Active NPI
Cognitive Function Development Institute, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Prescott, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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, 2025
- Organization subpart
- Yes
- Parent organization
- TRANSFORMATIONAL OPPORTUNITIES INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.
-
dba TransformED of Arizona
- Community/Behavioral Health Agency
- Prescott Valley, AZ
- NPI 1922574722
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.
-
- Mental Health Counselor
- Prescott Valley, AZ
- NPI 1629720693
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.