SCOTTSDALE PROVIDENCE RECOVERY CENTER


Address: 8889 E Via Linda, Scottsdale, AZ 85258-5420
Phone: 4802847440

SCOTTSDALE PROVIDENCE RECOVERY CENTER (NPI# 1740641612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740641612
Entity Type Organization
Organization Name SCOTTSDALE PROVIDENCE RECOVERY CENTER
Practice Address 8889 E Via Linda
Scottsdale
AZ 85258-5420
Practice Telephone 4802847440
Practice Fax Number 4802844178
Mailing Telephone 4802847440
Mailing Fax Number 4802844178
Enumeration Date 2016-03-18
Last Update Date 2020-01-23
Authorized Official Name DANIEL JOSEPH NICHOLS (CLINICAL DIRECTOR)
Authorized Official Telephone 4802847440
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
BH4837 AZ Ambulatory Health Care Facilities
N 261QM1300X Clinic/Center
Specialization: Multi-Specialty
BH4837 AZ Ambulatory Health Care Facilities
N 320800000X Community Based Residential Treatment Facility, Mental Illness BH4837 AZ Residential Treatment Facilities
N 324500000X Substance Abuse Rehabilitation Facility BH4837 AZ Residential Treatment Facilities
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
BH4837 AZ Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
BH4837 AZ Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
BH4837 AZ Behavioral Health & Social Service Providers
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
BH4837 AZ Ambulatory Health Care Facilities

Office Location

Street Address 8889 E VIA LINDA
City SCOTTSDALE
State AZ
Zip Code 85258-5420

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700137270 Keren Israel Poirier Counselor 8889 E Via Linda, Scottsdale, AZ 85258-5420 2012-09-25
1295392025 Kara E Thomas Counselor 8889 E Via Linda, Scottsdale, AZ 85258-5420 2019-05-28
1396260493 Caitlin Belvin Occupational Therapist 8889 E Via Linda, Scottsdale, AZ 85258-5420 2017-08-09
1871944942 Daniel Nichols Social Worker 8889 E Via Linda, Scottsdale, AZ 85258-5420 2016-06-29
1912346610 North Ridge Counseling LLC Clinical Medical Laboratory 8889 E Via Linda, Scottsdale, AZ 85258-5420 2013-06-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891302790 Vhs Outpatient Clinics, Inc. Durable Medical Equipment & Medical Supplies 8630 E Via Venture, Ste 201, Scottsdale, AZ 85258 2020-09-25
1790396943 Arielle Dawne Bohorquez Registered Nurse 10466 N 74th Street Suite 150, Scottsdale, AZ 85258 2020-08-12
1487272795 Orthopedic Specialists of North America, Pllc Clinic/Center 8405 N Pima Center Parkway, Scottsdale, AZ 85258 2020-07-13
1649819475 Therapy With Heart Marriage & Family Therapist 8737 E. Via De Commercio, Suite 200, Scottsdale, AZ 85258 2019-12-26
1184190688 Amy Marie Burke Clinical Nurse Specialist 9201 E. Moutain View Rd #220, Scottsdale, AZ 85258 2018-10-23
1154806446 Cook Family Healthcare & Professional Services, PC Clinic/Center 9700 N. 91st. Street, Ste. A-115, Scottsdlae, AZ 85258 2018-10-02
1801378377 Michelle Marie Kometh Social Worker 9449 N 90th St Suite 205, Scottsdale, AZ 85258 2018-08-31
1275028862 Sarah Maria Goff Dentist 8390 E Via De Ventura Ste F200, Scottsdale, AZ 85258 2018-06-26
1508353582 Brittany Rose Carey Nurse Practitioner Matrix Medical Network, 9201 E Mountain View Rd # 220, Scottsdale, AZ 85258 2018-04-16
1760984215 Ascension Medical LLC Psychiatry & Neurology 9590 E Ironwood Sq Suite 210, Scottsdale, AZ 85258 2018-03-01
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962022806 Illuminate Recovery LLC Clinic/Center 10619 N Hayden Rd Ste A-108, Scottsdale, AZ 85260-8529 2020-04-21
1659918266 Peace & Ease LLC Clinic/Center 14362 N Frank Lloyd Wright Blvd Ste B103, Scottsdale, AZ 85260-8881 2019-12-02
1346706439 With You & for You, LLC Clinic/Center 11427 E La Junta Rd, Scottsdale, AZ 85255-8702 2019-02-14
1679054720 The Hope House #1.5 Clinic/Center 28901 N 114th St Ste 200, Scottsdale, AZ 85262-4757 2018-08-27
1477921310 Valley Education & Treatment, LLC Clinic/Center 7802 E Gray Rd Ste 500, Scottsdale, AZ 85260-3494 2015-09-09
1306229042 Sol Recovery LLC Clinic/Center 8125 N 86th Pl, Attn: Mr. Ferber, Scottsdale, AZ 85258-4310 2015-06-30
1659913762 Blustone 360 Medical Group Clinic/Center 9831 E Bell Rd, Scottsdale, AZ 85260-2350 2019-10-09
1063910081 Alternative Education Solutions, LLC Clinic/Center 3200 N Hayden Rd Ste 105, Scottsdale, AZ 85251-6766 2018-01-24
1275079279 Pathfinder Recovery Center, LLC Clinic/Center 7600 E Redfield Rd, Suite A105, Scottsdale, AZ 85260-3466 2017-01-13
1922463496 Pinnacle Peak Recovery, LLC Clinic/Center 8070 E Morgan Trl, Suite 200, Scottsdale, AZ 85258-1227 2015-12-28
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Competitor

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City SCOTTSDALE
Zip Code 85258

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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