WEST YAVAPAI GUIDANCE CLINIC CORTEZ (NPI# 1871547430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871547430 |
| Entity Type | Organization |
| Organization Name | WEST YAVAPAI GUIDANCE CLINIC CORTEZ |
| Other Organization Name | CORTEZ CLINIC |
| Practice Address |
505 S Cortez Prescott AZ 86303 |
| Mailing Address |
3343 N. Windsong Dr. Prescott Valley AZ 86314-2283 |
| Practice Telephone | 9284455211 |
| Practice Fax Number | 9287768484 |
| Mailing Telephone | 9284455211 |
| Mailing Fax Number | 9287768484 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2016-06-29 |
| Authorized Official Name | MR. LARRY D GREEN JR. (CEO) |
| Authorized Official Telephone | 9284455211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | BH178 | AZ | Ambulatory Health Care Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
OTC6686 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 003434 | 05 |
| Other Name | Type Code |
|---|---|
| Cortez Clinic | Doing Business As Name - Organization |
| Street Address |
505 S CORTEZ |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578544052 | Mary Halverson | Registered Nurse | 505 S Cortez, West Yayapai Gudiance Clinic Inc Cortez Clinic, Prescott, AZ 86303 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447598 | Jacqueline Schlosser | Respite Care | 237 S. Washington Ave., Prescott, AZ 86303 | 2018-08-18 |
| 1033699210 | Anna Rachel Seno | Psychologist | 300 S Granite Street, Prescott, AZ 86303 | 2018-08-17 |
| 1871944322 | Jessie Deverna | Counselor | 450 W Goodwin St Suite 103b, Prescott, AZ 86303 | 2016-06-27 |
| 1154782845 | Walmart | Pharmacy | 1120 N. Opal Dr., Prescott, AZ 86303 | 2016-03-09 |
| 1710377650 | Compass Recovery Center LLC | Clinic/Center | 711 S. Granite St, Prescott, AZ 86303 | 2015-01-30 |
| 1154727527 | Anne Gurley Klever | Pharmacist | 500 Arizona 89, Prescott, AZ 86303 | 2014-11-13 |
| 1295131860 | Kathi Sabot | Registered Nurse | 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 | 2014-11-10 |
| 1457697989 | Kim K. Mcintyre | Counselor | 505 S. Cortez St., Prescott, AZ 86303 | 2013-01-03 |
| 1578885257 | Wesley Carl Kitchens | Counselor | 315 W Goodwin St, Prescott, AZ 86303 | 2010-02-22 |
| 1588805907 | Jacob Lee Bean | Physical Therapist | 6820 El Dorado Dr, Prescott, AZ 86303 | 2009-03-14 |
| Find all providers in zip 86303 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
| 1619511557 | South Arkansas Regional Health Center | Clinic/Center | 223 E Elm St, Prescott, AR 71857-2148 | 2019-11-04 |
| 1205163938 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 600 W Gurley St Fl 2, Prescott, AZ 86305-3655 | 2009-11-18 |
| 1366607897 | Texarkana Behavioral Associates | Clinic/Center | 1484 West 1st Street, North, Prescott, AR 71857 | 2008-07-24 |
| 1821454505 | Prescott Healthcare Solutions LLC | Clinic/Center | 743 Miller Valley Rd, Prescott, AZ 86301-1813 | 2016-01-11 |
| 1861892101 | True Accountability, LLC | Clinic/Center | 637 W Hillside Ave, Suite A, Prescott, AZ 86301-1909 | 2014-08-22 |
| 1104185966 | Tba Texarkana LLC | Clinic/Center | 1484 W 1st St N, Prescott, AR 71857-3339 | 2012-05-14 |
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| 1164036935 | Carmen L. Lucia Psyd LLC | Clinic/Center | 15215 S 48th St Ste 154, Phoenix, AZ 85044-9139 | 2020-08-31 |
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| 1811507379 | Aptitude Mental Health Pllc | Clinic/Center | 5025 S Ash Ave Ste 12, Tempe, AZ 85282-6885 | 2020-08-08 |
| 1730798562 | Healthier Ever After LLC | Clinic/Center | 65 S Sycamore Ste 2, Mesa, AZ 85202-1143 | 2020-07-28 |
| 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.