Banner Telehealth LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Scottsdale, AZ. Organization (NPI-2).
Details
- NPI
- 1396492005
- Entity type
- Organization (NPI-2)
- Legal business name
- Banner Telehealth LLC
- Organization subpart
- Yes
- Enumeration date
- Mar 3, 2022
- Certification date
- Sep 2, 2025
- Last updated
- Sep 2, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
7575 E Earll Dr Ste 101Scottsdale, AZ 85251-6915
Phone 480-684-8345 · Fax 480-412-5477
Mailing address
2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Other practice locations
Phoenix, AZ 85006-2612
Phone 602-839-2000
Tucson, AZ 85713-6204
Phone 520-874-2000
Tucson, AZ 85719-4330
Phone 520-694-0111
Mesa, AZ 85206-1747
Phone 480-321-2000
Scottsdale, AZ 85251-6915
Phone 480-448-7500
Sun City, AZ 85351-3004
Phone 623-832-4000
Casa Grande, AZ 85122-5303
Phone 520-381-6300
Sun City West, AZ 85375-5282
Phone 623-524-4000
Mesa, AZ 85202-4707
Phone 480-412-3000
Phoenix, AZ 85037-3332
Phone 623-327-4000
Authorized official
Todd Werner
Division President
6024744000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 51 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Scottsdale · All 15,515 providers in Scottsdale
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