Recovery Innovations, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RECOVERY INNOVATIONS, INC

Practice address

11405 Bob Findlay Road East
Tacoma, WA 98445

Phone

(602) 650-1212

NPI assigned

Jan 23, 2021

Organization subpart

No

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

Authorized official

Name

Corina Ogaz

Title

Associate Director, Credentialing

Phone

(602) 636-3085

Specialties & licenses 2

Addresses

Other names 1

• RI International Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Recovery Innovations, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fife, WA
  • NPI 1659880078

  O20121003000257

  Same enrollment
• Recovery Innovations, Inc

  • Community/Behavioral Health Agency
  • Fife, WA
  • NPI 1871726570

  O20121003000257

  Same enrollment
• Recovery Innovations, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fife, WA
  • NPI 1437554359

  O20121003000257

  Same enrollment

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

{
    "created_epoch": "1611360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1154911170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N 16TH ST STE 316",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061266",
            "telephone_number": "602-650-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11405 BOB FINDLAY ROAD EAST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98445",
            "telephone_number": "602-650-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY INNOVATIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-23",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "OGAZ",
        "authorized_official_first_name": "CORINA",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR, CREDENTIALING",
        "authorized_official_telephone_number": "602-636-3085"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RI International",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RI International",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandrea Rebar, LICSW, MSW, MHP
• Kelly Jean Reber
• Alyssa Nicole Recasner
• Nicholas Reckis, MA
• Tyson Records, PA-C
• Yirgalem Negash Reda, RPH
• Derek Leroy Reddicks
• Caitlin Marie Reddy, DMD, MS
• Kadapalakere Pathalingappa Manjun Reddy, MD
• Nallathimmayyagari S Reddy, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.