The Recovery Village Indiana, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

THE RECOVERY VILLAGE INDIANA, LLC

Practice address

8150 Brookville Rd
Indianapolis, IN 46239-8903

Phone

(305) 785-5520

Fax

(888) 919-4431

NPI assigned

Dec 28, 2023

Organization subpart

No

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

Authorized official

Name

Belina Surujon

Title

Contracting & Licensing Director

Phone

(305) 785-5520

Specialties & licenses 2

Addresses

Other names 1

• The Recovery Village Indianapolis Doing business as

Tax ID family

The Recovery Village Indiana2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Recovery Village Indiana, LLC

  • Clinic/Center
  • Indianapolis, IN
  • NPI 1144158288
  NPD tax ID

Locations

Practitioners 4

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

• Brooke Rischar, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Indianapolis, IN
  • NPI 1942092085
  NPD (past)
• Lisa Maria White

  • Addiction (Substance Use Disorder) Counselor
  • Indianapolis, IN
  • NPI 1174339154
  NPD (past)
• James Blais, LCSW

  • Clinical Social Worker
  • NPI 1881271575
  NPD (past)
• Kevin Richard Wandler, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Roswell, GA
  • NPI 1205956265

  Substance Abuse Rehabilitation Facility

  NPD (past)

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1497524730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N COMMERCE PKWY STE 200",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263258",
            "telephone_number": "754-300-3120",
            "fax_number": "888-919-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 BROOKVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462398903",
            "telephone_number": "305-785-5520",
            "fax_number": "888-919-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RECOVERY VILLAGE INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "SURUJON",
        "authorized_official_first_name": "BELINA",
        "authorized_official_title_or_position": "CONTRACTING & LICENSING DIRECTOR",
        "authorized_official_telephone_number": "305-785-5520"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Recovery Village Indianapolis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Recovery Village Indianapolis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Substance Abuse Rehabilitation Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.