MEDICARE: BEHAVIORAL HEALTH PHYSICIANS GROUP PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician

General Provider Information

NPI Number	:	1679168249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEHAVIORAL HEALTH PHYSICIANS GROUP PLLC

Provider Business Mailing Address
First Line	:	6613 N SCOTTSDALE RD STE 200
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85250-7804
Country	:	US
Telephone Number	:	480-707-1968
Fax Number	:

Provider Business Practice Location Address
First Line	:	1336 PIERCE ST
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80214-1939
Country	:	US
Telephone Number	:	720-961-9720
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	SPENCER M LITMAN
Credential	:
Telephone Number	:	480-707-1968

Provider Enumeration Date	:	03/05/2021
Last Update Date	:	01/08/2024

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