Individual provider · Type 1 NPI

Melanie Tarasisi

Mental Illness Community Based Residential Treatment Facility · Vail, AZ

NPI number 1083583512 Active

Practice location

12048 E Becker Dr
Vail, AZ 85641-6879

Mailing address

4000 N Central Ave Ste 100
Phoenix, AZ 85012-3520

Specialties and licenses

TaxonomyCodeLicense
Respite Care 385H00000XADBH20005 (AZ)
Mental Illness Community Based Residential Treatment Facility Primary 320800000XADBH20005 (AZ)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

About NPI 1083583512

Melanie Tarasisi's National Provider Identifier is 1083583512, issued on Nov 3, 2025. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Vail, AZ. The record was last updated on Nov 7, 2025.