PRONGHORN PSYCHIATRY INC NPI 1922401496

NPI Information

  • NPI: 1922401496
  • Provider Name: PRONGHORN PSYCHIATRY INC
  • Classification: Psychiatric Hospital - 283Q00000X
  • Entity Type: Organization
  • CLIA Number: 03D2131536
  • Address: 5940 E. COPPER HILL DR.
    STE. B
    PRESCOTT VALLEY, AZ
    ZIP 86314
  • Phone: (928) 583-7799

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NPI Details

PRONGHORN PSYCHIATRY INC is a psychiatric hospital in Prescott Valley, AZ. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. PRONGHORN PSYCHIATRY INC NPI is 1922401496. The provider is registered as an organization entity type.

The provider's business location address is:

5940 E. COPPER HILL DR.
STE. B
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (928) 583-7799
Fax: (928) 583-7891

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

The CLIA number assigned to this NPI record is 03D2131536 - other - inpatient acute psych hos with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/29/2014 and was last updated on 12/15/2025.

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 Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryNo
2283Q00000XPsychiatric HospitalIFBH6794ARIZONAYes

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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