Partners in Recovery Outpatient Center, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PARTNERS IN RECOVERY OUTPATIENT CENTER, LLC

Practice address

3201 W Peoria Ave Ste B408
Phoenix, AZ 85029-4610

Phone

(602) 675-1289

NPI assigned

Feb 8, 2022

Last updated

Feb 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Asia Mondae MillerNPI 1669248480

Title

Administrator

Phone

(602) 675-1289

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Asia Miller

  • Addiction (Substance Use Disorder) Counselor
  • Gardena, CA
  • NPI 1669248480
  NPD Authorized official

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1548914534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE STE B408",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294610",
            "telephone_number": "602-675-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE STE B408",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294610",
            "telephone_number": "602-675-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN RECOVERY OUTPATIENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ASIA",
        "authorized_official_middle_name": "MONDAE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-675-1289"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joannea Rene Parten, BCBA
• Deborah J Partington, PSYD
• Justin Thomas Partlow, MSN AGACNP-BC APRN
• Partners in Medicine PC
• Partners in Recovery LLC
• Partners in Recovery, LLC (Partners In Recovery Metro Center Integrated Care Clinic)
• Partners in Recovery, LLC
• Partners in Recovery, LLC (ACT Metro IHH)
• Partners in Recovery, LLC
• Partners in Recovery, LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.