HILLSIDE OUTPATIENT CLINIC
NPI 1053366716
Clinic/Center - Mental Health (Including Community Mental Health Center) in Prescott, AZ
About Hillside Outpatient Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HILLSIDE OUTPATIENT CLINIC (NPI 1053366716) is a healthcare organization registered as a mental health (including community mental health center) in Prescott, Arizona and active in the NPI registry since May 2006. The organization maintains a secondary practice location in Prescott and lists Tamara Player, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hillside Outpatient Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to Hillside Outpatient Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 24Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 West Yavapai Guidance Clinic, Inc.'s NPI number?
The NPI number for West Yavapai Guidance Clinic, Inc. is 1053366716. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is doing business as Hillside Outpatient Clinic and Polara Health.
Where is West Yavapai Guidance Clinic, Inc. located?
West Yavapai Guidance Clinic, Inc. is located at 726 Gail Gardner Way, Prescott, AZ 86305. The listed phone number is (928) 445-5211.
What is West Yavapai Guidance Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is West Yavapai Guidance Clinic, Inc. enrolled in Medicare?
Yes. West Yavapai Guidance Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through West Yavapai Guidance Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 4 Medicare specialties reassign their Medicare billing to West Yavapai Guidance Clinic, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (15), Psychiatry (4) and Mental Health Counselor (3). Of these, 1 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does West Yavapai Guidance Clinic, Inc. accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health list West Yavapai Guidance Clinic, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for West Yavapai Guidance Clinic, Inc. was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Hillside Outpatient Clinic · NPI 1053366716
Mental Health (Including Community Mental Health Center) organization in Prescott, Arizona. Organization record, active in the CMS NPPES registry since May 23, 2006.
## Identity
- **NPI:** 1053366716 (Entity type: Organization)
- **Enumerated:** May 23, 2006
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Legal business name:** West Yavapai Guidance Clinic, Inc.
- **Also known as:** Polara Health (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Tamara Player, CEO
## Practice location
- **Address:** 726 GAIL GARDNER WAY, Prescott, AZ 86305-2314
- **Phone:** (928) 445-5211 · **Fax:** (928) 776-8484
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 24 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Psychiatry (4), Mental Health Counselor (3); 1 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1053366716/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 25, 2024
- **Other identifiers:** Medicaid OTC13436 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1053366716) · Data from the CMS NPPES public registry.