MOHAVE MENTAL HEALTH CLINIC INC (NPI# 1316023864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316023864 |
| Entity Type | Organization |
| Organization Name | MOHAVE MENTAL HEALTH CLINIC INC |
| Practice Address |
2187 Swanson Ave Lake Havasu City AZ 86403 |
| Mailing Address |
1743 Sycamore Avenue Kingman AZ 86409 |
| Practice Telephone | 9288553432 |
| Practice Fax Number | 9288550103 |
| Mailing Telephone | 9287578111 |
| Mailing Fax Number | 9287573256 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2016-03-30 |
| Authorized Official Name | MS. DAWN D ABBOTT (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9287578111 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | BH645 | AZ | Ambulatory Health Care Facilities |
| Y | 261Q00000X | Clinic/Center | OTC5973 | AZ | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871665596 | Mohave Mental Health Clinic Inc | Clinic/Center | 915 Airway Ave Ste A, Kingman, AZ 86409-3573 | 2006-11-15 |
| 1861562423 | Mohave Mental Health Clinic Inc | Community Based Residential Treatment Facility, Mental Illness | 1080 Sheldon Ave, Kingman, AZ 86409 | 2006-11-09 |
| 1124198791 | Mohave Mental Health Clinic Inc | Community Based Residential Treatment Facility, Mental Illness | 1091 Calumet Ave, Kingman, AZ 86409-0503 | 2006-11-09 |
| 1952471518 | Mohave Mental Health Clinic Inc | Psychiatric Unit | 1741 Sycamore Avenue, Kingman, AZ 86409 | 2006-11-09 |
| 1902894272 | Mohave Mental Health Clinic Inc | Clinic/Center | 3505 Western Ave Ste A, Kingman, AZ 86409-3074 | 2005-10-11 |
| 1831756659 | Mohave Mental Health Clinic Inc | Community Based Residential Treatment Facility, Mental Illness | 1743 Sycamore Ave, Kingman, AZ 86409-0927 | 2019-05-28 |
| 1922275692 | Mohave Mental Health Clinic Inc | Community/Behavioral Health | 3505 Western Ave Ste A, Kingman, AZ 86409-3074 | 2008-05-13 |
| 1790861243 | Mohave Mental Health Clinic Inc | Clinic/Center | 1145 Marina Blvd, Bullhead City, AZ 86442 | 2006-10-27 |
| Street Address |
2187 SWANSON AVE |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841286820 | Caroline M Koch | Psychiatry & Neurology | 2187 Swanson Ave, Lake Havasu City, AZ 86403-6838 | 2005-09-23 |
| 1689911141 | Elza Boycheva | Counselor | 2187 Swanson Ave, Lake Havasu City, AZ 86403-6838 | 2013-01-03 |
| 1760766208 | William Francis Devine | Registered Nurse | 2187 Swanson Ave, Lake Havasu City, AZ 86403-6838 | 2011-10-03 |
| 1659500759 | Renee Lorin Nelson | Counselor | 2187 Swanson Ave, Lake Havasu City, AZ 86403-6838 | 2009-07-09 |
| 1902041551 | Sharon L Gala | Nurse Practitioner | 2187 Swanson Ave, Lake Havasu City, AZ 86403-6838 | 2008-12-11 |
| 1669662011 | Rachel Cheyney | Social Worker | 2187 Swanson Ave, Lake Havasu City, AZ 86403-6838 | 2007-07-31 |
| 1619910189 | Michael E. Mccluskey | Counselor | 2187 Swanson Ave, Lake Havasu City, AZ 86403-6838 | 2006-06-13 |
| 1861480121 | Paula R Lupo | Counselor | 2187 Swanson Ave, Lake Havasu City, AZ 86403-6838 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056572 | Parker Dental | Clinic/Center | 2872 Jamaica Blvd S, Lake Havasu City, AZ 86406-7707 | 2019-07-31 |
| 1174876015 | Beacon of Health Family Chiropractic and Natural Medicine Center, Inc. | Clinic/Center | 1956 Mesquite Ave, #103, Lake Havasu City, AZ 86403-5888 | 2012-10-16 |
| 1437340098 | Havasu Rainbow Pediatrics | Clinic/Center | 1980 Mesquite Ave Ste 101, Lake Havasu City, AZ 86403-7713 | 2007-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1962013474 | Stable Foundations Therapy Pllc | Clinic/Center | 12115 N Peaks Pkwy, Flagstaff, AZ 86004-5589 | 2020-08-10 |
| 1285242560 | Growing Space LLC | Clinic/Center | 3940 S 79th Dr, Phoenix, AZ 85043-1694 | 2020-07-22 |
| 1487272795 | Orthopedic Specialists of North America, Pllc | Clinic/Center | 8405 N Pima Center Parkway, Scottsdale, AZ 85258 | 2020-07-13 |
| 1952928053 | Brio Inc | Clinic/Center | 11000 N Scottsdale Rd Ste 115, Scottsdale, AZ 85254-6168 | 2020-07-06 |
| 1568087187 | Arizona Imaging Specialists, LLC | Clinic/Center | 727 E Bethany Home Rd Ste A106, Phoenix, AZ 85014-2192 | 2020-06-09 |
| 1003436197 | Omo Ije's'a Pllc | Clinic/Center | 7309 E 28th St, Tucson, AZ 85710-5505 | 2020-04-20 |
| 1134752835 | Terry Wright | Clinic/Center | 1435 E University Dr, Tempe, AZ 85281-8473 | 2020-02-20 |
| 1265064265 | Hinds Mobile Md | Clinic/Center | 8485 E Mcdonald Dr # 214, Scottsdale, AZ 85250-6335 | 2020-02-07 |
| 1932731130 | Arcadia Neuropsychology, Pllc | Clinic/Center | 2929 N 44th St Ste 330, Phoenix, AZ 85018-7241 | 2020-02-06 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.