OrganizationActive
Main Street Diagnostic LLC
NPI 1225027477 · Psychiatric Hospital · Cottonwood, AZ
Main Street Diagnostic LLC is a Psychiatric Hospital organization in Cottonwood, AZ (NPI 1225027477).
Provider details
- NPI number
- 1225027477
- Entity type
- Organization
- Primary specialty
- Psychiatric HospitalHospitals
- Organization subpart
- No
- Authorized official
- Maria Carrillo, Finance Coordinator(928) 639-4440
- License
- BH-2492 (AZ)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
636 N Main St
Cottonwood, AZ 86326-3725
Phone: (928) 639-4440
Fax: (928) 639-3924
Street-level locationGet directions
Mailing address
636 N Main St
Cottonwood, AZ 86326-3725
Other names (DBA / former)
- Doing business as
- Mingus Center (level 1 Sub Acute Agency)
Registry dates
- Enumerated
- 2005-10-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Main Street Diagnostic LLC's NPI number?
- Main Street Diagnostic LLC's National Provider Identifier (NPI) is 1225027477, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Street Diagnostic LLC?
- Main Street Diagnostic LLC is classified in the NPPES registry as Psychiatric Hospital (Hospitals).
- Where is Main Street Diagnostic LLC located?
- Main Street Diagnostic LLC's practice location on file with NPPES is 636 N Main St, Cottonwood, AZ 86326-3725.
- What is Main Street Diagnostic LLC's phone number?
- The practice phone number listed in the NPPES registry for Main Street Diagnostic LLC is (928) 639-4440.
- Who is the authorized official for Main Street Diagnostic LLC?
- The authorized official listed on Main Street Diagnostic LLC's NPPES record is Maria Carrillo, Finance Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Street Diagnostic LLC's NPI active?
- Yes — Main Street Diagnostic LLC's NPI (1225027477) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.