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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PEAKS YOUTH BEHAVIORAL HEALTH CENTER, LLC
NPI 1154262848
Residential Treatment Facility, Emotionally Disturbed Children in Prescott, AZ

Active since April 04, 2026
642 DAMERON DR, PRESCOTT, AZ 86301(928) 848-6941 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2026, Apr 4, 2026 (2 updates tracked since 2026).

About Peaks Youth Behavioral Health Center, Llc NPPES

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

PEAKS YOUTH BEHAVIORAL HEALTH CENTER, LLC (NPI 1154262848) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Prescott, Arizona and active in the NPI registry since April 2026. The organization lists Makenzie Elizabeth Stidham, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1154262848
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NamePEAKS YOUTH BEHAVIORAL HEALTH CENTER, LLC
Location Address642 DAMERON DRPrescott, AZ 86301-2411
Mailing Address642 Dameron DrPrescott, AZ 86301-2411 · (928) 848-6941
Phone(928) 848-6941
Organization SubpartNo
Authorized OfficialMakenzie Elizabeth StidhamMember Manager · (928) 848-6941
Enumeration DateApril 4, 2026
Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1154262848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
642 DAMERON DR, Prescott, AZ 86301
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Other Providers at the Same Location NPPES 20

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

CAROLYN LEE SNYDER CPHT
Pharmacy Technician
642 DAMERON DR
PRESCOTT, AZ 86301
Yavapai County (928) 445-5211
NATHAN WILLIAM FARNSWORTH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
642 DAMERON DR
PRESCOTT, AZ 86301
Yavapai County (928) 445-5211
DARLENE BETH ARNOLD RN
Registered Nurse (Psychiatric/Mental Health)
642 DAMERON DR
PRESCOTT, AZ 86301
Yavapai County (928) 445-5211
JULIE A NAVE LPC
Counselor (Professional)
642 DAMERON DR, HILLSIDE CENTER
PRESCOTT, AZ 86301
Yavapai County (928) 445-5211
JOHN M SCHUDERER LISAC LPC
Counselor (Professional)
642 DAMERON DR, WEST YAVAPAI GUIDANCE CLINIC INC HILLSIDE CD
PRESCOTT, AZ 86301
Yavapai County (928) 445-5211
ROBERT W REHAK JR. LCSW
Social Worker
642 DAMERON DR, HILLSIDE CLINIC
PRESCOTT, AZ 86301
Yavapai County (928) 445-5211
JACQUELINE J JOHNSON LPC
Counselor (Professional)
642 DAMERON DR
PRESCOTT, AZ 86301
Yavapai County (928) 445-5211
SHARON HENSHAW RN
Registered Nurse (Psychiatric/Mental Health)
642 DAMERON DR
PRESCOTT, AZ 86301
Yavapai County (928) 445-5211

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 Peaks Youth Behavioral Health Center, LLC's NPI number?

The NPI number for Peaks Youth Behavioral Health Center, LLC is 1154262848. It was assigned to this organization in the NPPES registry on April 4, 2026.

Where is Peaks Youth Behavioral Health Center, LLC located?

Peaks Youth Behavioral Health Center, LLC is located at 642 Dameron Dr, Prescott, AZ 86301. The listed phone number is (928) 848-6941.

What is Peaks Youth Behavioral Health Center, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Peaks Youth Behavioral Health Center, LLC was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.