Codac Behavioral Health Services, Inc.
Codac Behavioral Health Services, Inc. is a healthcare organization registered as Community/Behavioral Health Agency in Tucson, AZ, holding Type 2 (organization) NPI 1114127602 since 2007. The authorized official on file is W. Clark, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114127602 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Codac Behavioral Health Services, Inc. |
| Other name | <Unavail> |
| Practice address | 3550 N 1ST AVE, SUITE 100, Tucson, AZ, 85719 |
| Phone | 5203274505 |
| Fax | 5202021889 |
| Enumeration date | 2007-07-23 |
| Last updated in NPPES | 2007-07-23 |
Authorized official
| Name | W. Clark |
|---|---|
| Title | Ceo |
| Phone | 5203274505 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health Agency | Primary | CSA06ADHS0194 2 | AZ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128640 | Other | AZ | AHCCCS ID |
Copy-ready billing details
Provider: Codac Behavioral Health Services, Inc. NPI: 1114127602 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 3550 N 1ST AVE, SUITE 100, Tucson, AZ, 85719
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1104852763 | Georgia Fitzsimmons | Individual | Clinical Social Worker | Tucson, AZ |
| 1972539518 | Eric Cross | Individual | Addiction (Substance Use Disorder) Counselor | Tucson, AZ |
| 1053340307 | Michael St. Ores | Individual | Addiction (Substance Use Disorder) Counselor | Tucson, AZ |
| 1417067646 | Jan Abington | Individual | Women's Health Nurse Practitioner | Tucson, AZ |
| 1841416898 | Codac Behavioral Health Services, Inc. | Organization | Adult Mental Health Clinic/Center | Tucson, AZ |
| 1679793301 | Codac Behavioral Health Services of Pima County, Inc | Organization | Adult Mental Health Clinic/Center | Tucson, AZ |
| 1659571149 | Codac Behavioral Health Services, Inc. | Organization | Community/Behavioral Health Agency | Tucson, AZ |
| 1497208466 | Marta Silva | Individual | Women's Health Nurse Practitioner | Tucson, AZ |
Verify this record
Cross-check NPI 1114127602 against the authoritative CMS record: view Codac Behavioral Health Services, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Codac Behavioral Health Services, Inc. located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-23.