Organization Active NPI

NS Recovery Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Medford, MA
National Provider Identifier
1659145233
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
NS RECOVERY SERVICES LLC
Doing business as
Advanced Addiction Center
Practice address
200 Boston Ave # G100
Medford, MA 02155-4243
Phone
(781) 654-1112
NPI assigned
Nov 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Joey Simonelli
Title
Ceo
Phone
(781) 654-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

200 Boston Ave # G100
Medford, MA 02155-4243

Mailing address

200 Boston Ave # G100
Medford, MA 02155-4243

Other names 1

  • Advanced Addiction Center Doing business as

National Provider Directory

National Provider Directory

Locations

196 Boston Ave
Medford, MA 02155
Phone (857) 355-1770

200 Boston Ave
#G100
Medford, MA 02155
Phone (781) 654-1112

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1659145233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOSTON AVE # G100",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOSTON AVE # G100",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554243",
            "telephone_number": "781-654-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NS RECOVERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "SIMONELLI",
        "authorized_official_first_name": "JOEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-654-1112"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Addiction Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.