MOHAVE MENTAL HEALTH CLINIC INC (NPI# 1952471518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952471518 |
| Entity Type | Organization |
| Organization Name | MOHAVE MENTAL HEALTH CLINIC INC |
| Practice Address |
1741 Sycamore Avenue Kingman AZ 86409 |
| Mailing Address |
1743 Sycamore Avenue Kingman AZ 86409 |
| Practice Telephone | 9287578111 |
| Practice Fax Number | 9287577872 |
| Mailing Telephone | 9287578111 |
| Mailing Fax Number | 9287573256 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2016-03-30 |
| Authorized Official Name | MS. DAWN D ABBOTT (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9287578111 |
| Authorized Official Credential | MA ABHM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 273R00000X | Psychiatric Unit | BH1940 | AZ | Hospital Units |
| Y | 273R00000X | Psychiatric Unit | IFBH6611 | AZ | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871665596 | Mohave Mental Health Clinic Inc | Clinic/Center | 915 Airway Ave Ste A, Kingman, AZ 86409-3573 | 2006-11-15 |
| 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 |
| 1902894272 | Mohave Mental Health Clinic Inc | Clinic/Center | 3505 Western Ave Ste A, Kingman, AZ 86409-3074 | 2005-10-11 |
| 1831756659 | Mohave Mental Health Clinic Inc | Community Based Residential Treatment Facility, Mental Illness | 1743 Sycamore Ave, Kingman, AZ 86409-0927 | 2019-05-28 |
| 1922275692 | Mohave Mental Health Clinic Inc | Community/Behavioral Health | 3505 Western Ave Ste A, Kingman, AZ 86409-3074 | 2008-05-13 |
| 1790861243 | Mohave Mental Health Clinic Inc | Clinic/Center | 1145 Marina Blvd, Bullhead City, AZ 86442 | 2006-10-27 |
| 1316023864 | Mohave Mental Health Clinic Inc | Clinic/Center | 2187 Swanson Ave, Lake Havasu City, AZ 86403 | 2006-10-27 |
| Street Address |
1741 SYCAMORE AVENUE |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409 |
| 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 | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702513 | Terri Collins | Psychiatric Unit | 456 E Taylor Trl, San Tan Valley, AZ 85143-5599 | 2020-08-24 |
| 1356802912 | Talas Harbor At Bullhead City | Psychiatric Unit | 831 Landon Drive, Bullhead City, AZ 86429 | 2019-03-27 |
| 1417032145 | Carondelet Health Network | Psychiatric Unit | 1601 West St Mary's Road, Tucson, AZ 85745-2623 | 2006-10-25 |
| 1609957141 | Carondelet Health Network | Psychiatric Unit | 1601 W St Mary's Road, Tucson, AZ 85745-2623 | 2006-10-18 |
| 1750462107 | Carondelet Health Network | Psychiatric Unit | 1802 West St. Mary's Road, Tucson, AZ 85745-2623 | 2006-10-18 |
| 1073614905 | Lafrontera Center Inc. | Psychiatric Unit | 1601 E. Apache Park Place, Tucson, AZ 85714 | 2006-09-25 |
| 1477104552 | Summit Healthcare Association | Psychiatric Unit | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2019-09-20 |
| 1578071809 | Southwest Behavioral Health Services,inc. | Psychiatric Unit | 2042 N 35th Ave, Phoenix, AZ 85009-2353 | 2018-01-22 |
| 1720454341 | Smsj Tucson Holdings LLC | Psychiatric Unit | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2015-08-18 |
| 1801262423 | Smsj Tucson Holdings LLC | Psychiatric Unit | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2015-08-18 |
| 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.