Active NPI
Recovery Technology LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jackson, MI
National Provider Identifier
1144259094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- RECOVERY TECHNOLOGY LLC
- Practice address
- 1200 N West Ave
Suite 400
Jackson, MI 49202 - Phone
- (517) 780-3336
- Fax
- (517) 796-4584
- NPI assigned
- Jul 2, 2006
- 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
- Mr. Gregory F Gallagher, CSW LLPC
- Title
- Ceo
- Phone
- (517) 780-3336
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1200 N West Ave
Suite 400
Jackson, MI 49202
Mailing address
1200 N West Ave
Suite 400
Jackson, MI 49202
Phone (517) 780-3336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71898200 | Other | MI | MAGELLAN |
National Provider Directory
National Provider DirectoryLocations
3220 W Carleton Rd
Hillsdale, MI 49242
Phone (517) 439-4228
1200 N West Ave
Ste 400
Jackson, MI 49202
Phone (517) 780-3336
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Jackson, MI
- NPI 1235184391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1144259094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N WEST AVE",
"address_2": "SUITE 400",
"city": "JACKSON",
"state": "MI",
"postal_code": "49202",
"telephone_number": "517-780-3336",
"fax_number": "517-796-4584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N WEST AVE",
"address_2": "SUITE 400",
"city": "JACKSON",
"state": "MI",
"postal_code": "49202",
"telephone_number": "517-780-3336",
"fax_number": "517-796-4584"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECOVERY TECHNOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GALLAGHER",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "517-780-3336",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CSW LLPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "71898200",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.