Active NPIOrganization

4 Corners Behavioral Health & Psychiatry LLC

Psychiatry & Neurology, Addiction Medicine in Glendale, Arizona

NPI Number1659107837
Practice location
7112 N 55TH Ave Ste C, Glendale, AZ 85301-0707
Fax
—
Last updated
September 12, 2024

4 Corners Behavioral Health & Psychiatry LLC is a healthcare organization based in Glendale, AZ. The NPI number for 4 Corners Behavioral Health & Psychiatry LLC is 1659107837. The current practice location address is 7112 N 55TH Ave Ste C, Glendale, AZ 85301-0707 and the office can be reached by phone at 929-692-4710. The NPI was assigned on September 12, 2024 and the record was last updated in NPPES on September 12, 2024.

●Provider Profile Details

NPI Number
1659107837
Provider Name
4 Corners Behavioral Health & Psychiatry LLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Psychiatry & Neurology, Addiction Medicine · 2084A0401X
Organization Subpart
No
Authorized Official
Ms. Sierra Dobbins · Owner · 929-692-4710
Enumeration Date
September 12, 2024
Last Update Date
September 12, 2024
Certification Date
September 12, 2024
NPI Status
Active

◉Business Practice Location Address

Address
7112 N 55TH Ave Ste C
Glendale, AZ 85301-0707
State
Arizona
ZIP
85301-0707
Country
US
Phone Number
929-692-4710

Get directions →

✉Business Mailing Address

Address
8050 N 19TH Ave Ste 504
Phoenix, AZ 85021-5101
City
Phoenix
State
AZ
ZIP
85021-5101

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Addiction (Substance Use Disorder)
193200000X - Multi-Specialty Group
101YA0400XNo——
Counselor, Mental Health
193200000X - Multi-Specialty Group
101YM0800XNo——
Social Worker, Clinical
193200000X - Multi-Specialty Group
1041C0700XNo——
Psychiatry & Neurology, Addiction Medicine
193200000X - Multi-Specialty Group
2084A0401XYes——
Case Management251B00000XNo——
Psychiatric Residential Treatment Facility323P00000XNo——
Nurse Practitioner, Psych/Mental Health
193200000X - Multi-Specialty Group
363LP0808XNo——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of 4 Corners Behavioral Health & Psychiatry LLC?

The NPI number of 4 Corners Behavioral Health & Psychiatry LLC is 1659107837. It was assigned on September 12, 2024 and is currently active in the NPPES registry.

What is the specialty of 4 Corners Behavioral Health & Psychiatry LLC?

4 Corners Behavioral Health & Psychiatry LLC is registered under the primary taxonomy Psychiatry & Neurology, Addiction Medicine (code 2084A0401X).

Where does 4 Corners Behavioral Health & Psychiatry LLC practice?

The practice location is 7112 N 55TH Ave Ste C, Glendale, AZ 85301-0707. The office can be reached at 929-692-4710 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659107837 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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