active since August 13, 2019
6375 E TANQUE VERDE RD STE 140, TUCSON, AZ 85715(520) 885-4679(520) 296-9556 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 30, 2019, Aug 13, 2019 (2 updates tracked since 2019).

About Milagro Behavioral Health NPPES

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

MILAGRO BEHAVIORAL HEALTH (NPI 1629624911) is a healthcare organization registered as a psychiatry in Tucson, Arizona and active in the NPI registry since August 2019. The organization lists Shannon Lorraine Padilla, Owner, as its authorized official.

NPPES Registry Identity

NPI1629624911
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameMILAGRO BEHAVIORAL HEALTH
Location Address6375 E TANQUE VERDE RD STE 140Tucson, AZ 85715-3863
Mailing Address6375 E Tanque Verde Rd Ste 140Tucson, AZ 85715-3863 · (520) 885-4679 · Fax (520) 296-9556
Fax(520) 296-9556
Organization SubpartNo
Authorized OfficialShannon Lorraine PadillaOwner · (520) 990-8107
Enumeration DateAugust 13, 2019
Last NPPES UpdateOctober 30, 20192 updates tracked since enumeration
✔ NPI 1629624911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
6375 E TANQUE VERDE RD STE 140, Tucson, AZ 85715

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Milagro Behavioral Health 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 Milagro Behavioral Health, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1871840520
1850 E. FORT LOWELL ROAD SUITE 202
Tucson, AZ 85719
(520) 327-4505
✔ PECOS✔ Accepts Medicare5.3 mi

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 Milagro Behavioral Health's NPI number?

The NPI number for Milagro Behavioral Health is 1629624911. It was assigned to this organization in the NPPES registry on August 13, 2019.

Where is Milagro Behavioral Health located?

Milagro Behavioral Health is located at 6375 E Tanque Verde Rd Ste 140, Tucson, AZ 85715. The listed phone number is (520) 885-4679.

What is Milagro Behavioral Health's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Milagro Behavioral Health enrolled in Medicare?

Yes. Milagro Behavioral Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Milagro Behavioral Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Milagro Behavioral Health. 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 Milagro Behavioral Health was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.