Peaks Youth Behavioral Health Center, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PEAKS YOUTH BEHAVIORAL HEALTH CENTER, LLC

Practice address

642 Dameron Dr Ste B
Prescott, AZ 86301-2411

Phone

(928) 533-2816

NPI assigned

Jul 28, 2026

Last updated

Sep 5, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

PEAKS YOUTH BEHAVIORAL HEALTH CENTER, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Makenzie Stidham

Title

Ceo

Phone

(928) 848-6941

Specialties & licenses 1

Addresses

Tax ID family

Peaks Youth Behavoral Center LLC3 organizations share this tax ID, including this one

Part of

Peaks Youth Behavoral Center LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Peaks Youth Behavioral Health Center, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Prescott, AZ
  • NPI 1154262848
  NPD tax ID
• Peaks Youth Behavoral Center LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Prescott, AZ
  • NPI 1295660520
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Peaks Youth Behavioral Health Center, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Prescott, AZ
  • NPI 1154262848
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788566400000",
    "number": "1255253480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 DAMERON DR STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012411",
            "telephone_number": "928-533-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 DAMERON DR STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012411",
            "telephone_number": "928-533-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAKS YOUTH BEHAVIORAL HEALTH CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEAKS YOUTH BEHAVIORAL HEALTH CENTER, LLC",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A",
        "authorized_official_last_name": "STIDHAM",
        "authorized_official_first_name": "MAKENZIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-848-6941"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Pavelka, M.D.
• Ben Eugene Paxton, M.D.
• PC Pain Doctors II, PLLC
• Peaks Primary Care, LLC
• Peaks Youth Behavioral Health Center, LLC
• Peaks Youth Behavoral Center LLC
• Michele H Pearson, RN
• Pediatrics in the Pines (Occupational Therapsit)
• John Pemberton, LCSW
• Abigail Pena

• Mental Health Clinic/Center (Including Community Mental Health Center) in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.