Organization Active NPI

Cognitive Function Development Institute, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Prescott, AZ
National Provider Identifier
1386443265
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COGNITIVE FUNCTION DEVELOPMENT INSTITUTE, INC.
Practice address
Cognitive Function Development Institute
3250 Gateway Blvd, Suite 200
Prescott, AZ 86303
Phone
(507) 251-0851
Fax
(928) 515-2278
NPI assigned
Mar 12, 2025
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TRANSFORMATIONAL OPPORTUNITIES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Brian Beyst
Title
Cfo / Director of R&D
Phone
(507) 251-0851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

Cognitive Function Development Institute
3250 Gateway Blvd, Suite 200
Prescott, AZ 86303

Mailing address

6895 E Lynx Wagon Rd
Prescott Valley, AZ 86314-1932
Phone (507) 251-0851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250428003000 AZ Part B Supplier - Clinic/Group Practice 7416473996 Receives reassigned benefits from 1 practitioner
Practice locations: Prescott, AZ

National Provider Directory

National Provider Directory
Part of
Transformational Opportunities Inc

Locations

3250 Gateway Blvd
Ste 200
Prescott, AZ 86303
Phone (507) 251-0851

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1386443265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6895 E LYNX WAGON RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141932",
            "telephone_number": "507-251-0851",
            "fax_number": "928-515-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COGNITIVE FUNCTION DEVELOPMENT INSTITUTE",
            "address_2": "3250 GATEWAY BLVD, SUITE 200",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86303",
            "telephone_number": "507-251-0851",
            "fax_number": "928-515-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE FUNCTION DEVELOPMENT INSTITUTE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRANSFORMATIONAL OPPORTUNITIES INC",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "BEYST",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO / DIRECTOR OF R&D",
        "authorized_official_telephone_number": "507-251-0851"
    },
    "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": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.