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Contact Information

SPECTRUM HEALTHCARE GROUP, INC
3633 CROSSINGS DRIVE
PRESCOTT, AZ86305-7101
 Phone: 928-634-2236
 Fax: 928-634-8960
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Mental Health

101YM0800X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SPECTRUM HEALTHCARE GROUP, INC

NPI Number 1285148502
LBN Legal business name SPECTRUM HEALTHCARE GROUP, INC
Authorized official CORINNE BAILEY - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/22/2017
Last updated 03/09/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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