Organization
PRONGHORN PSYCHIATRY INC
Active
Organization
PRONGHORN PSYCHIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH DANIEL LETENDRE (CEO)
(928) 583-7799
Entity
Organization
Contact information
Practice address
5940 E. COPPER HILL DR., STE. B, PRESCOTT VALLEY, AZ 86314
(928) 583-7799
(928) 583-7891
Mailing address
5940 E COPPER HILL DR STE B, PRESCOTT VALLEY, AZ 86314-2860
(928) 583-7799
(928) 583-7891
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
IFBH6794
AZ
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
09/29/2014
Last updated
12/15/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up