HARBOR HEALTH INTEGRATED CARE CLINIC
NPI 1316673874
Clinic/Center - Adult Mental Health in Phoenix, AZ

Active since July 27, 2022
4805 W THOMAS RD, PHOENIX, AZ 85031(602) 825-1659 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Harbor Health Integrated Care Clinic NPPES

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

HARBOR HEALTH INTEGRATED CARE CLINIC (NPI 1316673874) is a healthcare organization registered as an adult mental health in Phoenix, Arizona and active in the NPI registry since July 2022. The organization lists Wildine Burgess, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316673874
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameHARBOR HEALTH INTEGRATED CARE CLINIC
Location Address4805 W THOMAS RDPhoenix, AZ 85031-4050
Mailing Address4908 W Siesta WayLaveen, AZ 85339-4229 · (240) 350-2863
Organization SubpartYesParent: Heart Of Harbor Integrated Care Inc
Authorized OfficialWildine BurgessCeo · (240) 350-2863
Enumeration DateJuly 27, 2022
NPPES CertifiedJuly 16, 2022
NPI 1316673874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
4805 W THOMAS RD, Phoenix, AZ 85031

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

Community/Behavioral Health
4805 W THOMAS RD
PHOENIX, AZ 85031
Clinic/Center (Urgent Care)
4805 W THOMAS RD
PHOENIX, AZ 85031
Clinic/Center (Adult Mental Health)
4805 W THOMAS RD
PHOENIX, AZ 85031
Dentist (General Practice)
4805 W THOMAS RD, STE A
PHOENIX, AZ 85031
Clinic/Center (Mental Health (Including Community Mental Health Center))
4805 W THOMAS RD
PHOENIX, AZ 85031

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 Harbor Health Integrated Care Clinic's NPI number?

The NPI number for Harbor Health Integrated Care Clinic is 1316673874. It was assigned to this organization in the NPPES registry on July 27, 2022.

Where is Harbor Health Integrated Care Clinic located?

Harbor Health Integrated Care Clinic is located at 4805 W Thomas Rd, Phoenix, AZ 85031. The listed phone number is (602) 825-1659.

What is Harbor Health Integrated Care Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Harbor Health Integrated Care Clinic was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.