Southern Colorado Addiction Recovery Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SOUTHERN COLORADO ADDICTION RECOVERY CENTER

Doing business as

Peak Addiction Recovery Center

Practice address

5250 Pikes Peak Hwy
Cascade, CO 80809-1110

Phone

(719) 217-5082

NPI assigned

Feb 14, 2008

Last updated

Feb 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael J. McKelvey, ADMINISTRATOR

Title

Executive Director

Phone

(719) 217-5082

Specialties & licenses 1

Addresses

Other names 1

• Peak Addiction Recovery Center Doing business as

Locations

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1295903045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N WEBER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031309",
            "telephone_number": "719-508-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 PIKES PEAK HWY",
            "city": "CASCADE",
            "state": "CO",
            "postal_code": "808091110",
            "telephone_number": "719-217-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COLORADO ADDICTION RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "MCKELVEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-217-5082",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Addiction Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cindy Montgomery
• Peak Independence Occupational Therapy and Wellness, LLC
• Amber Nicole Rice, OTD, OTR/L
• Sandstone Care Cos, LLC
• Shadow Mountain LLC. (Shadow Mountain Recovery, Cascade)
• Carlye Spaulding
• Spirited NP, LLC
• Erik Struck, D.C.
• Erin Sullivan, LAC
• Eric Watson, UN

• Substance Abuse Rehabilitation Facility in Cascade, CO
• Providers in Cascade, CO by specialty
• Substance Abuse Rehabilitation Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.