MOHAVE MENTAL HEALTH CLINIC INC
NPI 1316023864
Clinic/Center in Lake Havasu City, AZ

NPI Status: Active since October 27, 2006

Contact Information

2187 SWANSON AVE
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 855-3432
Fax: (928) 855-0103

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Accepts Insurance
CLIA Number: 03D0961663
CLIA Cert. Type: Other
CLIA Exp. Date: 06-13-2027

About MOHAVE MENTAL HEALTH CLINIC INC

This page provides the complete NPI Profile along with additional information for Mohave Mental Health Clinic Inc, a provider established in Lake Havasu City, Arizona operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1316023864 assigned on October 2006. The practitioner's primary taxonomy code is 261Q00000X with license number OTC5973 (AZ). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dawn D Abbott Ma, Lpc (Chief Executive Officer)

NPI: 1316023864
Provider Name: MOHAVE MENTAL HEALTH CLINIC INC
Entity Type: Organization
Location Address: 2187 SWANSON AVE LAKE HAVASU CITY, AZ 86403
Location Phone: (928) 855-3432
Location Fax: (928) 855-0103
Mailing Address: 3707 N STOCKTON HILL RD STE B KINGMAN, AZ 86409
Mailing Phone: (928) 757-8111
Mailing Fax: (928) 855-0103
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-27-2006
Last Update Date: 06-23-2021
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Location Map

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
Taxonomy Code: 261Q00000X
Type: Ambulatory Health Care Facilities
License No.: OTC5973
License State: AZ
Taxonomy Description: A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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)
1	261Q00000X	Ambulatory Health Care Facilities	Clinic/Center	BH645 (AZ)

Insurance Plans Accepted

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

Blue Cross Blue Shield of Arizona

AZ Blue ACA StandardHealth Silver with Health Choice - HMO
AZ Blue AdvanceHealth Bronze Focus (4 Free PCP Visits) - HMO
AZ Blue AdvanceHealth Bronze Neighborhood (4 Free PCP Visits) - HMO
AZ Blue AdvanceHealth Gold Focus (4 Free PCP Visits) - HMO
AZ Blue AdvanceHealth Gold Neighborhood (4 Free PCP Visits) - HMO
AZ Blue AdvanceHealth Silver Focus (4 Free PCP Visits) - HMO
AZ Blue AdvanceHealth Silver Neighborhood (4 Free PCP Visits) - HMO
AZ Blue EverydayHealth Gold Focus (1 Free PCP Visit) - HMO
AZ Blue EverydayHealth Gold Neighborhood (1 Free PCP Visit) - HMO
AZ Blue EverydayHealth Silver Focus (1 Free PCP Visit) - HMO
AZ Blue EverydayHealth Silver Neighborhood (1 Free PCP Visit) - HMO
AZ Blue Portfolio Bronze HSA Focus - HMO
AZ Blue Portfolio Bronze HSA Neighborhood - HMO
AZ Blue StandardHealth Bronze Focus - HMO
AZ Blue StandardHealth Bronze Neighborhood - HMO
AZ Blue StandardHealth Gold Focus - HMO
AZ Blue StandardHealth Gold Neighborhood - HMO
AZ Blue StandardHealth Silver Focus - HMO
AZ Blue StandardHealth Silver Neighborhood - HMO

*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: DAWN D ABBOTT MA, LPC
Authorized Official Title: CHIEF EXECUTIVE OFFICER
Authorized Official Phone: (928) 757-8111

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 03D0961663
Facility Type: Other
Certificate Effective Date: June 14, 2025
Certificate Expiration Date: June 13, 2027
Laboratory Director: MOHAMED I. RAMADAN
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Mohave Mental Health Clinic Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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 1316023864, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 2

Pos 4

Unchanged

Pos 5

Doubled → 0

Pos 6

Unchanged

Pos 7

Doubled → 6

Pos 8

Unchanged

Pos 9

Doubled → 12 → 1 + 2

Check

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 1 → 2 0 → 0 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 2 + 6 + 0 + 2 + 6 + 8 + 1 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4

This NPI is valid

The calculated check digit is 4, which matches the last digit of 1316023864.