Royal Az LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

ROYAL AZ LLC

Practice address

655 W Gurley St
Prescott, AZ 86305-3619

Phone

(855) 468-3369

NPI assigned

Jan 17, 2022

Organization subpart

No

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

Authorized official

Name

Vaun Williams, PSY.D., LPC

Title

Coo

Phone

(602) 350-1166

Specialties & licenses 1

Addresses

Other names 1

• Royal Life Centers Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Royal Az LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Royal Az LLC

  • Substance Abuse Rehabilitation Facility
  • Prescott, AZ
  • NPI 1013668219
  NPD tax ID
• Royal Az LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Prescott, AZ
  • NPI 1245981760
  NPD tax ID
• Royal Az LLC

  • Psychiatric Hospital
  • Prescott, AZ
  • NPI 1861258550
  NPD tax ID

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1356092860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 S CONGRESS AVE",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334065957",
            "telephone_number": "561-562-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W GURLEY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053619",
            "telephone_number": "855-468-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "VAUN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "602-350-1166",
        "authorized_official_credential": "PSY.D., LPC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Life Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Royal Life Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roundsville Drug and Alcohol Treatment of Arizona
• Andrew J Rounseville, MD
• Jack William Routson, MD
• Royal Az LLC
• Royal Az LLC
• Royal Az LLC
• Royal Life Centers, LLC
• Royal Life Centers, LLC
• Royal Life Centers, LLC
• Irene Anna Royko, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.