ACADIA HEALTHCARE INC
NPI 1710420286
Nurse Practitioner - Family in Kingman, AZ

Active since November 30, 2016
2699 E ANDY DEVINE, SUITE B, KINGMAN, AZ 86401(928) 753-7107 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Acadia Healthcare Inc NPPES

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

ACADIA HEALTHCARE INC (NPI 1710420286) is a healthcare organization registered as a family in Kingman, Arizona and active in the NPI registry since November 2016. The organization lists Jeri Lynn Brock, President, as its authorized official.

NPPES Registry Identity

NPI1710420286
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameACADIA HEALTHCARE INC
Location Address2699 E ANDY DEVINE, SUITE BKingman, AZ 86401
Mailing Address410 Riata Valley RdKingman, AZ 86409-2976 · (928) 530-4546
Organization SubpartNo
Authorized OfficialJeri Lynn BrockPresident · (928) 530-4546
Enumeration DateNovember 30, 2016
NPI 1710420286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · AP7850
2699 E ANDY DEVINE, Kingman, AZ 86401

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Acadia Healthcare Inc's NPI number?

The NPI number for Acadia Healthcare Inc is 1710420286. It was assigned to this organization in the NPPES registry on November 30, 2016.

Where is Acadia Healthcare Inc located?

Acadia Healthcare Inc is located at 2699 E Andy Devine Suite B, Kingman, AZ 86401. The listed phone number is (928) 753-7107.

What is Acadia Healthcare Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Acadia Healthcare Inc was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.