NPIMap

Organization Active NPI

Recovery Partners, P.C.

  • Addiction (Substance Use Disorder) Psychologist
  • Chicago, IL
National Provider Identifier
1710364716
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
Legal business name
RECOVERY PARTNERS, P.C.
Practice address
867 N Dearborn St
Chicago, IL 60610-3310
Phone
(651) 213-4286
Fax
(651) 213-4543
NPI assigned
Apr 29, 2015
Last updated
Apr 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Dr. Marvin Seppala, MD
Title
Chief Medical Officer
Phone
(651) 213-4825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X NU Primary

Addresses

Primary practice location

867 N Dearborn St
Chicago, IL 60610-3310

Mailing address

15251 Pleasant Valley Rd
PO Box 11
Center City, MN 55012-9640
Phone (651) 213-4286

National Provider Directory

National Provider Directory
Tax ID family
Recovery Partners PC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1710364716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15251 PLEASANT VALLEY RD",
            "address_2": "PO BOX 11",
            "city": "CENTER CITY",
            "state": "MN",
            "postal_code": "550129640",
            "telephone_number": "651-213-4286",
            "fax_number": "651-213-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 N DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103310",
            "telephone_number": "651-213-4286",
            "fax_number": "651-213-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY PARTNERS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "SEPPALA",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "651-213-4825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.