Organization Active NPI

The Meadows of Wickenburg, Inc.

  • Psychiatric Hospital
  • Wickenburg, AZ
National Provider Identifier
1689705154
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
THE MEADOWS OF WICKENBURG, INC.
Practice address
1655 N Tegner St
Wickenburg, AZ 85390-1461
Phone
(928) 684-3926
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Ms. Tracy Livingston
Title
VP of Revenue Cycle
Phone
(602) 256-3020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

1655 N Tegner St
Wickenburg, AZ 85390-1461

Mailing address

19820 N 7TH St Ste 205
Phoenix, AZ 85024-1694
Phone (602) 256-3020

Other practice location 1

3250 Lacey Rd Ste 100
Downers Grove, IL 60515-8354
Phone (602) 256-3020

Other names 2

  • Meadows Outpatient Center Doing business as
  • The Meadows Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0705034Meadows of Wickenburg Inc,the1655 N Tegner, Wickenburg, AZ 85390Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
The Meadows of Wickenburg Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1655 N Tegner St
Wickenburg, AZ 85390
Phone (877) 800-5810

3250 Lacey Rd
Ste 100
Downers Grove, IL 60515
Phone (928) 684-4039

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1689705154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19820 N 7TH ST STE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850241694",
            "telephone_number": "602-256-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N TEGNER ST",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853901461",
            "telephone_number": "928-684-3926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3250 Lacey Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605158354",
            "country_code": "US",
            "telephone_number": "602-256-3020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE MEADOWS OF WICKENBURG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE",
        "authorized_official_telephone_number": "602-256-3020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadows Outpatient Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Meadows",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Meadows",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wickenburg, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.