Organization Active NPI

Yuma Treatment Center LLC

  • Community/Behavioral Health Agency
  • Yuma, AZ
National Provider Identifier
1417033630
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH2472 Issued in AZ
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

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AZ10066MOtherAZFDA
872128OtherAZAHCCCS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.