NPIMap

Organization Active NPI

Recovery Empowerment Network of Maricopa County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
National Provider Identifier
1487767760
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RECOVERY EMPOWERMENT NETWORK OF MARICOPA COUNTY
Practice address
333 W Indian School Road
Phoenix, AZ 85013
Phone
(602) 248-0368
Fax
(602) 266-1958
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Ann L Rider, MSW CPRP
Title
Chief Executive Officer
Phone
(602) 248-0368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

333 W Indian School Road
Phoenix, AZ 85013

Mailing address

PO Box 7732
Phoenix, AZ 85011-7732
Phone (602) 248-0368

Other identifiers 1

IdentifierTypeStateIssuer
CSA06ADHS0187OtherAZDBHS

National Provider Directory

National Provider Directory
Tax ID family
Recovery Empowerment Network Inc4 organizations share this tax ID, including this one

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": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487767760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7732",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850117732",
            "telephone_number": "602-248-0368",
            "fax_number": "602-266-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W INDIAN SCHOOL ROAD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85013",
            "telephone_number": "602-248-0368",
            "fax_number": "602-266-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY EMPOWERMENT NETWORK OF MARICOPA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIDER",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "602-248-0368",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW CPRP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBHS",
            "identifier": "CSA06ADHS0187",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.