SPECTRUM HEALTHCARE GROUP, INC. (NPI# 1407475825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407475825 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTHCARE GROUP, INC. |
| Practice Address |
636 N Main St Cottonwood AZ 86326-3725 |
| Mailing Address |
8 E Cottonwood St Cottonwood AZ 86326-4382 |
| Practice Telephone | 9286342236 |
| Practice Fax Number | 9286348960 |
| Mailing Telephone | 9286342236 |
| Mailing Fax Number | 9286348960 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | CORINNE BAILEY (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 9286342236 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952487019 | Spectrum Healthcare Group, Inc. | Community/Behavioral Health | 452 W Finnie Flats Rd, Camp Verde, AZ 86322-7298 | 2006-10-31 |
| 1487635389 | Spectrum Healthcare Group, Inc. | Psychiatry & Neurology | 8 E Cottonwood St, Cottonwood, AZ 86326-4382 | 2005-11-08 |
| 1790382455 | Spectrum Healthcare Group, Inc. | Psychiatry & Neurology | 636 N Main St, Cottonwood, AZ 86326-3725 | 2020-10-06 |
| 1659992212 | Spectrum Healthcare Group, Inc. | Counselor | 15820 N 35th Ave Ste 14, Phoenix, AZ 85053-7608 | 2020-05-05 |
| 1619598273 | Spectrum Healthcare Group, Inc. | Counselor | 12409 W Indian School Rd Bldg E, Avondale, AZ 85392-9502 | 2020-05-05 |
| 1437494259 | Spectrum Healthcare Group, Inc. | Registered Nurse | 8 E Cottonwood St, Cottonwood, AZ 86326-6237 | 2012-12-05 |
| 1962644625 | Spectrum Healthcare Group, Inc. | Community/Behavioral Health | 8 E Cottonwood St, Cottonwood, AZ 86326-6237 | 2009-03-27 |
| 1932248259 | Spectrum Healthcare Group, Inc. | Substance Abuse Rehabilitation Facility | 8 E Cottonwood St, Cottonwood, AZ 86326-4382 | 2007-02-05 |
| 1174608764 | Spectrum Healthcare Group, Inc. | Community/Behavioral Health | 8 E Cottonwood St, Cottonwood, AZ 86326-4382 | 2006-10-25 |
| Street Address |
636 N MAIN ST |
| City | COTTONWOOD |
| State | AZ |
| Zip Code | 86326-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382455 | Spectrum Healthcare Group, Inc. | Psychiatry & Neurology | 636 N Main St, Cottonwood, AZ 86326-3725 | 2020-10-06 |
| 1972639748 | Main Street Diagnostic, LLC | Substance Abuse Rehabilitation Facility | 636 N Main St, Cottonwood, AZ 86326-3725 | 2007-02-26 |
| 1629141908 | Robert Alan Hicks | Social Worker | 636 N Main St, Cottonwood, AZ 86326-3725 | 2006-11-16 |
| 1225027477 | Main Street Diagnostic LLC | Psychiatric Hospital | 636 N Main St, Cottonwood, AZ 86326-3725 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954895 | Isabelle Maisse Griffith | Pharmacist | 1100 E Highway 89a, Cottonwood, AZ 86326 | 2015-06-12 |
| 1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
| 1922391663 | Ronald D. Carsrud | Hearing Instrument Specialist | 657 E Cottonwood St., Ste 6c, Cottonwood, AZ 86326 | 2011-05-26 |
| 1760712749 | Chuck Thomas Calvano | Pharmacist | 550 S Main, Cottonwood, AZ 86326 | 2010-01-13 |
| 1528231438 | Elizabeth Lightner Mccarrell | Emergency Medicine | 269 S Candy Lane, Cottonwood, AZ 86326 | 2008-04-11 |
| 1972783355 | The Wick Home for Emotional Growth and Recovery | Residential Treatment Facility, Emotionally Disturbed Children | 2102 E Fir St, Cottonwood, AZ 86326 | 2007-11-14 |
| 1750560165 | David T Sayle | Nurse Practitioner | 800 Cove Parkway, Cottonwood, AZ 86326 | 2007-11-01 |
| 1003001033 | Country Care Inc | Assisted Living Facility | 3980 E Cassie Lane, Cottonwood, AZ 86326 | 2007-09-12 |
| 1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
| 1841401700 | Bruce Alan Moseng | Chiropractor | 240 Jennifer Lane, Ste 103, Cottonwood, AZ 86326 | 2007-05-24 |
| Find all providers in zip 86326 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972639748 | Main Street Diagnostic, LLC | Substance Abuse Rehabilitation Facility | 636 N Main St, Cottonwood, AZ 86326-3725 | 2007-02-26 |
| 1932248259 | Spectrum Healthcare Group, Inc. | Substance Abuse Rehabilitation Facility | 8 E Cottonwood St, Cottonwood, AZ 86326-4382 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073920 | Tusa Mental Health Services LLC | Substance Abuse Rehabilitation Facility | 11570 East Cornville Road, Cornville, AZ 86325 | 2020-11-03 |
| 1578170999 | Arizona Center for Recovery- A New Direction | Substance Abuse Rehabilitation Facility | 5331 N Sundown Dr, Tucson, AZ 85718-5515 | 2020-09-29 |
| 1427663947 | Summit Bhc Tuscon, LLC | Substance Abuse Rehabilitation Facility | 4210 W. Sweetwater Drive, Tucson, AZ 85745-9348 | 2020-09-11 |
| 1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
| 1932726361 | Northstar Homecare LLC | Substance Abuse Rehabilitation Facility | 5239 S 33rd Dr, Phoenix, AZ 85041-7411 | 2020-07-01 |
| 1891312542 | Semper Fidelis Behavioral Health Care, LLC | Substance Abuse Rehabilitation Facility | 8020 N 17th Dr, Phoenix, AZ 85021-5217 | 2020-06-29 |
| 1558988246 | Cmj Recovery Az LLC | Substance Abuse Rehabilitation Facility | 4122 N 17th St Bldg A, Phoenix, AZ 85016-5922 | 2020-06-29 |
| 1780201772 | Pinnacle Peak Recovery, LLC | Substance Abuse Rehabilitation Facility | 8070 E Morgan Trl Ste 125, Scottsdale, AZ 85258-1228 | 2020-06-25 |
| 1629692025 | A Home 4 U Transitional Housing | Substance Abuse Rehabilitation Facility | 18474 E Kingbird Dr, Queen Creek, AZ 85142-5118 | 2020-06-01 |
| 1568085215 | Scottsdale Recovery II, LLC | Substance Abuse Rehabilitation Facility | 10227 N Scottsdale Road, Scottsdale, AZ 85253-8526 | 2020-05-28 |
| Find all providers with the same taxonomy | ||||
| City | COTTONWOOD |
| Zip Code | 86326 |
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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.