COPPER CANYON ACADEMY – NPI #1275978900
Residential Treatment Facility, Emotionally Disturbed Children
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
COPPER CANYON ACADEMY is a residential treatment facility located in LAKE MONTEZUMA, AZ. NPPES has assigned the NPI number 1275978900 to COPPER CANYON ACADEMY on May 08, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.
The NPI profile was previously updated about 13 years ago on May 16, 2013. 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 COPPER CANYON ACADEMY below.
NPI Profile for
COPPER CANYON ACADEMY
(more than 13 years ago)
LAKE MONTEZUMA, AZ 86335 Phone: (928) 567-1322 Fax:
RIMROCK, AZ 86335-0230 Phone: (928) 567-1322 Fax:
THERAPIST
Phone: (928) 567-1322
Identifiers for COPPER CANYON ACADEMY
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS | AZ | LAC-13769 |
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 |
|---|---|---|
| 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children (Primary) |
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.