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MOHAVE MENTAL HEALTH CLINIC INC
NPI 1124198791
Community Based Residential Treatment Facility, Mental Illness in Kingman, AZ

Active since November 09, 2006CLIA 03D0961663 · Waiver
1091 CALUMET AVE, KINGMAN, AZ 86409(928) 757-8111(928) 757-3256 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mohave Mental Health Clinic Inc NPPES

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

MOHAVE MENTAL HEALTH CLINIC INC (NPI 1124198791) is a healthcare organization registered as a community based residential treatment facility, mental illness in Kingman, Arizona and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through June 13, 2027 and lists Dawn D Abbott, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1124198791
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameMOHAVE MENTAL HEALTH CLINIC INC
Location Address1091 CALUMET AVEKingman, AZ 86409-0503
Mailing Address3707 N Stockton Hill Rd Ste BKingman, AZ 86409-0507 · (928) 757-8111 · Fax (928) 757-3256
Phone(928) 757-8111
Fax(928) 757-3256
Organization SubpartNo
Authorized OfficialDawn D AbbottChief Executive Officer · (928) 757-8111
Enumeration DateNovember 9, 2006
Last NPPES UpdateJune 23, 2021
NPPES CertifiedJune 23, 2021
✔ NPI 1124198791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in AZ · BH2292 AZ DOHS
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
1091 CALUMET AVE, Kingman, AZ 86409
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D0961663

Mohave Mental Health Clinic Inc · Kingman, AZ
Active · expires Jun 13, 2027
CLIA Number03D0961663
Laboratory TypeOther
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorMohamed I. Ramadan
Laboratory Phone(928) 757-8111
Laboratory LocationMohave Mental Health Clinic Inc1741 Sycamore Ave, Kingman, AZ 86409
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mohave Mental Health Clinic Inc's NPI number?

The NPI number for Mohave Mental Health Clinic Inc is 1124198791. It was assigned to this organization in the NPPES registry on November 9, 2006.

Where is Mohave Mental Health Clinic Inc located?

Mohave Mental Health Clinic Inc is located at 1091 Calumet Ave, Kingman, AZ 86409. The listed phone number is (928) 757-8111.

What is Mohave Mental Health Clinic Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Does Mohave Mental Health Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0961663) is associated with this NPI, valid through June 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mohave Mental Health Clinic Inc was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.