Provider Demographics
NPI:1265322283
Name:UPSIDE BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:UPSIDE BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRODY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC,
Authorized Official - Phone:480-669-7471
Mailing Address - Street 1:7629 E BARSTOW ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85207-7522
Mailing Address - Country:US
Mailing Address - Phone:480-669-7471
Mailing Address - Fax:480-914-9188
Practice Address - Street 1:7629 E BARSTOW ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85207-7522
Practice Address - Country:US
Practice Address - Phone:480-669-7471
Practice Address - Fax:480-914-9188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)