Olive Branch Behavioral Residencial Network, LLC
NPI 1215574496 · Behavioral Neurology & Neuropsychiatry Physician · Phoenix, AZ
Olive Branch Behavioral Residencial Network, LLC is a Behavioral Neurology & Neuropsychiatry Physician organization in Phoenix, AZ (NPI 1215574496).
Provider details
- NPI number
- 1215574496
- Entity type
- Organization
- Primary specialty
- Behavioral Neurology & Neuropsychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tracy Ketchum, Cao,administrator(708) 277-8673
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-12-05
- Last updated
- 2019-12-05
Frequently asked questions
- What is Olive Branch Behavioral Residencial Network, LLC's NPI number?
- Olive Branch Behavioral Residencial Network, LLC's National Provider Identifier (NPI) is 1215574496, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Olive Branch Behavioral Residencial Network, LLC?
- Olive Branch Behavioral Residencial Network, LLC is classified in the NPPES registry as Behavioral Neurology & Neuropsychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Olive Branch Behavioral Residencial Network, LLC located?
- Olive Branch Behavioral Residencial Network, LLC's practice location on file with NPPES is 2421 E Robert E Lee St, Phoenix, AZ 85032-1082.
- What is Olive Branch Behavioral Residencial Network, LLC's phone number?
- The practice phone number listed in the NPPES registry for Olive Branch Behavioral Residencial Network, LLC is (602) 569-0806.
- Who is the authorized official for Olive Branch Behavioral Residencial Network, LLC?
- The authorized official listed on Olive Branch Behavioral Residencial Network, LLC's NPPES record is Tracy Ketchum, Cao,administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Olive Branch Behavioral Residencial Network, LLC's NPI active?
- Yes — Olive Branch Behavioral Residencial Network, LLC's NPI (1215574496) is active in the NPPES registry as of the last update on 2019-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.