Healthcare Provider Details

I. General information

NPI: 1811802564
Provider Name (Legal Business Name): OAK PARK BEHAVIORAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4040 E MCDOWELL RD STE 409
PHOENIX AZ
85008-4448
US

IV. Provider business mailing address

4040 E MCDOWELL RD STE 409
PHOENIX AZ
85008-4448
US

V. Phone/Fax

Practice location:
  • Phone: 480-698-6020
  • Fax:
Mailing address:
  • Phone: 480-698-6020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: NATASHA ROMELE
Title or Position: DIRECTOR
Credential:
Phone: 480-698-6020