Banner Psychological Services

LBN: Banner Psychological Services
Banner Psychological Services is an health care organization with primary practice located at 1920 N Higley Rd Suite 106, Gilbert AZ 85234-1623. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Banner Psychological Services can be contacted via phone (480) 543-2688, or through Dahlen, Dennis E via phone (602) 747-4000.

Contact Information

Primary practice address
1920 N Higley Rd Suite 106 Gilbert AZ 85234-1623
Phone: (480) 543-2688
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dahlen, Dennis E
Phone: (602) 747-4000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X BH-3057 Arizona

Profile Details

NPI number 1831378793
LBN Legal business name Banner Psychological Services
DBA Doing business as
Authorized official Dahlen, Dennis E
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 29th, 2007
Last updated Dec 8th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831378793 NPPES
Arizona MEDICAID 279741

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