NPIMap

Organization Active NPI

Rainbow Treatment Center White Mountain Apache Tribe

  • Adult Mental Health Clinic/Center
  • Whiteriver, AZ
National Provider Identifier
1538290119
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
541484 Issued in AZ
Legal business name
RAINBOW TREATMENT CENTER WHITE MOUNTAIN APACHE TRIBE
Practice address
302 West Pondersosa
Whiteriver, AZ 85941-1790
Phone
(928) 338-4858
Fax
(928) 338-4100
NPI assigned
Mar 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. BLL Arnett, PSY.D.
Title
Director
Phone
(928) 338-4858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 541484 AZ Primary

Addresses

Primary practice location

302 West Pondersosa
Whiteriver, AZ 85941-1790

Mailing address

302 West Pondersosa
Whiteriver, AZ 85941-1790
Phone (928) 338-4858

Other identifiers 1

IdentifierTypeStateIssuer
541484MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
White Mountain Apache Tribe5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538290119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 WEST PONDERSOSA",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "859411790",
            "telephone_number": "928-338-4858",
            "fax_number": "928-338-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 WEST PONDERSOSA",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "859411790",
            "telephone_number": "928-338-4858",
            "fax_number": "928-338-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW TREATMENT CENTER WHITE MOUNTAIN APACHE TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARNETT",
        "authorized_official_first_name": "BLL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "928-338-4858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AZ",
            "license": "541484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541484",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteriver, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.