Provider Demographics
NPI:1639977044
Name:COSMOS BEHAVIORAL HEALTH CORPORATION
Entity type:Organization
Organization Name:COSMOS BEHAVIORAL HEALTH CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEEPA
Authorized Official - Middle Name:JOSHI
Authorized Official - Last Name:SAHA
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC, FNP-C
Authorized Official - Phone:480-335-6629
Mailing Address - Street 1:22523 E QUINTERO RD
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-2879
Mailing Address - Country:US
Mailing Address - Phone:480-335-6629
Mailing Address - Fax:480-926-5278
Practice Address - Street 1:33 N LINDSAY RD STE 111B
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-5808
Practice Address - Country:US
Practice Address - Phone:480-508-1489
Practice Address - Fax:480-631-0641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty