Providence of Arizona, Inc.
NPI 1588764427 · Mental Health Clinic/Center (Including Community Mental Health Center) · Phoenix, AZ
Providence of Arizona, Inc. is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Phoenix, AZ (NPI 1588764427).
Provider details
- NPI number
- 1588764427
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Hedgcock, Executive Director(602) 455-4626
- License
- BH-2200 (AZ)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense BH-2200 (AZ)
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Other name
- Providencia
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2020-08-22
Frequently asked questions
- What is Providence of Arizona, Inc.'s NPI number?
- Providence of Arizona, Inc.'s National Provider Identifier (NPI) is 1588764427, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence of Arizona, Inc.?
- Providence of Arizona, Inc. is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Providence of Arizona, Inc. located?
- Providence of Arizona, Inc.'s practice location on file with NPPES is 3602 W Thomas Rd, Phoenix, AZ 85019-4442.
- What is Providence of Arizona, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Providence of Arizona, Inc. is (602) 455-4626.
- Who is the authorized official for Providence of Arizona, Inc.?
- The authorized official listed on Providence of Arizona, Inc.'s NPPES record is David Hedgcock, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence of Arizona, Inc.'s NPI active?
- Yes — Providence of Arizona, Inc.'s NPI (1588764427) 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.