NPIMap

Organization Active NPI

Compass Recovery Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Prescott, AZ
National Provider Identifier
1710377650
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
OTC6815 Issued in AZ
Legal business name
COMPASS RECOVERY CENTER LLC
Practice address
711 S. Granite St
Prescott, AZ 86303
Phone
(928) 493-4373
Fax
(928) 515-2416
NPI assigned
Jan 30, 2015
Last updated
Mar 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Mr. Theodore Michael
Title
Ceo
Phone
(928) 493-4373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X OTC6815 AZ Primary

Addresses

Primary practice location

711 S. Granite St
Prescott, AZ 86303

Mailing address

711 S. Granite St
Prescott, AZ 86303
Phone (928) 493-4373

National Provider Directory

National Provider Directory

Locations

711 S Granite St
Prescott, AZ 86303
Phone (928) 493-4373

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1710377650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S. GRANITE ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86303",
            "telephone_number": "928-493-4373",
            "fax_number": "928-515-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S. GRANITE ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86303",
            "telephone_number": "928-493-4373",
            "fax_number": "928-515-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-493-4373",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "AZ",
            "license": "OTC6815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.