SPECTRUM HEALTHCARE GROUP INC. NPI 1487635389

NPI Information

NPI: 1487635389
Provider Name: SPECTRUM HEALTHCARE GROUP, INC.

Former Legal Business Name: VERDE VALLEY GUIDANCE CLINIC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
8 E COTTONWOOD ST BLDG A
COTTONWOOD, AZ
ZIP 86326
Phone: (877) 634-7333
Get Directions

SPECTRUM HEALTHCARE GROUP, INC. is a mental health (including community mental health center) clinic center in Cottonwood, AZ. SPECTRUM HEALTHCARE GROUP, INC. NPI is 1487635389. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Verde Valley Guidance Clinic.

The provider's business location address is:

8 E COTTONWOOD ST BLDG A
COTTONWOOD, AZ
ZIP 86326-237
Phone: (877) 634-7333
Fax: (866) 984-3891

The provider's authorized official is Corinne Bailey .
The authorized official title is Credentialing Specialist and has the following contact phone number (928) 634-2236.

The enumeration date for this NPI number is 11/8/2005 and was last updated on 9/11/2023.

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	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner				No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			No
3	101YP2500X	Counselor	Professional			No
4	1041C0700X	Social Worker	Clinical			No
5	163W00000X	Registered Nurse				No
6	171M00000X	Case Manager/Care Coordinator				No
7	207Q00000X	Family Medicine				No
8	207R00000X	Internal Medicine				No
9	208000000X	Pediatrics				No
10	2084A0401X	Psychiatry & Neurology	Addiction Medicine			No
11	2084P0800X	Psychiatry & Neurology	Psychiatry			No
12	208VP0000X	Pain Medicine	Pain Medicine			No
13	363A00000X	Physician Assistant				No
14	101YM0800X	Counselor	Mental Health			No
15	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	BH1466	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	057952	MEDICAID	ARIZONA
2	ZWMBQF	OTHER	ARIZONA	MEDICARE ID#

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: 4/28/2024

NPI Synchronization or Removal

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