Prisma Recovery Center LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

PRISMA RECOVERY CENTER LLC

Practice address

7205 Cypress Dr
Fort Myers, FL 33907-2975

Phone

(772) 812-9652

Fax

(833) 535-0164

NPI assigned

Jun 20, 2024

Last updated

Jun 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jared Turner

Title

Billing Manager

Phone

(772) 812-9652

Specialties & licenses 1

Addresses

Tax ID family

Prisma Recovery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Prisma Recovery Center LLC

  • Substance Abuse Rehabilitation Facility
  • Fort Myers, FL
  • NPI 1093587685
  NPD tax ID

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1770327207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N FEDERAL HWY STE 206",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334603493",
            "telephone_number": "772-812-9652",
            "fax_number": "833-535-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 CYPRESS DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072975",
            "telephone_number": "772-812-9652",
            "fax_number": "833-535-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "772-812-9652"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Jill Printz, APRN
• Brandee Prinze, SLP
• Julia Helen Prior, CRNA
• Priority Health Medical Center
• Prisma Recovery Center LLC
• Robert Bernie Pritt, D.O.
• Privia Medical Group Florida LLC (Advanced Podiatry and Neuropathy Center LLC)
• Pro Therapy Services Inc
• Jansi Probakaran, MD
• James Domonic Proce, RN, BS, MS, ARNP

• Psychiatric Residential Treatment Facility in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Psychiatric Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.