Organization Active NPI

Purpose Healing Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1114428430
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PURPOSE HEALING CENTER, LLC
Practice address
9332 N 95TH Way
B203
Scottsdale, AZ 85258
Phone
(480) 267-8491
Fax
(480) 452-0988
NPI assigned
Feb 22, 2018
Last updated
Jul 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Robin K Byrne, LCSWNPI 1649452186
Title
Clinical Director
Phone
(480) 209-8926

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Adult Mental Health Clinic/Center 261QM0850X NU
Multi-Specialty Clinic/Center 261QM1300X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary
Mental Illness Community Based Residential Treatment Facility 320800000X NU
Substance Abuse Rehabilitation Facility 324500000X NU

Addresses

Primary practice location

9332 N 95TH Way
B203
Scottsdale, AZ 85258

Mailing address

9332 N 95TH Way
B203
Scottsdale, AZ 85258
Phone (480) 267-8491

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2164605Purpose Healing Center9332 N 95TH Way Suite B203, Scottsdale, AZ 85258Certificate of waiverApr 9, 2027

National Provider Directory

National Provider Directory

Locations

7721 E Gray Rd
Ste 204
Scottsdale, AZ 85260

9332 N 95th Way
Scottsdale, AZ 85258
Phone (480) 710-8590

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1114428430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9332 N 95TH WAY",
            "address_2": "B203",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85258",
            "telephone_number": "480-267-8491",
            "fax_number": "480-452-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9332 N 95TH WAY",
            "address_2": "B203",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85258",
            "telephone_number": "480-267-8491",
            "fax_number": "480-452-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSE HEALING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "480-209-8926",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.