MOHAVE MENTAL HEALTH CLINIC, INC. (NPI# 1689195901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689195901 |
| Entity Type | Organization |
| Organization Name | MOHAVE MENTAL HEALTH CLINIC, INC. |
| Practice Address |
3745 N Diamond Dr Kingman AZ 86409-3328 |
| Mailing Address |
1743 Sycamore Ave Kingman AZ 86409-0927 |
| Practice Telephone | 9287578111 |
| Practice Fax Number | 9287573256 |
| Mailing Telephone | 9287578111 |
| Mailing Fax Number | 9287573256 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| Authorized Official Name | JOANNE VAN HOOK (ADMIN. ASSISTANT TO CEO) |
| Authorized Official Telephone | 9287578111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH5202 | AZ | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912458589 | Mohave Mental Health Clinic, Inc. | Clinic/Center | 151 Riviera Dr Ste B, Lake Havasu City, AZ 86403-5740 | 2016-10-19 |
| 1619294865 | Mohave Mental Health Clinic, Inc. | Clinic/Center | 2580 Highway 95, Suite 209, Bullhead City, AZ 86442-7491 | 2010-04-28 |
| Street Address |
3745 N DIAMOND DR |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
| 1003219007 | Premier Home Health Agency | Home Health | 3555 Western Ave, Kingman, AZ 86409 | 2014-10-03 |
| 1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
| 1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
| 1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
| 1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
| 1790922896 | Jack Cheng-tsung Hou | Urology | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 | 2009-01-12 |
| 1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
| 1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
| 1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
| Find all providers in zip 86409 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861562423 | Mohave Mental Health Clinic Inc | Community Based Residential Treatment Facility, Mental Illness | 1080 Sheldon Ave, Kingman, AZ 86409 | 2006-11-09 |
| 1124198791 | Mohave Mental Health Clinic Inc | Community Based Residential Treatment Facility, Mental Illness | 1091 Calumet Ave, Kingman, AZ 86409-0503 | 2006-11-09 |
| 1770676439 | Sequelcare of Arizona, LLC | Community Based Residential Treatment Facility, Mental Illness | 3240 Hualapai Mountain Road, Kingman, AZ 86401 | 2006-10-02 |
| 1831756659 | Mohave Mental Health Clinic Inc | Community Based Residential Treatment Facility, Mental Illness | 1743 Sycamore Ave, Kingman, AZ 86409-0927 | 2019-05-28 |
| 1629528716 | Exclusive Certified Residential Care, LLC | Community Based Residential Treatment Facility, Mental Illness | 3744 Martingale Dr, Kingman, AZ 86409-2994 | 2016-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598253 | Pinnacle Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 45369 W Horse Mesa Rd, Maricopa, AZ 85139-9128 | 2020-11-03 |
| 1649878687 | Ayobami Noheem Agoro | Community Based Residential Treatment Facility, Mental Illness | 12362 W Joblanca Rd, Avondale, AZ 85323-3130 | 2020-10-13 |
| 1235736018 | Happy Valley Community Services LLC | Community Based Residential Treatment Facility, Mental Illness | 1106 E Cochise Dr, Phoenix, AZ 85020-1550 | 2020-10-05 |
| 1144835968 | Jfox II LLC | Community Based Residential Treatment Facility, Mental Illness | 5327 E Enrose Cir, Mesa, AZ 85205-5489 | 2020-09-09 |
| 1639782956 | Ascend Behavioral Health and Wellness,llc | Community Based Residential Treatment Facility, Mental Illness | 3308 W Desert Vista Trl, Phoenix, AZ 85083-5874 | 2020-08-26 |
| 1952913998 | Vema Corporation | Community Based Residential Treatment Facility, Mental Illness | 12701 N 79th Dr, Peoria, AZ 85381-9049 | 2020-08-20 |
| 1720698509 | Lyddia Getaweru | Community Based Residential Treatment Facility, Mental Illness | 2767 W Peggy Dr, Queen Creek, AZ 85142-6686 | 2020-08-05 |
| 1689284531 | Brain Solutions Pllc | Community Based Residential Treatment Facility, Mental Illness | 4555 S Maverick Ct, Gilbert, AZ 85297-9532 | 2020-08-05 |
| 1548879950 | C&j Care Home LLC | Community Based Residential Treatment Facility, Mental Illness | 4418 W Darrel Rd, Laveen, AZ 85339-6222 | 2020-07-31 |
| 1295353019 | Alliance Behavioral Care LLC | Community Based Residential Treatment Facility, Mental Illness | 2840 S Chaparral Blvd, Gilbert, AZ 85295-7675 | 2020-07-08 |
| 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.