HILLSIDE OUTPATIENT CLINIC
NPI 1053366716
Clinic/Center - Mental Health (Including Community Mental Health Center) in Prescott, AZ

NPI Status: Active since May 23, 2006

Contact Information

726 GAIL GARDNER WAY
PRESCOTT, AZ
ZIP 86305
Phone: (928) 445-5211
Fax: (928) 776-8484

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About HILLSIDE OUTPATIENT CLINIC

This page provides the complete NPI Profile along with additional information for Hillside Outpatient Clinic, a provider established in Prescott, Arizona operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1053366716 assigned on May 2006. The practitioner's primary taxonomy code is 261QM0801X with license number CSLG6205 (AZ). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Hillside Outpatient Clinic. The authorized official of this NPI record is Tamara Player (Ceo)

NPI
1053366716
Provider Legal Name
WEST YAVAPAI GUIDANCE CLINIC, INC.
Other Organization Name
HILLSIDE OUTPATIENT CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
726 GAIL GARDNER WAY PRESCOTT, AZ 86305
Location Phone
(928) 445-5211
Location Fax
(928) 776-8484
Mailing Address
3343 N. WINDSONG DR. PRESCOTT VALLEY, AZ 86314
Mailing Phone
(928) 445-5211
Mailing Fax
(928) 776-8484
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2006
Last Update Date
09-25-2024
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Location Map

Secondary Locations

  • 642 Dameron Dr Ste B
    Prescott, AZ 86301
    (928) 445-5211

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
CSLG6205
License State
AZ

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

BH309 (AZ)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TAMARA PLAYER

Authorized Official Title
CEO
Authorized Official Phone
(928) 445-5211

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
OTC13436MEDICAID (05)AZ 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053366716, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 6 + 6 + 1 + 2 + 7 + 2 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1053366716.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Clinic/Center (Medical Specialty)
726 GAIL GARDNER WAY, SUITE A
PRESCOTT, AZ 86305
Clinic/Center (Medical Specialty)
726 GAIL GARDNER WAY, SUITE A
PRESCOTT, AZ 86305
Psychiatry & Neurology (Neurology)
726 GAIL GARDNER WAY, SUITE B
PRESCOTT, AZ 86305
Clinic/Center
726 GAIL GARDNER WAY, SUITE B
PRESCOTT, AZ 86305
Internal Medicine (Cardiovascular Disease)
726 GAIL GARDNER WAY, SUITE B
PRESCOTT, AZ 86305
Family Medicine
726 GAIL GARDNER WAY, SUITE B
PRESCOTT, AZ 86305
Internal Medicine (Cardiovascular Disease)
726 GAIL GARDNER WAY, STE. B
PRESCOTT, AZ 86305
Internal Medicine (Cardiovascular Disease)
726 GAIL GARDNER WAY, SUITE A
PRESCOTT, AZ 86305
Clinic/Center
726 GAIL GARDNER WAY
PRESCOTT, AZ 86305
Physician Assistant
726 GAIL GARDNER WAY
PRESCOTT, AZ 86305
Nurse Practitioner (Family)
726 GAIL GARDNER WAY
PRESCOTT, AZ 86305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053366716, enumerated as an "organization" on May 23, 2006.

The provider is located at 726 GAIL GARDNER WAY PRESCOTT, AZ 86305 and the phone number is (928) 445-5211.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.