NPIMap

Organization Active NPI

Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm

Doing business as YAHC Professional Services

  • Internal Medicine Physician
  • Camp Verde, AZ
National Provider Identifier
1831244169
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
Doing business as
YAHC Professional Services
Practice address
2121 West Reservation Loop Road
Camp Verde, AZ 86322
Phone
(602) 263-1200
Fax
(602) 263-1618
NPI assigned
Jan 25, 2007
Last updated
Jun 18, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
DHEW IND HLTH SV HLTH SVS &M MNTL HLTH ADMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Authorized official

Name
Miss Deanna J. Dick, MSW., MHA.
Title
(Ceo) Chief Executive Officer
Phone
(602) 263-1567

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X

Addresses

Primary practice location

2121 West Reservation Loop Road
Camp Verde, AZ 86322

Mailing address

PO Box 31001-0698
Pasadena, CA 91110-0698
Phone (602) 263-1200

Other names 1

  • YAHC Professional Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dhew Indian Health Service Health Services Mental Health Adm18 organizations share this tax ID, including this one
Part of
Dhew Indian Health Service Health Services Mental Health Adm

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1831244169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-0698",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911100698",
            "telephone_number": "602-263-1200",
            "fax_number": "602-263-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WEST RESERVATION LOOP ROAD",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "86322",
            "telephone_number": "602-263-1200",
            "fax_number": "602-263-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DHEW IND HLTH SV HLTH SVS &M MNTL HLTH ADM",
        "enumeration_date": "2007-01-25",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "DICK",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "(CEO) CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "602-263-1567",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MSW., MHA."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "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": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YAHC Professional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camp Verde, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.