CORTEZ CLINIC
NPI 1871547430
Clinic/Center - Mental Health (Including Community Mental Health Center) in Prescott, AZ

NPI Status: Active since May 19, 2006

Contact Information

505 S CORTEZ ST
PRESCOTT, AZ
ZIP 86303
Phone: (928) 445-5211
Fax: (928) 776-8484

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • Accepts Insurance

About CORTEZ CLINIC

This page provides the complete NPI Profile along with additional information for Cortez Clinic, a provider established in Prescott, Arizona operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1871547430 assigned on May 2006. The practitioner's primary taxonomy code is 261QM0801X with license number OTC6686 (AZ). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Cortez Clinic. The authorized official of this NPI record is Kara Langley (Cao)

NPI
1871547430
Provider Legal Name
WEST YAVAPAI GUIDANCE CLINIC CORTEZ
Other Organization Name
CORTEZ CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
505 S CORTEZ ST PRESCOTT, AZ 86303
Location Phone
(928) 445-5211
Location Fax
(928) 776-8484
Mailing Address
3343 N. WINDSONG DR. PRESCOTT VALLEY, AZ 86314
Mailing Phone
(928) 445-5211
Mailing Fax
(928) 776-8484
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-19-2006
Last Update Date
11-19-2024
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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 Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
OTC6686
License State
AZ

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)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

BH178 (AZ)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Blue ACA StandardHealth Silver with Health Choice - HMO
  • Blue AdvanceHealth Bronze - Neighborhood Network - HMO
  • Blue AdvanceHealth Gold - Neighborhood Network - HMO
  • Blue AdvanceHealth Silver - Neighborhood Network - HMO
  • Blue EverydayHealth Gold - Neighborhood Network - HMO
  • Blue EverydayHealth Silver - Neighborhood Network - HMO
  • Blue Portfolio HSA Bronze - Neighborhood Network - HMO
  • Blue Portfolio HSA Gold - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
  • Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
  • Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
  • Blue StandardHealth Bronze - Neighborhood Network - HMO
  • Blue StandardHealth Gold - Neighborhood Network - HMO
  • Blue StandardHealth Silver - Neighborhood Network - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

KARA LANGLEY

Authorized Official Title
CAO
Authorized Official Phone
(928) 445-5211

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
003434MEDICAID (05)AZ 

Reviews for CORTEZ CLINIC

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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.
1871547430
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281411041446
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 4 + 1 + 1 + 0 + 4 + 1 + 4 + 4 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1871547430 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

LINDA L SUTHERLAND LPC

Counselor

(Professional)

505 S CORTEZ ST
CORTEZ CLINIC
PRESCOTT, AZ
ZIP 86303

(928) 445-5211

GERRY RICE LCP

Counselor

(Professional)

505 S CORTEZ ST
CORTEZ CLINIC
PRESCOTT, AZ
ZIP 86303

(928) 445-5211

MAUREEN P REHAK LCSW

Social Worker

505 S CORTEZ ST
PRESCOTT, AZ
ZIP 86303

(928) 445-5211

LAUREL FREEMAN RN

Registered Nurse

(Psychiatric/Mental Health)

505 S CORTEZ ST
PRESCOTT, AZ
ZIP 86303

(928) 445-5211

LEAH S MAY

Social Worker

(Clinical)

505 S CORTEZ ST
PRESCOTT, AZ
ZIP 86303

(928) 445-5211

JENNIFER HEWITT PMHNP

Nurse Practitioner

(Psychiatric/Mental Health)

505 S CORTEZ ST
PRESCOTT, AZ
ZIP 86303

(928) 445-5211

LEAH RAE WEBB

Social Worker

(Clinical)

505 S CORTEZ ST
PRESCOTT, AZ
ZIP 86303

(928) 445-5211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871547430, enumerated as an "organization" on May 19, 2006.

The provider is located at 505 S CORTEZ ST PRESCOTT, AZ 86303 and the phone number is (928) 445-5211.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Blue Cross. Please consult your insurance carrier or call the provider to verify.