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Main Street Diagnostic LLC

Psychiatric Hospital in Cottonwood, AZ · enumerated 2005 · authorized official Maria Carrillo, Finance Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225027477

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Registry record

Entity type Organization (Type 2)
Legal business name Main Street Diagnostic LLC
Other name <Unavail>
Practice address 636 N Main St, Cottonwood, AZ, 86326
Fax (928) 639-3924
Enumeration date Oct 20, 2005
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

283Q00000X Psychiatric Hospital Hospitals · License BH-2492 (AZ) Primary

Authorized official

Name Maria Carrillo
Title Finance Coordinator

Other identifiers

Identifier Type State Issuer
3955228 Other AZ AETNA
404204 Other AZ JCAHCO
AZ0209640 Other AZ BCBS PROV REG. #
BH-2492 Other AZ ADHS LICENSE L1 SUB ACUTE
2215360 Other AZ CIGNA PROV REG #
887317 Medicaid AZ -
100322 Other AS CENPATICO - ADULTS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Main Street Diagnostic LLC?
NPPES lists Maria Carrillo (Finance Coordinator) as the authorized official for this organization.
What is the NPI number for Main Street Diagnostic LLC?
The NPI for Main Street Diagnostic LLC is 1225027477, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.