HADDON HOUSE – NPI #1033163514
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

HADDON HOUSE is a community based residential treatment facility located in PRESCOTT, AZ. NPPES has assigned the NPI number 1033163514 to HADDON HOUSE on May 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HADDON HOUSE” is a dba name, the actual legal business name for this organization is WEST YAVAPAI GUIDANCE CLINIC, INC.. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was last updated on Sep 17, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HADDON HOUSE below.

NPI Profile for
WEST YAVAPAI GUIDANCE CLINIC, INC.

NPI Number
1033163514
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WEST YAVAPAI GUIDANCE CLINIC, INC.
Doing Business As (dba): HADDON HOUSE
Other name(s)
All associated names:
Doing Business As (dba)
HADDON HOUSE
Doing Business As (dba)
Polara Health
Primary location
711 HILLSIDE AVE
PRESCOTT, AZ 86301
Phone: (928) 445-5211 Fax: (928) 717-1204
Mailing address
642 DAMERON DR STE B
PRESCOTT, AZ 86301-2411
Phone: (928) 445-5211 Fax: (928) 717-1204
Organization Subpart
Yes - HADDON HOUSE is subpart of another organization.
Authorized Official
TAMARA PLAYER
CHIEF EXECUTIVE OFFICER
Phone: (928) 445-5211
Updated
Certification Date
Sep 17, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HADDON HOUSE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidAZ692229
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)		 AZ BH-1394
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities		 AZ BH1394

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.