Phoenix Addiction Recovery LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PHOENIX ADDICTION RECOVERY LLC

Doing business as

PAR

Practice address

4135 S Power Rd Ste 113
Mesa, AZ 85212-3625

Phone

(602) 501-8097

NPI assigned

Nov 30, 2018

Organization subpart

No

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

Authorized official

Name

Stephen Pothier

Title

Owner

Phone

(602) 501-8097

Specialties & licenses 1

Addresses

Other names 1

• PAR Doing business as

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1598235665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 E MALLORY ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852031329",
            "telephone_number": "602-501-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 S POWER RD STE 113",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123625",
            "telephone_number": "602-501-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX ADDICTION RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "POTHIER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-501-8097"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corey Dean Philpot II, DO
• Erin Phipps, FNP
• Phoenician Medical Center Inc
• Phoenician Medical Center Inc
• Phoenician Medical Center, Inc
• Phoenix Anesthesia Associates PLLC
• Phoenix Anesthesia Consultants, P.C.
• Phoenix Bariatric LLC
• Phoenix Children'S Hospital, Inc.
• Phoenix Children'S Hospital, Inc.

• Substance Use Disorder Rehabilitation Clinic/Center in Mesa, AZ
• Providers in Mesa, 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 Nov 30, 2018; 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.