PRONGHORN PSYCHIATRY NPI 1154143543

NPI Information

NPI: 1154143543
Provider Name: PRONGHORN PSYCHIATRY
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
:
Address: 2968 N VALLEY VIEW DR
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (928) 583-7799

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NPI Details

PRONGHORN PSYCHIATRY is a community based residential treatment facility mental illness in Prescott Valley, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. PRONGHORN PSYCHIATRY NPI is 1154143543. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

2968 N VALLEY VIEW DR
PRESCOTT VALLEY, AZ
ZIP 86314-550
Phone: (928) 583-7799

The provider's authorized official is Joseph Letendre .
The authorized official title is Ceo and has the following contact phone number (928) 583-7799.

The enumeration date for this NPI number is 10/28/2024 and was last updated on 1/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	291U00000X	Clinical Medical Laboratory	No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness	Yes
3	324500000X	Substance Abuse Rehabilitation Facility	No
4	343900000X	Non-emergency Medical Transport (VAN)	No
5	347C00000X	Private Vehicle	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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