PAYSON OUTPATIENT SERVICES CENTER
NPI 1548416514
Community/Behavioral Health in Payson, AZ
NPI Status: Active since August 11, 2008
Contact Information
803 W MAIN ST
PAYSON, AZ
ZIP 85541
Phone: (928) 468-0022
Fax: (928) 468-0044
- Organization
- Community/Behavioral Health
- Accepts Insurance
- CLIA Number: 03D2119924
- CLIA Cert. Type: Other - MENTAL HEALTH FACILITY
- CLIA Exp. Date: 10-05-2026
About PAYSON OUTPATIENT SERVICES CENTER
This page provides the complete NPI Profile along with additional information for Payson Outpatient Services Center, a provider established in Payson, Arizona operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1548416514 assigned on August 2008. The practitioner's primary taxonomy code is 251S00000X with license number OTC6017 (AZ). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Payson Outpatient Services Center. The authorized official of this NPI record is Mr. John F Hogeboom Lisac (Vp/coo)
- NPI
- 1548416514
- Provider Legal Name
- COMMUNITY BRIDGES, INC
- Other Organization Name
- PAYSON OUTPATIENT SERVICES CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 803 W MAIN ST PAYSON, AZ 85541
- Location Phone
- (928) 468-0022
- Location Fax
- (928) 468-0044
- Mailing Address
- 1855 W. BASELINE RD SUITE 101 MESA, AZ 85202
- Mailing Phone
- (480) 831-7566
- Mailing Fax
- (928) 468-0044
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-11-2008
- Last Update Date
- 09-18-2024
- Code Navigator
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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- OTC6017
- License State
- AZ
- Taxonomy Description
- 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.
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 | 251B00000X | Agencies | Case Management | OTC6017 (AZ) |
| 2 | 251J00000X | Agencies | Nursing Care | OTC6017 (AZ) |
| 3 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | OTC6017 (AZ) |
| 5 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | OTC6017 (AZ) |
| 6 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | |
| 7 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | OTC6017 (AZ) |
| 8 | 261QR1300X | Ambulatory Health Care Facilities | Clinic/Center | OTC6017 (AZ) |
| 9 | 291U00000X | Laboratories | Clinical Medical Laboratory | OTC6017 (AZ) |
| 10 | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | OTC6017 (AZ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Standard - HMO
- Catastrophic Standard - HMO
- Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- AZ Blue ACA StandardHealth Silver with Health Choice - HMO
- Imperial Preferred Gold - HMO
- Imperial Preferred Silver - HMO
- Imperial Standard Bronze - HMO
- Imperial Standard Gold - HMO
- Imperial Standard Silver - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 357379 | MEDICAID (05) | AZ | |
| Z145164 | OTHER (01) | AZ | MEDICARE PTAN |
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
- 03D2119924
- Facility Type
- Other - MENTAL HEALTH FACILITY
- Certificate Effective Date
- October 06, 2024
- Certificate Expiration Date
- October 05, 2026
- Laboratory Director
- EMILY KOCH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Payson Outpatient Services Center 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.
Reviews for PAYSON OUTPATIENT SERVICES CENTER
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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 1548416514, 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
PAYSON, AZ 85541
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548416514, enumerated as an "organization" on August 11, 2008.
The provider is located at 803 W MAIN ST PAYSON, AZ 85541 and the phone number is (928) 468-0022.
Community/Behavioral Health with taxonomy code 251S00000X.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Antidote. Please consult your insurance carrier or call the provider to verify.
