Nirvana Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

NIRVANA RECOVERY LLC

Practice address

15852 N 17TH St
Phoenix, AZ 85022-3365

Phone

(602) 662-2287

Fax

(480) 427-6996

NPI assigned

Dec 11, 2024

Organization subpart

Yes

Parent organization

NIRVANA RECOVERY LLCAs reported in NPPES

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

Authorized official

Name

Michael Trychon

Title

Ceo

Phone

(602) 471-2152

Specialties & licenses 2

Addresses

Other names 1

• Nirvana Residential Treatment Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Nirvana Recovery LLC3 organizations share this tax ID, including this one

Part of

Nirvana Recovery LLC

Other organizations with this tax ID 2

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

• Nirvana Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Phoenix, AZ
  • NPI 1093439259
  NPD tax ID
• Nirvana Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
  • NPI 1154257491
  NPD tax ID

Locations

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1669289880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21725 N 20TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272640",
            "telephone_number": "480-764-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15852 N 17TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223365",
            "telephone_number": "602-662-2287",
            "fax_number": "480-427-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRVANA RECOVERY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NIRVANA RECOVERY LLC",
        "enumeration_date": "2024-12-11",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "TRYCHON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-471-2152"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "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": "Nirvana Residential Treatment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nirvana Residential Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasreen Nirmal, DC
• Nirmala Aryal, M.D. PLLC
• Camlesh Nirmul, MD
• Nirvana Recovery LLC
• Nirvana Recovery LLC
• Nirvana Squared LLC
• Katherine Cheryl Nisbet, LASAC
• Joshua Ryan Niska, MD
• Richard Wilfred Niska, M.D.
• Dustin L. Nissen, M.D.

• Substance Abuse Rehabilitation Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.