Maricopa Recovery Center LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

MARICOPA RECOVERY CENTER LLC

Practice address

1620 N 48TH St
Phoenix, AZ 85008-7723

Phone

(424) 200-0004

NPI assigned

Oct 19, 2023

Organization subpart

No

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

Authorized official

Name

Ruben Sukiasyan

Title

Authorized Official

Phone

(424) 200-0004

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1043092489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 N 48TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087723",
            "telephone_number": "424-200-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 N 48TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087723",
            "telephone_number": "424-200-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICOPA RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "SUKIASYAN",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "424-200-0004"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maricopa Integrated Health System
• Maricopa Mobile Med, Inc.
• Maricopa OBGYN
• Maricopa Physicians PLLC
• Maricopa Pulmonary Consultants LLC
• Maricopa Sleep Centers LLC
• Maricopa Surgical Assist
• Maricopa We Care and GP Healthcare LLC
• Lauren Marienau
• Sarah Burch Marietta, O.D.

• Psychiatric Hospital in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.