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Harbor Health Integrated Care Clinic

Adult Mental Health Clinic/Center in Phoenix, AZ · enumerated 2022 · authorized official Wildine Burgess, Ceo.

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

National Provider Identifier

1316673874

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Registry record

Entity type Organization (Type 2)
Legal business name Harbor Health Integrated Care Clinic
Parent organization Heart of Harbor Integrated Care Inc
Practice address 4805 W Thomas Rd, Phoenix, AZ, 85031
Enumeration date Jul 27, 2022
Last updated in NPPES Jul 27, 2022

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
103TB0200X Cognitive & Behavioral Psychologist Behavioral Health & Social Service Providers Secondary
103TP2701X Group Psychotherapy Psychologist Behavioral Health & Social Service Providers Secondary
2084A0401X Addiction Medicine (Psychiatry & Neurology) Physician Allopathic & Osteopathic Physicians Secondary
261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities Primary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Secondary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Wildine Burgess
Title Ceo

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Harbor Health Integrated Care Clinic?
Harbor Health Integrated Care Clinic is registered in NPPES as a Adult Mental Health Clinic/Center (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-27.