Renee's Resilience Recovery

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

RENEE'S RESILIENCE RECOVERY

Practice address

4040 E McDowell Rd Ste 501
Phoenix, AZ 85008-4478

Phone

(602) 354-3326

NPI assigned

Jun 7, 2022

Last updated

Jun 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mitchell ClardyNPI 1215518592

Title

Ceo

Phone

(510) 290-6632

Specialties & licenses 1

Addresses

Tax ID family

Renee's Resilience 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.

• Renee's Resilience Recovery

  • Health Service Clinic/Center
  • Phoenix, AZ
  • NPI 1669119632
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mitchell Clardy

  • Behavior Technician
  • Phoenix, AZ
  • NPI 1215518592
  Authorized official Same address or phone

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1083343081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 E GWEN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850427870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 E MCDOWELL RD STE 501",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084478",
            "telephone_number": "602-354-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE'S RESILIENCE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "CLARDY",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-290-6632"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonora Renda, R.D.N.
• Humberto M Rendon, M.D.
• Raymond Rendon
• Rene's Care Facility LLC
• Rene's Care Facility LLC
• Renee's Resilience Recovery
• Renew and Transcend Wellness (Renew & Transcend Wellness)
• Renew Dental PLLC
• Renewal Psychiatry & Wellness LLC
• Renewal Recovery House LLC

• Health Service Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.