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NPISignal

Organization

Engaging Life Center

NPI Record: ActiveClinic/Center — Multi-Specialty
NPI1679112619
Youngtown, Arizona

Provider's NPPES record last updated: June 19, 2020

Overview

Entity Type
Organization
NPI
1679112619
Primary Specialty
Clinic/Center — Multi-Specialty
Practice Location
Youngtown, Arizona
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 1:19 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Clinic/Center

    Multi-Specialty

    Ambulatory Health Care Facilities

    Primary

    Definition to come...

    Taxonomy code 261QM1300X
  • Psychologist

    Addiction (Substance Use Disorder)

    Behavioral Health & Social Service Providers

    A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

    Taxonomy code 103TA0400X
  • Psychologist

    Prescribing (Medical)

    Behavioral Health & Social Service Providers

    A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

    Taxonomy code 103TP0016X
  • Clinic/Center

    Community Health

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QC1500X
  • Clinic/Center

    Health Service

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QH0100X
  • Clinic/Center

    Mental Health (Including Community Mental Health Center)

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QM0801X
  • Clinic/Center

    Rehabilitation, Substance Use Disorder

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QR0405X
  • Clinical Medical Laboratory

    Laboratories

    (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

    Taxonomy code 291U00000X

Practice Locations

Practice Location

12600 N 113th Ave Ste B9

Youngtown, Arizona 85363-1163

Phone: (602) 845-0767

Record Information

Enumeration Date
December 21, 2019
Provider's NPPES Record Last Updated
June 19, 2020
Certification Date
June 19, 2020
NPISignal NPPES Dataset
August 2026

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