Nirvana Squared LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

NIRVANA SQUARED LLC

Practice address

1027 E Seldon LN
Phoenix, AZ 85020-3259

Phone

(301) 366-5675

NPI assigned

May 26, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Travis Plummer

Title

Ceo

Phone

(301) 366-5675

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1073188629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7426 E STETSON DR UNIT 3017E",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513877",
            "telephone_number": "301-366-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 E SELDON LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203259",
            "telephone_number": "301-366-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRVANA SQUARED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "PLUMMER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-366-5675",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirmala Aryal, M.D. PLLC
• Camlesh Nirmul, MD
• Nirvana Recovery LLC
• Nirvana Recovery LLC
• Nirvana Recovery LLC
• Katherine Cheryl Nisbet, LASAC
• Joshua Ryan Niska, MD
• Richard Wilfred Niska, M.D.
• Dustin L. Nissen, M.D.
• Lahav Nissim, M.D.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.