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MOHAVE MENTAL HEALTH CLINIC INC
NPI 1790861243
Clinic/Center in Bullhead City, AZ

Active since October 27, 2006
1145 MARINA BLVD, BULLHEAD CITY, AZ 86442(928) 758-5905(928) 758-8790 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 23, 2021, Mar 30, 2016 (2 updates tracked since 2016).

About Mohave Mental Health Clinic Inc NPPES

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

MOHAVE MENTAL HEALTH CLINIC INC (NPI 1790861243) is a healthcare organization registered as a clinic/center in Bullhead City, Arizona and active in the NPI registry since October 2006. The organization lists Dawn D Abbott, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1790861243
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMOHAVE MENTAL HEALTH CLINIC INC
Location Address1145 MARINA BLVDBullhead City, AZ 86442
Mailing Address3707 N Stockton Hill Rd Ste BKingman, AZ 86409-0507 · (928) 757-8111 · Fax (928) 757-3256
Phone(928) 758-5905
Fax(928) 758-8790
Organization SubpartNo
Authorized OfficialDawn D AbbottChief Executive Officer · (928) 757-8111
Enumeration DateOctober 27, 2006
Last NPPES UpdateJune 23, 20212 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
✔ NPI 1790861243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Licenses✔ Licensed in AZ · OTC6117✔ Licensed in AZ · BH1474
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1145 MARINA BLVD, Bullhead City, AZ 86442
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohave Mental Health Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Mohave Mental Health Clinic Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner14
Psychiatry2

Clinicians, nearest first (16)

Min Kwon, DNP, PMHNP-BC
Nurse Practitioner
NPI 1386113926
1145 MARINA BLVD
Bullhead City, AZ 86442
(928) 758-5905
✔ PECOS✔ Accepts MedicareSame address
Mohamed Ramadan, MD
Psychiatry
NPI 1225025984
1145 MARINA BLVD
Bullhead City, AZ 86442
(928) 758-5905
✔ PECOS✔ Accepts MedicareSame address
Kelleen Stiles, PMHNP
Nurse Practitioner
NPI 1437468840
1145 MARINA BLVD.
Bullhead City, AZ 86442
(928) 758-5905
✔ PECOS✔ Accepts MedicareSame address
Mary Tulinnye, APRN, PMHNP
Nurse Practitioner
NPI 1760883698
1145 MARINA BLVD
Bullhead City, AZ 86442
(928) 758-5905
✔ PECOS✔ Accepts MedicareSame address
Steven Korona, MSN, RN, PMHNP
Nurse Practitioner
NPI 1033432042
3505 WESTERN AVE
Kingman, AZ 86409
(928) 757-8111
✔ PECOS✔ Accepts Medicare33 mi
Michael Serrano
Nurse Practitioner
NPI 1346616174
3505-A WESTERN AVE
Kingman, AZ 86409
(928) 757-8111
✔ PECOS✔ Accepts Medicare33 mi
Torry Zupke, NP
Nurse Practitioner
NPI 1558606467
3505 WESTERN AVE
Kingman, AZ 86409
(928) 757-8111
✔ PECOS✔ Accepts Medicare33 mi
Dana Zimmermann, DNP
Nurse Practitioner
NPI 1457960742
3505 WESTERN AVE
Kingman, AZ 86409
(928) 757-8111
✔ PECOS✔ Accepts Medicare33 mi
Michael Bongiorno, NP
Nurse Practitioner
NPI 1437475753
1741 SYCAMORE AVE
Kingman, AZ 86409
(928) 757-8111
✔ PECOS✔ Accepts Medicare33 mi
Deborah Radford, RN, NPP, M.SC(A)
Nurse Practitioner
NPI 1295802957
1741 SYCAMORE AVE
Kingman, AZ 86409
(928) 757-8111
✔ PECOS✔ Accepts Medicare33 mi
Lynda Selk, APRN
Nurse Practitioner
NPI 1437318383
60 ACOMA BLVD S STE B102
Lake Havasu City, AZ 86403
(928) 397-1587
✔ PECOS✔ Accepts Medicare46 mi
Yinka Alayande, PMHNP-BC
Nurse Practitioner
NPI 1770283921
2187 SWANSON AVE
Lake Havasu City, AZ 86403
(928) 757-8111
✔ PECOS46 mi
Caroline Koch, MD
Psychiatry
NPI 1841286820
2187 SWANSON AVE
Lake Havasu City, AZ 86403
(928) 855-3432
✔ PECOS✔ Accepts Medicare46 mi
Elizabeth Huggins, FNP
Nurse Practitioner
NPI 1932571692
7358 E PUEBLO AVE
Mesa, AZ 85208
(480) 457-9859
✔ PECOS✔ Accepts Medicare205 mi
Ejang Ngyiah, PMHNP-BC
Nurse Practitioner
NPI 1922671973
929 W PIONEER PKWY
Grand Prairie, TX 75051
(972) 433-0088
✔ PECOS✔ Accepts Medicare1,023 mi
Abiola Oyemade, PMHNP
Nurse Practitioner
NPI 1417454992
2051 GREENHOUSE RD STE 300
Houston, TX 77084
(844) 824-8775
✔ PECOS1,161 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mohave Mental Health Clinic Inc's NPI number?

The NPI number for Mohave Mental Health Clinic Inc is 1790861243. It was assigned to this organization in the NPPES registry on October 27, 2006.

Where is Mohave Mental Health Clinic Inc located?

Mohave Mental Health Clinic Inc is located at 1145 Marina Blvd, Bullhead City, AZ 86442. The listed phone number is (928) 758-5905.

What is Mohave Mental Health Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Mohave Mental Health Clinic Inc enrolled in Medicare?

Yes. Mohave Mental Health Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mohave Mental Health Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 2 Medicare specialties reassign their Medicare billing to Mohave Mental Health Clinic Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (14) and Psychiatry (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mohave Mental Health Clinic Inc accept?

Health plans from Blue Cross Blue Shield of Arizona list Mohave Mental Health Clinic Inc 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 Mohave Mental Health Clinic Inc was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.