NPIMap

Organization Active NPI

365 Recovery Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
National Provider Identifier
1497480800
Registry record updated Jul 19, 2022
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
365 RECOVERY CLINIC
Practice address
11225 N 28TH Dr Ste D220B
Phoenix, AZ 85029-5697
Phone
(480) 865-4762
Fax
(520) 455-3200
NPI assigned
Jul 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Authorized official

Name
Mario Alvarez
Title
RN
Phone
(480) 246-4676

Specialties & licenses 1

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

Addresses

Primary practice location

11225 N 28TH Dr Ste D220B
Phoenix, AZ 85029-5697

Mailing address

11225 N 28TH Dr Ste D220B
Phoenix, AZ 85029-5697
Phone (480) 865-4762

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1497480800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11225 N 28TH DR STE D220B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295697",
            "telephone_number": "480-865-4762",
            "fax_number": "520-455-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 N 28TH DR STE D220B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295697",
            "telephone_number": "480-865-4762",
            "fax_number": "520-455-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "365 RECOVERY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "480-246-4676"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 19, 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.

Verify at the official NPI Registry.