STONERIDGE CENTERS FOR BRAIN AND ADDICTION TREATMENT
NPI 1700377983
Clinic/Center - Adult Mental Health in Prescott Valley, AZ
NPI Status: Active since May 23, 2018
Contact Information
5940 E. COPPER HILL DR
SUITE E
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (928) 583-7799
Fax: (928) 583-7891
- Organization
- Clinic/Center
- Adult Mental Health
- Accepts Insurance
- CLIA Number: 03D2131600
- CLIA Cert. Type: Other - OUTPATIENT MENTAL HEALTH
- CLIA Exp. Date: 05-31-2027
About STONERIDGE CENTERS FOR BRAIN AND ADDICTION TREATMENT
This page provides the complete NPI Profile along with additional information for Stoneridge Centers For Brain And Addiction Treatment, a provider established in Prescott Valley, Arizona operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1700377983 assigned on May 2018. The practitioner's primary taxonomy code is 261QM0850X with license number OTC8169 (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 Stoneridge Centers For Brain And Addiction Treatment. The authorized official of this NPI record is Joseph Letendre (Chief Executive Officer)
- NPI
- 1700377983
- Provider Legal Name
- PRONGHORN PSYCHIATRY
- Other Organization Name
- STONERIDGE CENTERS FOR BRAIN AND ADDICTION TREATMENT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5940 E. COPPER HILL DR SUITE E PRESCOTT VALLEY, AZ 86314
- Location Phone
- (928) 583-7799
- Location Fax
- (928) 583-7891
- Mailing Address
- 5940 E. COPPER HILL DR SUITE E PRESCOTT VALLEY, AZ 86314
- Mailing Phone
- (928) 583-7799
- Mailing Fax
- (928) 583-7891
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-23-2018
- Last Update Date
- 11-15-2024
- 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
Clinic/Center Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- License No.
- OTC8169
- License State
- AZ
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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 | 291U00000X | Laboratories | Clinical Medical Laboratory |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AZ Blue ACA StandardHealth Silver with Health Choice - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 03D2131600
- Facility Type
- Other - OUTPATIENT MENTAL HEALTH
- Certificate Effective Date
- June 01, 2025
- Certificate Expiration Date
- May 31, 2027
- Laboratory Director
- MARK COLLINS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Stoneridge Centers For Brain And Addiction Treatment 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.
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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 1700377983, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
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 67 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700377983, enumerated as an "organization" on May 23, 2018.
The provider is located at 5940 E. COPPER HILL DR SUITE E PRESCOTT VALLEY, AZ 86314 and the phone number is (928) 583-7799.
Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to verify.
