Provider Demographics
NPI:1649082819
Name:TEMPE BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:TEMPE BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KAREEM
Authorized Official - Middle Name:MOWAFFAK
Authorized Official - Last Name:MIDANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-995-5689
Mailing Address - Street 1:1032 JUPITER CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-4973
Mailing Address - Country:US
Mailing Address - Phone:630-995-5689
Mailing Address - Fax:
Practice Address - Street 1:3737 E TURNEY AVE UNIT 110
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-4041
Practice Address - Country:US
Practice Address - Phone:480-600-2377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-23
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty