NPIMap

Organization Active NPI

Acadia Health Clinic, LLC

  • Adult Medicine Physician
  • Peoria, AZ
National Provider Identifier
1679645691
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
ACADIA HEALTH CLINIC, LLC
Practice address
13260 N 94TH Dr
Suite 205
Peoria, AZ 85381-4240
Phone
(623) 583-6570
Fax
(623) 583-6571
NPI assigned
Nov 14, 2006
Last updated
Oct 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Dr. William Haas, D.C.NPI 1144223561
Title
Administrator
Phone
(623) 583-6570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 7394 AZ
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 5702 AZ
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 0520 AZ
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204C00000X 2420 AZ
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

13260 N 94TH Dr
Suite 205
Peoria, AZ 85381-4240

Mailing address

13260 N 94TH Dr
Suite 205
Peoria, AZ 85381-4240
Phone (623) 583-6570

Other identifiers 1

IdentifierTypeStateIssuer
Z76994OtherAZMEDICARE ID-PIN

National Provider Directory

National Provider Directory

Locations

13260 N 94th Dr
Ste 2
Peoria, AZ 85381

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1679645691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13260 N 94TH DR",
            "address_2": "SUITE 205",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814240",
            "telephone_number": "623-583-6570",
            "fax_number": "623-583-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13260 N 94TH DR",
            "address_2": "SUITE 205",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814240",
            "telephone_number": "623-583-6570",
            "fax_number": "623-583-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-583-6570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7394",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5702",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0520",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "AZ",
            "license": "2420",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-PIN",
            "identifier": "Z76994",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.