Active NPI
Recovia
- Community/Behavioral Health Agency
- Scottsdale, AZ
National Provider Identifier
1376072884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- OTC8039
- Legal business name
- RECOVIA
- Practice address
- 8322 E Hartford Dr Ste 100
Scottsdale, AZ 85255-6568 - Phone
- (480) 712-4600
- Fax
- (602) 428-7045
- NPI assigned
- Jun 8, 2017
- Organization subpart
- Yes
- Parent organization
- RECOVIA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barb Davis
- Title
- Billing Manager
- Phone
- (602) 697-3488
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | OTC8039 | AZ | Primary |
Addresses
Primary practice location
8322 E Hartford Dr Ste 100
Scottsdale, AZ 85255-6568
Mailing address
8322 E Hartford Dr Ste 100
Scottsdale, AZ 85255-6568
Phone (480) 712-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115701 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Tax ID family
- Recovia LLC
- Part of
- Recovia LLC
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-
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- NPI 1568139616
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- Psychologist
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- Psychologist
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1376072884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8322 E HARTFORD DR STE 100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852556568",
"telephone_number": "480-712-4600",
"fax_number": "602-428-7045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8322 E HARTFORD DR STE 100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852556568",
"telephone_number": "480-712-4600",
"fax_number": "602-428-7045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECOVIA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RECOVIA",
"enumeration_date": "2017-06-08",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "BARB",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "602-697-3488"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AZ",
"license": "OTC8039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115701",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.