PRODIGY HEALTHCARE, LLC
NPI 1083257422
Community/Behavioral Health in Mesa, AZ

Active since October 17, 2019
460 N MESA DR STE 101, MESA, AZ 85201(480) 237-7210 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Prodigy Healthcare, Llc NPPES

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

PRODIGY HEALTHCARE, LLC (NPI 1083257422) is a healthcare organization registered as a community/behavioral health in Mesa, Arizona and active in the NPI registry since October 2019. The organization lists Michael Starkle, Manager, as its authorized official.

NPPES Registry Identity

NPI1083257422
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePRODIGY HEALTHCARE, LLC
Location Address460 N MESA DR STE 101Mesa, AZ 85201-5949
Mailing Address460 N Mesa Dr Ste 101Mesa, AZ 85201-5949 · (480) 237-7210
Organization SubpartNo
Authorized OfficialMichael StarkleManager · (480) 999-0259
Enumeration DateOctober 17, 2019
NPI 1083257422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
460 N MESA DR STE 101, Mesa, AZ 85201

Accepted Insurance

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 Prodigy Healthcare, LLC's NPI number?

The NPI number for Prodigy Healthcare, LLC is 1083257422. It was assigned to this organization in the NPPES registry on October 17, 2019.

Where is Prodigy Healthcare, LLC located?

Prodigy Healthcare, LLC is located at 460 N Mesa Dr Ste 101, Mesa, AZ 85201. The listed phone number is (480) 237-7210.

What is Prodigy Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does Prodigy Healthcare, LLC accept?

Health plans from Blue Cross Blue Shield of Arizona list Prodigy Healthcare, LLC 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 Prodigy Healthcare, LLC was last updated on October 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.