WEST YAVAPAI GUIDANCE CLINIC, INC. (NPI# 1629618061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629618061 |
| Entity Type | Organization |
| Organization Name | WEST YAVAPAI GUIDANCE CLINIC, INC. |
| Practice Address |
625 W Hillside Ave Prescott AZ 86301-1936 |
| Mailing Address |
3343 N Windsong Dr Prescott Valley AZ 86314-1213 |
| Practice Telephone | 9284455211 |
| Mailing Telephone | 9284455211 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | LINDA DIANE MCLAIN (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 9284455211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073762258 | West Yavapai Guidance Clinic, Inc. | Counselor | 3347 N Windsong Dr, Prescott Valley, AZ 86314-2283 | 2008-09-12 |
| 1033163514 | West Yavapai Guidance Clinic, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Hillside Ave, Prescott, AZ 86301 | 2006-05-20 |
| 1578517108 | West Yavapai Guidance Clinic, Inc. | Clinic/Center | 625 Hillside Ave, Prescott, AZ 86301 | 2006-05-19 |
| 1316212178 | West Yavapai Guidance Clinic, Inc. | Clinic/Center | 3345 N Windsong Dr, Attn: Tina Tolliver, Suite B, Prescott Valley, AZ 86314-2283 | 2012-03-13 |
| 1639367105 | West Yavapai Guidance Clinic, Inc. | Psychiatric Hospital | 3343 N Windsong Dr, Prescott Valley, AZ 86314-1213 | 2007-10-10 |
| 1053366716 | West Yavapai Guidance Clinic, Inc. | Clinic/Center | 642 Dameron Dr, Prescott, AZ 86301-2411 | 2006-05-23 |
| 1417901943 | West Yavapai Guidance Clinic, Inc. | Clinic/Center | 3345 N Windsong Dr, Prescott Valley, AZ 86314 | 2006-05-20 |
| 1750335311 | West Yavapai Guidance Clinic, Inc. | Substance Abuse Rehabilitation Facility | 642 Dameron Dr, Prescott, AZ 86301-2411 | 2006-05-19 |
| Street Address |
625 W HILLSIDE AVE |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952398349 | Terry Anne Vaughan | Psychiatry & Neurology | 625 W Hillside Ave, Prescott, AZ 86301-1936 | 2005-09-30 |
| 1659354264 | Maryjane Dicken | Registered Nurse | 625 W Hillside Ave, Prescott, AZ 86301-1936 | 2005-11-29 |
| 1699757716 | Kathleen W Cormier | Counselor | 625 W Hillside Ave, Ruth Clinic, Prescott, AZ 86301-1936 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508338732 | Erin Leah Mickelson | Family Medicine | 1542 Marvin Gardens Ln, Prescott, AZ 86301-5528 | 2018-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326876 | Nicole Francisca Roberts | Family Medicine | 1449 S Monterey St, Gilbert, AZ 85233-8436 | 2020-11-08 |
| 1508496167 | Claudia Macias | Family Medicine | 4350 N 19th Ave Ste 3, Phoenix, AZ 85015-4602 | 2020-01-23 |
| 1992353312 | Az Premier Mobile Providers | Family Medicine | 2737 E Arizona Biltmore Cir Unit 30, Phoenix, AZ 85016-2170 | 2019-08-28 |
| 1558916247 | Shiny Susan Thomas | Family Medicine | 7615,east Baseline Road, Mesa, AZ 85209 | 2019-08-08 |
| 1437698107 | Edward A Carrington Md Pllc | Family Medicine | 2600 E Southern Ave Ste F4, Tempe, AZ 85282-7626 | 2017-02-14 |
| 1396123733 | Vital Health Care LLC | Family Medicine | 7707 W Deer Valley Rd Ste 115, Peoria, AZ 85382-2101 | 2015-05-18 |
| 1609267038 | Annual Wellness Centers LLC | Family Medicine | 116 Lake Havasu Ave S Ste 103, Lake Havasu City, AZ 86403-0811 | 2015-02-06 |
| 1518386929 | Valor Health Services, LLC | Family Medicine | 2990 N Campbell Avenue, Suite 230, Tucson, AZ 85719 | 2014-04-14 |
| 1972940237 | Arizona City Health Associates, Inc. | Family Medicine | 13060 South Sunland Gin Road, Arizona City, AZ 85123 | 2013-05-28 |
| 1982954996 | Atlantis Medical Specialist Az, Pllc | Family Medicine | 11124 W California Ave Ste G, Youngtown, AZ 85363-1246 | 2012-09-17 |
| 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.