Active NPI
The Highway: a Self-Harm and Suicide Prevention Service
- Adult Mental Health Clinic/Center
- Prescott Valley, AZ
National Provider Identifier
1609305564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- THE HIGHWAY: A SELF-HARM AND SUICIDE PREVENTION SERVICE
- Practice address
- 7572 E Buena Vista Dr
Prescott Valley, AZ 86314-5563 - Phone
- (928) 379-7016
- Fax
- (928) 255-4817
- NPI assigned
- Jun 5, 2017
- 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
- Cassandra Smith
- Title
- Owner
- Phone
- (928) 379-7016
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
7572 E Buena Vista Dr
Prescott Valley, AZ 86314-5563
Mailing address
7572 E Buena Vista Dr
Prescott Valley, AZ 86314-5563
Phone (928) 379-7016
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1609305564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7572 E BUENA VISTA DR",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863145563",
"telephone_number": "928-379-7016",
"fax_number": "928-255-4817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7572 E BUENA VISTA DR",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863145563",
"telephone_number": "928-379-7016",
"fax_number": "928-255-4817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE HIGHWAY: A SELF-HARM AND SUICIDE PREVENTION SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-05",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "CASSANDRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "928-379-7016"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.