PRONGHORN PSYCHIATRY (NPI# 1922401496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922401496 |
Entity Type | Organization |
Organization Name | PRONGHORN PSYCHIATRY |
Practice Address |
5940 E. Copper Hill Dr. Ste. B Prescott Valley AZ 86314 |
Practice Telephone | 9285837799 |
Practice Fax Number | 9285837891 |
Mailing Telephone | 9285837799 |
Mailing Fax Number | 9285837891 |
Enumeration Date | 2014-09-29 |
Last Update Date | 2015-11-30 |
Authorized Official Name | MR. JONATHAN LEE MARSHALL (CEO) |
Authorized Official Telephone | 7753359932 |
Authorized Official Credential | MBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283Q00000X | Psychiatric Hospital | IFBH6794 | AZ | Hospitals |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
Street Address |
5940 E. COPPER HILL DR. STE. B |
City | PRESCOTT VALLEY |
State | AZ |
Zip Code | 86314 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
Find all providers in zip 86314 |
Taxonomy Code | 283Q00000X |
Grouping | Hospitals |
Classification | Psychiatric Hospital |
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861912651 | West Yavapai Guidance Clinic Inc | Psychiatric Hospital | 8655 E Eastridge Rd Ste B, Prescott Valley, AZ 86314-8561 | 2017-06-22 |
1639367105 | West Yavapai Guidance Clinic, Inc. | Psychiatric Hospital | 3343 N Windsong Dr, Prescott Valley, AZ 86314-1213 | 2007-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619506128 | Integro Health Systems Inc | Psychiatric Hospital | 1501 E Orangewood Ave Unit B, Phoenix, AZ 85020-5130 | 2020-04-06 |
1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
1407480254 | Copper Springs Hospital, LLC | Psychiatric Hospital | 3755 S Rome St, Gilbert, AZ 85297-7361 | 2020-03-02 |
1992342265 | Talas Harbor At Buckeye, LLC | Psychiatric Hospital | 1407 S 9th Ave, Phoenix, AZ 85007-3904 | 2019-12-05 |
1548804776 | Recovery Innovations, Inc | Psychiatric Hospital | 11361 N 99th Ave Ste 600, Peoria, AZ 85345-5470 | 2019-10-31 |
1861036386 | Gps Prescott Opco, LLC | Psychiatric Hospital | 181 Whipple St, Prescott, AZ 86301-1705 | 2019-10-29 |
1962053694 | T Massachusetts, LLC | Psychiatric Hospital | 2775 E Meadowview Ct, Gilbert, AZ 85298-4840 | 2019-09-24 |
1902469216 | Bray Enterprises | Psychiatric Hospital | 2260 E Brown Rd, Mesa, AZ 85213-5224 | 2019-04-22 |
1811454754 | Jacob's Hope, Inc. | Psychiatric Hospital | 1150 N Country Club Dr Ste 12, Mesa, AZ 85201-2537 | 2019-02-27 |
1598231268 | Integro Behavioral Hospital | Psychiatric Hospital | 1501 E Orangewood Ave Ste D, Phoenix, AZ 85020-5130 | 2018-10-19 |
Find all providers with the same taxonomy |
City | PRESCOTT VALLEY |
Zip Code | 86314 |
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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.