Organization Active NPI

Evoke Recovery LLC

  • Community/Behavioral Health Agency
  • Chandler, AZ
National Provider Identifier
1467066399
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EVOKE RECOVERY LLC
Practice address
1600 W Chandler Blvd Ste 230
Chandler, AZ 85224-6162
Phone
(480) 800-2530
Fax
(480) 800-2531
NPI assigned
Sep 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Mark Valdez
Title
Chief Administrator
Phone
(480) 257-0656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1600 W Chandler Blvd Ste 230
Chandler, AZ 85224-6162

Mailing address

630 E Deer Creek Rd
Phoenix, AZ 85048-0196
Phone (480) 257-0656

Other identifiers 1

IdentifierTypeStateIssuer
007227MedicaidAZ

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1467066399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E DEER CREEK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480196",
            "telephone_number": "480-257-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W CHANDLER BLVD STE 230",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246162",
            "telephone_number": "480-800-2530",
            "fax_number": "480-800-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOKE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATOR",
        "authorized_official_telephone_number": "480-257-0656"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007227",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.