Organization Active NPI

Paramount Recovery Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Tempe, AZ
National Provider Identifier
1356050686
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PARAMOUNT RECOVERY CENTER LLC
Practice address
2211 S Mill Ave
Tempe, AZ 85282-2115
Phone
(928) 583-4878
NPI assigned
Nov 15, 2022
Organization subpart
Yes
Parent organization
PARAMOUNT RECOVERY CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Authorized official

Name
Kevin Ross
Title
Ceo
Phone
(917) 903-7445

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2211 S Mill Ave
Tempe, AZ 85282-2115

Mailing address

PO Box 4333
Prescott, AZ 86302-4333
Phone (928) 583-4878

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Treatment Center LLC4 organizations share this tax ID, including this one
Part of
Pinnacle Treatment Center LLC

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1356050686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4333",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863024333",
            "telephone_number": "928-583-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 S MILL AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822115",
            "telephone_number": "928-583-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT RECOVERY CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARAMOUNT RECOVERY CENTER LLC",
        "enumeration_date": "2022-11-15",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-903-7445"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.