MEDICAL BEHAVIORAL HOSPITAL OF NORTHERN ARIZONA
NPI 1861036386
Psychiatric Hospital in Prescott, AZ

NPI Status: Active since October 29, 2019

Contact Information

181 WHIPPLE ST
PRESCOTT, AZ
ZIP 86301
Phone: (928) 227-3424

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  • Organization
  • Psychiatric Hospital
  • CLIA Number: 15D2224523
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 05-12-2027

About MEDICAL BEHAVIORAL HOSPITAL OF NORTHERN ARIZONA

This page provides the complete NPI Profile along with additional information for Medical Behavioral Hospital Of Northern Arizona, a provider established in Prescott, Arizona operating as a Psychiatric Hospital. The healthcare provider is registered in the NPI registry with number 1861036386 assigned on October 2019. The practitioner's primary taxonomy code is 283Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Medical Behavioral Hospital Of Northern Arizona. The authorized official of this NPI record is Christy Gilbert (President And Coo)

NPI
1861036386
Provider Legal Name
GPS PRESCOTT OPCO, LLC
Other Organization Name
MEDICAL BEHAVIORAL HOSPITAL OF NORTHERN ARIZONA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
181 WHIPPLE ST PRESCOTT, AZ 86301
Location Phone
(928) 227-3424
Mailing Address
181 WHIPPLE ST PRESCOTT, AZ 86301
Mailing Phone
(928) 227-3424
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-29-2019
Last Update Date
04-29-2021
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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

Psychiatric Hospital

Taxonomy Code
283Q00000X
Type
Hospitals
Taxonomy Description
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTY GILBERT

Authorized Official Title
PRESIDENT AND COO
Authorized Official Phone
(574) 277-2630

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
15D2224523
Facility Type
Hospital
Certificate Effective Date
May 13, 2025
Certificate Expiration Date
May 12, 2027
Laboratory Director
DR. KASHIF JANJUA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Medical Behavioral Hospital Of Northern Arizona 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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1861036386
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281210312316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 2 + 1 + 0 + 3 + 1 + 2 + 3 + 1 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1861036386 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

GERIATRIC PSYCHIATRY SERVICES LLC

Clinic/Center

(Multi-Specialty)

181 WHIPPLE ST
PRESCOTT, AZ
ZIP 86301

(928) 277-3424

BAILEY SHEGGEBY

Behavior Technician

181 WHIPPLE ST
PRESCOTT, AZ
ZIP 86301

(320) 583-8948

WEST YAVAPAI GUIDANCE CLINIC, INC

Psychiatric Hospital

181 WHIPPLE ST
PRESCOTT, AZ
ZIP 86301

(928) 583-6411

JEAN JAUNER FREDERIC NP

Nurse Practitioner

(Psychiatric/Mental Health)

181 WHIPPLE ST
PRESCOTT, AZ
ZIP 86301

(928) 445-5211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861036386, enumerated as an "organization" on October 29, 2019.

The provider is located at 181 WHIPPLE ST PRESCOTT, AZ 86301 and the phone number is (928) 227-3424.

Psychiatric Hospital with taxonomy code 283Q00000X.