Fusion Recovery, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

FUSION RECOVERY, INC.

Practice address

940 Saratoga Ave Ste 240
San Jose, CA 95129-3442

Phone

(408) 484-4740

Fax

(408) 260-5003

NPI assigned

Feb 5, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Michael Obrien, RAS, FAC, CSC, CATC

Title

Co-Founder

Phone

(408) 384-8154

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1578954079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 SARATOGA AVE STE 240",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293442",
            "telephone_number": "408-484-4740",
            "fax_number": "408-260-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 SARATOGA AVE STE 240",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293442",
            "telephone_number": "408-484-4740",
            "fax_number": "408-260-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "408-384-8154",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RAS, FAC, CSC, CATC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.