Healthcare Provider Details

I. General information

NPI: 1265322283
Provider Name (Legal Business Name): UPSIDE BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2929 N POWER RD STE 100
MESA AZ
85215-1745
US

IV. Provider business mailing address

2929 N POWER RD STE 100
MESA AZ
85215-1745
US

V. Phone/Fax

Practice location:
  • Phone: 480-447-8030
  • Fax: 480-914-9188
Mailing address:
  • Phone: 480-669-7471
  • Fax: 480-914-9188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA BRODY
Title or Position: OWNER
Credential: LPC
Phone: 480-669-7471