Pinnacle Peak Recovery, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PINNACLE PEAK RECOVERY, LLC

Practice address

6145 E Shea Blvd
Scottsdale, AZ 85254-5423

Phone

(480) 750-1200

Fax

(480) 656-7758

NPI assigned

Jan 27, 2021

Organization subpart

No

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

Authorized official

Name

Tyler Tisdale

Title

Owner

Phone

(480) 750-1200

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Pinnacle Peak Recovery LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Pinnacle Peak Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Scottsdale, AZ
  • NPI 1033700752
  NPD tax ID
• Pinnacle Peak Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Scottsdale, AZ
  • NPI 1780201772
  NPD tax ID

Locations

Practitioners 1

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

• Steven J. Locnikar, D.O.

  • Addiction Medicine (Family Medicine) Physician
  • Scottsdale, AZ
  • NPI 1184932782
  NPD (past)

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1225629868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8070 E MORGAN TRL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6145 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545423",
            "telephone_number": "480-750-1200",
            "fax_number": "480-656-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PEAK RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "TISDALE",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-750-1200"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH INPATIENT FACILITY",
            "identifier": "IFBH10502",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pinnacle Peak Endodontics PLLC
• Pinnacle Peak Eye Care and Optical PC
• Pinnacle Peak Neurology, LLC
• Pinnacle Peak Oral Surgery, PLLC
• Pinnacle Peak Recovery, LLC
• Pinnacle Peak Recovery, LLC
• Pinnacle Peak Recovery, LLC
• Pinnacle Peak Surgical Assistants LLC
• Pinnacle Perinatal Care, LLC
• Pinnacle Pharmacy 2 Inc

• Substance Abuse Rehabilitation Facility in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.