Individual provider Active NPI

Michael Bregman, LIAC

  • Addiction (Substance Use Disorder) Counselor
  • Mesa, AZ
National Provider Identifier
1316858467
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LIAC-155432 Issued in AZ
Practice address
1111 S Stapley Dr
Mesa, AZ 85204-5059
Phone
(602) 952-3436
Fax
(480) 834-5703
NPI assigned
Sep 16, 2026
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LIAC-155432 AZ Primary

Addresses

Primary practice location

1111 S Stapley Dr
Mesa, AZ 85204-5059

Mailing address

202 E Earll Dr Ste 200
Phoenix, AZ 85012-2647
Phone (602) 685-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1316858467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E EARLL DR STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122647",
            "telephone_number": "602-685-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S STAPLEY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045059",
            "telephone_number": "602-952-3436",
            "fax_number": "480-834-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREGMAN",
        "first_name": "MICHAEL",
        "credential": "LIAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LIAC-155432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.