HARBOR HEALTH INTEGRATED CARE CLINIC
NPI 1043947948
Clinic/Center - Adult Mental Health in Phoenix, AZ

Active since August 02, 2022
4805 W THOMAS RD, PHOENIX, AZ 85031(602) 825-1659 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Harbor Health Integrated Care Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARBOR HEALTH INTEGRATED CARE CLINIC (NPI 1043947948) is a healthcare organization registered as an adult mental health in Phoenix, Arizona and active in the NPI registry since August 2022. The organization lists Wildine Burgess, Executive Admin, as its authorized official.

NPPES Registry Identity

NPI1043947948
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameHARBOR HEALTH INTEGRATED CARE CLINIC
Location Address4805 W THOMAS RDPhoenix, AZ 85031-4050
Mailing Address4805 W Thomas RdPhoenix, AZ 85031-4050 · (602) 825-1659
Organization SubpartYesParent: Heart Of Harbor Integrated Care Inc
Authorized OfficialWildine BurgessExecutive Admin · (240) 350-2863
Enumeration DateAugust 2, 2022
NPPES CertifiedJuly 23, 2022
NPI 1043947948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
4805 W THOMAS RD, Phoenix, AZ 85031

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
4805 W THOMAS RD
PHOENIX, AZ 85031
Clinic/Center (Urgent Care)
4805 W THOMAS RD
PHOENIX, AZ 85031
Clinic/Center (Adult Mental Health)
4805 W THOMAS RD
PHOENIX, AZ 85031
Dentist (General Practice)
4805 W THOMAS RD, STE A
PHOENIX, AZ 85031
Clinic/Center (Mental Health (Including Community Mental Health Center))
4805 W THOMAS RD
PHOENIX, AZ 85031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harbor Health Integrated Care Clinic's NPI number?

The NPI number for Harbor Health Integrated Care Clinic is 1043947948. It was assigned to this organization in the NPPES registry on August 2, 2022.

Where is Harbor Health Integrated Care Clinic located?

Harbor Health Integrated Care Clinic is located at 4805 W Thomas Rd, Phoenix, AZ 85031. The listed phone number is (602) 825-1659.

What is Harbor Health Integrated Care Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Harbor Health Integrated Care Clinic was last updated on August 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.