Active NPI
Camelback Recovery Treatment Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
National Provider Identifier
1043963440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- CAMELBACK RECOVERY TREATMENT CENTER
- Practice address
- 4527 N 16TH St Ste 200
Phoenix, AZ 85016-5354 - Phone
- (760) 835-7562
- NPI assigned
- Jan 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Newman
- Title
- Coo
- Phone
- (760) 835-7562
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
4527 N 16TH St Ste 200
Phoenix, AZ 85016-5354
Mailing address
4340 E Indian School Rd Ste 21-237
Phoenix, AZ 85018-5392
Other names 1
- Camelback Recovery
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2254707 | Camelback Recovery Treatment Center | Certificate of waiver | Mar 6, 2028 |
National Provider Directory
National Provider DirectoryLocations
4340 E Indian School Rd
Ste 21237
Phoenix, AZ 85018
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Psychiatric Residential Treatment Facility
- Peoria, AZ
- NPI 1043994452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646611200000",
"number": "1043963440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4340 E INDIAN SCHOOL RD STE 21-237",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850185392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4527 N 16TH ST STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850165354",
"telephone_number": "760-835-7562"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMELBACK RECOVERY TREATMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-27",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A",
"authorized_official_last_name": "NEWMAN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "760-835-7562"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Camelback Recovery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
- Camelback Pediatrics PC
- Camelback Physical Therapy, LLC
- Camelback Physicians Group LLC
- Camelback Physicians Group LLC
- Camelback Pulmonary and Critical Care, PLLC
- Camelback Smiles Dentistry, LLP
- Camelback Spine Care PLLC
- Camelback Spine Care PLLC
- Camelback Sports Therapy LLC
- Camelback Surgical Associates PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.