Spectrum Healthcare Group, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

BH1466 Issued in AZ

Legal business name

SPECTRUM HEALTHCARE GROUP, INC.

Practice address

8 E Cottonwood St
Cottonwood, AZ 86326-6237

Phone

(928) 634-2236

Fax

(928) 634-8960

NPI assigned

Dec 5, 2012

Organization subpart

No

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

Authorized official

Name

Corinne Bailey

Title

Credentialing Specialist

Phone

(877) 634-7333

Specialties & licenses 15

Addresses

Other names 1

• Verde Valley Guidance Clinic, Inc Former legal business name

Tax ID family

Verde Valley Guidance C11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

• Spectrum Healthcare

  • Point of Service
  • Cottonwood, AZ
  • NPI 1083166136
  NPD tax ID
• Spectrum Healthcare Group, Inc

  • Internal Medicine Physician
  • Prescott, AZ
  • NPI 1053834218
  NPD tax ID
• Spectrum Healthcare Group, Inc

  • Psychiatry Physician
  • Prescott, AZ
  • NPI 1285148502
  NPD tax ID
• Spectrum Healthcare Group, Inc

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1912614413
  NPD tax ID
• Spectrum Healthcare Group, Inc.

  • Psychiatry Physician
  • Prescott Valley, AZ
  • NPI 1063298792
  NPD tax ID
• Spectrum Healthcare Group, Inc.

  • Substance Abuse Rehabilitation Facility
  • Cottonwood, AZ
  • NPI 1407475825
  NPD tax ID
• Spectrum Healthcare Group, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cottonwood, AZ
  • NPI 1487635389
  NPD tax ID
• Spectrum Healthcare Group, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cottonwood, AZ
  • NPI 1790382455
  NPD tax ID
• Spectrum Healthcare Group, Inc.

  • Substance Abuse Rehabilitation Facility
  • Cottonwood, AZ
  • NPI 1932248259
  NPD tax ID
• Spectrum Healthcare Group, Inc.

  • Multi-Specialty Clinic/Center
  • Cottonwood, AZ
  • NPI 1962644625
  NPD tax ID

Locations

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1437494259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 E COTTONWOOD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266237",
            "telephone_number": "877-634-7333",
            "fax_number": "866-984-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E COTTONWOOD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266237",
            "telephone_number": "928-634-2236",
            "fax_number": "928-634-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTHCARE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "877-634-7333"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AZ",
            "license": "BH1466",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Verde Valley Guidance Clinic, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Verde Valley Guidance Clinic, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Spectrum Healthcare Group, Inc
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• Spectrum Healthcare Group, Inc.
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• Spectrum Healthcare Group, Inc.
• Spencer Chiropractic Clinic Inc.

• All providers in Cottonwood, AZ
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.