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).
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 |
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 |
Street Address |
8889 E VIA LINDA |
City | SCOTTSDALE |
State | AZ |
Zip Code | 85258-5420 |
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 |
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 |
Find all providers in zip 85258 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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 |
Find all providers in SCOTTSDALE |
City | SCOTTSDALE |
Zip Code | 85258 |
Please comment or provide details below to improve the information on SCOTTSDALE PROVIDENCE RECOVERY CENTER.
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.