Desert Edge Recovery

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

BH-4075 Issued in AZ

Legal business name

DESERT EDGE RECOVERY

Practice address

1950 W Heatherbrae Dr
Ste4
Phoenix, AZ 85015

Phone

(602) 792-0019

Fax

(602) 279-5099

NPI assigned

May 16, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Natalie Gregory, MAPCNPI 1417174665

Title

Executive Director

Phone

(602) 792-0019

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Natalie Gregory, LPC

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1417174665
  NPD (past) Authorized official

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1245676394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 W HEATHERBRAE DR",
            "address_2": "STE4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85015",
            "telephone_number": "602-792-0019",
            "fax_number": "602-279-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W HEATHERBRAE DR",
            "address_2": "STE4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85015",
            "telephone_number": "602-792-0019",
            "fax_number": "602-279-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT EDGE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-792-0019",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MAPC"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "AZ",
            "license": "BH-4075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Dentistry, PLLC
• Desert Dentistry, PLLC
• Desert Dentistry, PLLC
• Desert Developmental Services, LLC.
• Desert Edge Mentoring Services
• Desert Endocrinology LLC
• Desert Eye Specialists LTD
• Desert Faith Therapy Services, LLC
• Desert Foot & Ankle P C
• Desert Foot Surgeons P L L C

• Community Health Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.