NPIMap

Organization Active NPI

Carelock, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mayer, AZ
National Provider Identifier
1972170322
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CARELOCK, LLC
Practice address
20172 E Stagecoach TRL Ste B
Mayer, AZ 86333-2357
Phone
(928) 632-4399
NPI assigned
Jun 4, 2021
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CARELOCK LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
John S. Gilliam, MDNPI 1003877085
Title
Medical Director
Phone
(480) 681-3450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

20172 E Stagecoach TRL Ste B
Mayer, AZ 86333-2357

Mailing address

15029 N Thompson Peak Pkwy
Ste B-111 # 438
Scottsdale, AZ 85260
Phone (480) 681-3450

Other names 1

  • Cordes Lakes Clinic Other name

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
03D2174321Carelock, LLC20172 E Stagecoach Trail, Mayer, AZ 86333Certificate of waiverOct 28, 2027

National Provider Directory

National Provider Directory
Part of
Carelock LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Carelock, LLC

    dba Chino Urgent Care

    • Urgent Care Clinic/Center
    • Chino Valley, AZ
    • NPI 1366181703

    Member Of

    NPD member

Locations

1936 N Highway 89
Chino Valley, AZ 86323
Phone (928) 667-1968

2150 W Indian School Rd
Phoenix, AZ 85015
Phone (480) 681-3450

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1972170322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15029 N THOMPSON PEAK PKWY",
            "address_2": "STE B-111 # 438",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-681-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20172 E STAGECOACH TRL STE B",
            "city": "MAYER",
            "state": "AZ",
            "postal_code": "863332357",
            "telephone_number": "928-632-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARELOCK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARELOCK LLC",
        "enumeration_date": "2021-06-04",
        "last_updated": "2025-09-02",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-681-3450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cordes Lakes Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mayer, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.