MOUNTAIN DEW BEHAVIORAL HEALTH PLC
NPI 1790130482
Clinic/Center - Adult Mental Health in Tucson, AZ

Active since April 30, 2016
6700 N ORACLE RD, SUITE 119, TUCSON, AZ 85704(520) 389-8468 Get Directions Write a Review

NPPES record last updated: March 8, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mountain Dew Behavioral Health Plc NPPES

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

MOUNTAIN DEW BEHAVIORAL HEALTH PLC (NPI 1790130482) is a healthcare organization registered as an adult mental health in Tucson, Arizona and active in the NPI registry since April 2016. The organization lists James Abanishe, Chairman/medical Director, as its authorized official.

NPPES Registry Identity

NPI1790130482
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameMOUNTAIN DEW BEHAVIORAL HEALTH PLC
Location Address6700 N ORACLE RD, SUITE 119Tucson, AZ 85704-7732
Mailing Address6700 N Oracle RdTucson, AZ 85704-7732
Organization SubpartNo
Authorized OfficialJames AbanisheChairman/medical Director · (917) 376-7720
Enumeration DateApril 30, 2016
Last NPPES UpdateMarch 8, 2017
✔ NPI 1790130482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in AZ · 50979
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
6700 N ORACLE RD, Tucson, AZ 85704

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain Dew Behavioral Health Plc 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 Mountain Dew Behavioral Health Plc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1992053573
506 LENOX AVENUE
New New, NY 10037
(212) 939-1000
✔ PECOS✔ Accepts Medicare2,124 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 Mountain Dew Behavioral Health Plc's NPI number?

The NPI number for Mountain Dew Behavioral Health Plc is 1790130482. It was assigned to this organization in the NPPES registry on April 30, 2016.

Where is Mountain Dew Behavioral Health Plc located?

Mountain Dew Behavioral Health Plc is located at 6700 N Oracle Rd Suite 119, Tucson, AZ 85704. The listed phone number is (520) 389-8468.

What is Mountain Dew Behavioral Health Plc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Mountain Dew Behavioral Health Plc enrolled in Medicare?

Yes. Mountain Dew Behavioral Health Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain Dew Behavioral Health Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Mountain Dew Behavioral Health Plc. 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 Mountain Dew Behavioral Health Plc was last updated on March 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.