Phoenix Residential Treatment Center

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

PHOENIX RESIDENTIAL TREATMENT CENTER

Doing business as

Camelback Recovery

Practice address

9312 W Happy Valley Rd
Peoria, AZ 85383-1262

Phone

(833) 988-4025

NPI assigned

Jun 14, 2023

Last updated

Jun 14, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

CAMELBACK RECOVERY TREATMENT CENTERAs reported in NPPES

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

Addresses

Other names 2

• Camelback Recovery Doing business as
• Camelback Recovery, LLC Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Camelback Recovery Treatment Center

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Camelback Recovery Treatment Center

  dba Camelback Recovery

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1043963440
  NPPES parent name

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1043994452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4527 N 16TH ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165354",
            "telephone_number": "760-835-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9312 W HAPPY VALLEY RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831262",
            "telephone_number": "833-988-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RESIDENTIAL TREATMENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAMELBACK RECOVERY TREATMENT CENTER",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "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": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camelback Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Camelback Recovery, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychiatric Residential Treatment Facility in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Psychiatric Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.

Verify at the official NPI Registry.