PSA BEHAVIORAL HEALTH AGENCY (NPI# 1316304546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316304546 |
| Entity Type | Organization |
| Organization Name | PSA BEHAVIORAL HEALTH AGENCY |
| Practice Address |
1308 N Stockton Hill Rd Suite D Kingman AZ 86401-5139 |
| Mailing Address |
2255 W Northern Ave Phoenix AZ 85021-4936 |
| Practice Telephone | 6029951767 |
| Mailing Telephone | 6029951767 |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2020-03-29 |
| Authorized Official Name | KIMBERLY QUIROS (DIRECTOR OF I.T., CLAIMS & CONTRACT) |
| Authorized Official Telephone | 6029951767 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251K00000X | Public Health or Welfare | CSLG7501 | AZ | Agencies |
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS ID | 999999 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
| 1255891065 | Psa Behavioral Health Agency | Community/Behavioral Health | 3341 E Queen Creek Rd Ste 105, Gilbert, AZ 85297-8510 | 2019-03-20 |
| 1700304110 | Psa Behavioral Health Agency | Community/Behavioral Health | 2580 Highway 95 Ste 116, Bullhead City, AZ 86442-7324 | 2017-09-06 |
| 1467822734 | Psa Behavioral Health Agency | Public Health or Welfare | 4665 S Ash Ave Ste G-1, Tempe, AZ 85282-6765 | 2015-09-30 |
| 1477982395 | Psa Behavioral Health Agency | Public Health or Welfare | 541 E 10th St, Douglas, AZ 85607-2009 | 2013-11-01 |
| 1215362082 | Psa Behavioral Health Agency | Public Health or Welfare | 1326 W Highway 92, Suite K, Bisbee, AZ 85603-1151 | 2013-09-11 |
| 1265877500 | Psa Behavioral Health Agency | Public Health or Welfare | 820 S California Ave, Suite 104, Parker, AZ 85344-5051 | 2013-04-30 |
| 1184965840 | Psa Behavioral Health Agency | Public Health or Welfare | 220 E 6th St, Tucson, AZ 85705-8424 | 2013-03-06 |
| 1366786006 | Psa Behavioral Health Agency | Public Health or Welfare | 4655 S Lakeshore Dr, Tempe, AZ 85282-8328 | 2012-11-19 |
| 1457609406 | Psa Behavioral Health Agency | Public Health or Welfare | 8027 N Black Canyon Hwy, Suite 2, Phoenix, AZ 85021-4802 | 2012-08-23 |
| Street Address |
1308 N STOCKTON HILL RD SUITE D |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86401-5139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858704 | Robert Cole | Nurse Practitioner | 3545 Cheyenne Ave, King,an, AZ 86401 | 2017-01-19 |
| 1710420286 | Acadia Healthcare Inc | Nurse Practitioner | 2699 E Andy Devine, Suite B, Kingman, AZ 86401 | 2016-11-30 |
| 1174079800 | Kenneth Mcadow | Physical Therapist | 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 | 2016-09-01 |
| 1649659483 | Tracie Hirz | Case Manager/Care Coordinator | 3656 Packsaddle Road, Kingman, AZ 86401 | 2015-05-27 |
| 1548657695 | Chelsea Presbrey | Family Medicine | 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 | 2015-04-15 |
| 1649617226 | Abubakr Abdelmunim Tagelsir Abdelaziz | Internal Medicine | 2501 N Stockton Hill Rd Ste 102, Kingman, AZ 86401 | 2013-05-23 |
| 1205173325 | Patricia Jean Marko | Social Worker | 2002 Stockton Hill Road, Mohave Mental Health Clinic, Inc., Kingman, AZ 86401 | 2013-01-09 |
| 1770835316 | Hae Young Lee | Dentist | 2058 Maya Dr., Kingman, AZ 86401 | 2012-10-05 |
| 1255681623 | Hilary Radler | Specialist/Technologist | 3033 Macdonald, Kingman, AZ 86401 | 2012-09-13 |
| 1477836880 | Goodwill of Northern Arizona | Exclusive Provider Organization | 2369 Airway Avenue, Kingman, AZ 86401 | 2011-09-21 |
| Find all providers in zip 86401 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942785175 | Horizons Mental Health Center, Inc. | Community/Behavioral Health | 701 E D Ave, Kingman, KS 67068-1563 | 2018-10-03 |
| 1629567441 | Sage Counseling, Inc. | Community/Behavioral Health | 1849 Airfield Ave, Kingman, AZ 86401-4004 | 2018-05-07 |
| 1578062808 | Peace of Mind Counseling LLC | Community/Behavioral Health | 639 W Washington Ave, Kingman, KS 67068-8508 | 2018-02-01 |
| 1619366457 | Treatment Assessment Screening Center, Inc | Community/Behavioral Health | 2364 Kingman Ave, Kingman, AZ 86401-4840 | 2015-01-16 |
| 1851735369 | Mentally Ill Kids In Distress | Community/Behavioral Health | 2615 E Beverly Ave, Kingman, AZ 86409-3631 | 2013-04-26 |
| 1447437801 | Robyn Yost | Community/Behavioral Health | 1751 Stockton Hill Rd, Suite B, Kingman, AZ 86401-6601 | 2008-01-29 |
| 1114006129 | Catholic Charities Community Services | Community/Behavioral Health | 519 Hall Street, Kingman, AZ 86401-6270 | 2006-11-02 |
| 1124278536 | Exceptional Employment Services L.L.C. | Community/Behavioral Health | 701 N Stockton Hill Rd, Suite I, Kingman, AZ 86401-7103 | 2008-09-22 |
| 1922275692 | Mohave Mental Health Clinic Inc | Community/Behavioral Health | 3505 Western Ave Ste A, Kingman, AZ 86409-3074 | 2008-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700929 | True Wellness Support Services | Community/Behavioral Health | 8936 W Villa Rita Dr, Peoria, AZ 85382-3021 | 2020-11-05 |
| 1447851837 | Laws of Mindful Healing | Community/Behavioral Health | 3717 S Chaparral Rd, Apache Junction, AZ 85119-3608 | 2020-11-03 |
| 1790384030 | Great Xpectations LLC | Community/Behavioral Health | 4014 W Christy Dr, Phoenix, AZ 85029-3958 | 2020-10-19 |
| 1710586144 | Brighter Tomorrow's Family Services, LLC | Community/Behavioral Health | 644 N Country Club Dr Ste D, Mesa, AZ 85201-4983 | 2020-10-16 |
| 1386242295 | Mercy Cares LLC | Community/Behavioral Health | 2644 E Paradise Ln Apt D, Phoenix, AZ 85032-2945 | 2020-10-13 |
| 1124626080 | Beia's Families | Community/Behavioral Health | 3230 E Broadway Rd Ste C-235, Phoenix, AZ 85040-2873 | 2020-10-13 |
| 1558968099 | Seed Sower LLC | Community/Behavioral Health | 11526 W Bloomfield Rd, El Mirage, AZ 85335-3916 | 2020-10-07 |
| 1306443171 | Essential Health Services, LLC | Community/Behavioral Health | 2112 E Sanoque Ct, Gilbert, AZ 85298-6117 | 2020-10-05 |
| 1518564442 | Infinity Groups Homes LLC | Community/Behavioral Health | 3523 E Everett Dr, Phoenix, AZ 85032-5136 | 2020-10-05 |
| 1013524230 | Civara Behavioral Health LLC | Community/Behavioral Health | 4010 W Cactus Rd, Phoenix, AZ 85029-2905 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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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.