STONERIDGE CENTERS FOR BRAIN AND ADDICTION TREATMENT
NPI 1700377983
Clinic/Center - Adult Mental Health in Prescott Valley, AZ

Active since May 23, 2018CLIA 03D2131600 · Waiver
5940 E. COPPER HILL DR, SUITE E, PRESCOTT VALLEY, AZ 86314(928) 583-7799(928) 583-7891 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2024, May 23, 2018 (2 updates tracked since 2018).

About Stoneridge Centers For Brain And Addiction Treatment NPPES

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

STONERIDGE CENTERS FOR BRAIN AND ADDICTION TREATMENT (NPI 1700377983) is a healthcare organization registered as an adult mental health in Prescott Valley, Arizona and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists Joseph Letendre, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1700377983
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NamePRONGHORN PSYCHIATRY
Location Address5940 E. COPPER HILL DR, SUITE EPrescott Valley, AZ 86314
Mailing Address5940 E. Copper Hill Dr, Suite EPrescott Valley, AZ 86314 · (928) 583-7799 · Fax (928) 583-7891
Fax(928) 583-7891
Organization SubpartNo
Authorized OfficialJoseph LetendreChief Executive Officer · (928) 583-7799
Enumeration DateMay 23, 2018
Last NPPES UpdateNovember 15, 20242 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
NPI 1700377983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License Licensed in AZ · OTC8169
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 ListedClinical Medical LaboratoryTaxonomy 291U00000X
5940 E. COPPER HILL DR, Prescott Valley, AZ 86314

Other Names 1

Doing Business AsStoneridge Centers For Brain And Addiction Treatment

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2131600

Stoneridge Centers For Brain & Addiction Treatment · Prescott Valley, AZ
Active · expires May 31, 2027
CLIA Number03D2131600
Laboratory TypeOutpatient Mental Health
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorMark Collins
Laboratory Phone(928) 583-7799
Laboratory LocationStoneridge Centers For Brain & Addiction Treatment5940 E Cooper Hill Drive, Ste E, Prescott Valley, AZ 86314
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pronghorn Psychiatry's NPI number?

The NPI number for Pronghorn Psychiatry is 1700377983. It was assigned to this organization in the NPPES registry on May 23, 2018. The provider is doing business as Stoneridge Centers For Brain And Addiction Treatment.

Where is Pronghorn Psychiatry located?

Pronghorn Psychiatry is located at 5940 E. Copper Hill Dr Suite E, Prescott Valley, AZ 86314. The listed phone number is (928) 583-7799.

What is Pronghorn Psychiatry's specialty?

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

Does Pronghorn Psychiatry hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2131600) is associated with this NPI, valid through May 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pronghorn Psychiatry accept?

Health plans from Blue Cross Blue Shield of Arizona list Pronghorn Psychiatry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pronghorn Psychiatry was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.