NPIMap

Organization Active NPI

West Yavapai Guidance Clinic Cortez

Doing business as Cortez Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Prescott, AZ
National Provider Identifier
1871547430
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
OTC6686 Issued in AZ
Legal business name
WEST YAVAPAI GUIDANCE CLINIC CORTEZ
Doing business as
Cortez Clinic
Polara Health
Practice address
505 S Cortez St
Prescott, AZ 86303-4319
Phone
(928) 445-5211
Fax
(928) 776-8484
NPI assigned
May 19, 2006
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Luis Gonzalez
Title
Ceo
Phone
(928) 445-5211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X BH178 AZ
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X OTC6686 AZ Primary

Addresses

Primary practice location

505 S Cortez St
Prescott, AZ 86303-4319

Mailing address

3343 N Windsong Dr
Prescott Valley, AZ 86314-1213
Phone (928) 445-5211

Other identifiers 1

IdentifierTypeStateIssuer
003434MedicaidAZ

Other names 2

  • Cortez Clinic Doing business as
  • Polara Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040526000422 AZ Part B Supplier - Clinic/Group Practice 3375524358 Receives reassigned benefits from 23 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Prescott, AZ; Prescott Valley, AZ; Chino Valley, AZ; Camp Verde, AZ

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory
Tax ID family
W Yavapai Guidance CL Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 4

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1871547430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141213",
            "telephone_number": "928-445-5211",
            "fax_number": "928-776-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S CORTEZ ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034319",
            "telephone_number": "928-445-5211",
            "fax_number": "928-776-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST YAVAPAI GUIDANCE CLINIC CORTEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-445-5211"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "BH178",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AZ",
            "license": "OTC6686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003434",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cortez Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cortez Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Polara Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.