Primavera Recovery

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

PRIMAVERA RECOVERY

Practice address

1451 Quail St Ste 211
Newport Beach, CA 92660-2741

Phone

(714) 333-6425

NPI assigned

Apr 21, 2020

Organization subpart

No

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

Authorized official

Name

Luisa ContrerasNPI 1013219021

Title

Ceo

Phone

(714) 333-6425

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luisa Contreras

  • Marriage & Family Therapist
  • Santa Ana, CA
  • NPI 1013219021
  NPD Authorized official

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1194345041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 RHAPSODY DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492274",
            "telephone_number": "714-333-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 QUAIL ST STE 211",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602741",
            "telephone_number": "714-333-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMAVERA RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "LUISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-333-6425"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Prendergast, D.O.
• Geoffrey Presler, LMT
• Prestige Surgery Center at Newport Beach
• Preventive Healthcare Medical Centers
• Kevin F Priestley, DC
• Prime Surgical Center of Newport Beach, LLC
• Rayeonne Pritchett
• Private Physicians Medical Associates
• Private Physicians Medical Associates
• August Benjamin Privratsky Jr., PT, CP

• Adolescent and Children Mental Health Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.