Seaglass Recovery

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SEAGLASS RECOVERY

Practice address

711 W Gurley St
Prescott, AZ 86305-3621

Phone

(877) 732-6837

NPI assigned

Feb 11, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Eric Andrews

Title

Director of Quality Assurance

Phone

(928) 379-3097

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Seaglass Recovery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Seaglass Recovery

  • Substance Abuse Rehabilitation Facility
  • Prescott, AZ
  • NPI 1679039044
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1003372491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S SWINTON AVE APT G",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334442377",
            "telephone_number": "877-732-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W GURLEY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053621",
            "telephone_number": "877-732-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAGLASS RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DIRECTOR OF QUALITY ASSURANCE",
        "authorized_official_telephone_number": "928-379-3097",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "OTC9045",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen L Schwieter, RD
• Linda Jean Scott, M.AC.
• Scottsdale Heart Health & Wellness PLLC
• Seaglass Az LLC
• Seaglass Az LLC
• Seaglass Recovery
• Erin Sears, FNP-BC
• Teri Sebastian, LMFT, LISAC
• Marc M. Sedwitz, M.D.
• Angela Seesholtz, LPC

• Substance Use Disorder Rehabilitation Clinic/Center in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.