Active NPI
Yuma Treatment Center LLC
- Community/Behavioral Health Agency
- Yuma, AZ
National Provider Identifier
1417033630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- BH2472
- Legal business name
- YUMA TREATMENT CENTER LLC
- Practice address
- 1290 W 8TH Place
Yuma Treatment Center
Yuma, AZ 85364 - Phone
- (928) 344-4310
- Fax
- (928) 344-4366
- NPI assigned
- Oct 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debi McKinney
- Title
- Regional Coordinator
- Phone
- (602) 996-0105
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | BH2472 | AZ | Primary |
Addresses
Primary practice location
1290 W 8TH Place
Yuma Treatment Center
Yuma, AZ 85364
Mailing address
19401 N Cave Creek Road
#18 Administrative Office
Phoenix, AZ 85024-1825
Phone (602) 996-0105
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ10066M | Other | AZ | FDA |
| 872128 | Other | AZ | AHCCCS |
National Provider Directory
National Provider DirectoryLocations
1290 W 8th Pl
Ste A
Yuma, AZ 85364
Phone (928) 344-4310
1290 W 8th Pl
Yuma, AZ 85364
Phone (928) 344-4310
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Chicago, IL
- NPI 1710930185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1417033630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19401 N CAVE CREEK ROAD",
"address_2": "#18 ADMINISTRATIVE OFFICE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850241825",
"telephone_number": "602-996-0105",
"fax_number": "602-996-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 W 8TH PLACE",
"address_2": "YUMA TREATMENT CENTER",
"city": "YUMA",
"state": "AZ",
"postal_code": "85364",
"telephone_number": "928-344-4310",
"fax_number": "928-344-4366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YUMA TREATMENT CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-31",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "MCKINNEY",
"authorized_official_first_name": "DEBI",
"authorized_official_title_or_position": "REGIONAL COORDINATOR",
"authorized_official_telephone_number": "602-996-0105"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AZ",
"license": "BH2472",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FDA",
"identifier": "AZ10066M",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "872128",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.