Andrea Piccirillo, LASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15360 Issued in AZ

Practice address

3140 N Arizona Ave Ste 101
Chandler, AZ 85225-7166

Phone

(480) 369-3339

NPI assigned

Jan 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Recovery Syndicate LLC

  • Substance Abuse Rehabilitation Facility
  • Chandler, AZ
  • NPI 1407513401
  NPD

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1487368205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 E CACTUS RD APT 244",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327750",
            "telephone_number": "480-369-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 N ARIZONA AVE STE 101",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257166",
            "telephone_number": "480-369-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCIRILLO",
        "first_name": "ANDREA",
        "credential": "LASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "15360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LASAC",
            "identifier": "15360",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "andrea.piccirillo@recoverysydicate.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3140 N Arizona Ave Ste 101",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852257166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Physicians Surgery Center of Chandler, LLC
• Physicians United Surgery Center, LLC
• Physico Health Asssessments
• Physiotherapy Associates Inc
• Elizabeth J Pianalto, OTR
• Juliana Carlie Pickard
• Sara J Pickett, PA-C
• Colin Christopher Pickles, PSYD
• Tristan Pico, MD
• Madison Picone

• Addiction (Substance Use Disorder) Counselor in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.