NPIMap

Organization Active NPI

Pronghorn Psychiatry Inc

  • Psychiatric Hospital
  • Prescott Valley, AZ
National Provider Identifier
1922401496
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
IFBH6794 Issued in AZ
Legal business name
PRONGHORN PSYCHIATRY INC
Practice address
5940 E. Copper Hill Dr.
Ste. B
Prescott Valley, AZ 86314
Phone
(928) 583-7799
Fax
(928) 583-7891
NPI assigned
Sep 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Mr. Joseph Daniel Letendre
Title
Ceo
Phone
(928) 583-7799

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X IFBH6794 AZ Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

5940 E. Copper Hill Dr.
Ste. B
Prescott Valley, AZ 86314

Mailing address

5940 E Copper Hill Dr Ste B
Prescott Valley, AZ 86314-2860
Phone (928) 583-7799

National Provider Directory

National Provider Directory
Tax ID family
Pronghorn Psychiatry3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1922401496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 E COPPER HILL DR STE B",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142860",
            "telephone_number": "928-583-7799",
            "fax_number": "928-583-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 E. COPPER HILL DR.",
            "address_2": "STE. B",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "86314",
            "telephone_number": "928-583-7799",
            "fax_number": "928-583-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRONGHORN PSYCHIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "LETENDRE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-583-7799",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "AZ",
            "license": "IFBH6794",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "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 Dec 15, 2025; 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.