4 CORNERS BEHAVIORAL HEALTH & PSYCHIATRY LLC NPI 1659107837

NPI Information

  • NPI: 1659107837
  • Provider Name: 4 CORNERS BEHAVIORAL HEALTH & PSYCHIATRY LLC
  • Classification: Psychiatry & Neurology - 2084A0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 7112 N 55TH AVE STE C
    GLENDALE, AZ
    ZIP 85301
  • Phone: (929) 692-4710

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NPI Details

4 CORNERS BEHAVIORAL HEALTH & PSYCHIATRY LLC is an addiction medicine psychiatry neurology in Glendale, AZ. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine 4 CORNERS BEHAVIORAL HEALTH & PSYCHIATRY LLC NPI is 1659107837. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7112 N 55TH AVE STE C
GLENDALE, AZ
ZIP 85301-707
Phone: (929) 692-4710

The provider's authorized official is Sierra Dobbins .
The authorized official title is Owner and has the following contact phone number (929) 692-4710.

The enumeration date for this NPI number is 9/12/2024 and was last updated on 9/12/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
31041C0700XSocial WorkerClinicalNo
42084A0401XPsychiatry & NeurologyAddiction MedicineYes
5251B00000XCase ManagementNo
6323P00000XPsychiatric Residential Treatment FacilityNo
7363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

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: 3/30/2025

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