Northern Arizona Center for Addiction, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

OTC 7348 Issued in AZ

Legal business name

NORTHERN ARIZONA CENTER FOR ADDICTION, LLC

Practice address

195 Plaza Dr
Prescott, AZ 86303-5549

Phone

(928) 499-5687

Fax

(928) 778-1089

NPI assigned

Oct 22, 2015

Organization subpart

No

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

Authorized official

Name

Eric Marinelli

Title

Account Manager

Phone

(928) 642-3030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1770955338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 STILLWATER DR STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057171",
            "telephone_number": "928-642-3030",
            "fax_number": "928-778-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 PLAZA DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863035549",
            "telephone_number": "928-499-5687",
            "fax_number": "928-778-1089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 S Lakeview Dr",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863017655",
            "country_code": "US",
            "telephone_number": "928-277-1498 x103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHERN ARIZONA CENTER FOR ADDICTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "MARINELLI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "928-642-3030"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "AZ",
            "license": "OTC 7348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Nordin-Pyle, LMSW
• Jayne Peters Nordstrom, MT-BC
• Lisa Norman, RDN, CNSC
• Jessica Rachel Norris, MOT
• Northern Arizona Allergy Group LLC
• Northern Arizona Endodontics
• Northern Arizona Family Therapy
• Northern Arizona Oncology Centers LLC
• Northern Az Council of Goverments
• Christopher Novack, NP-C

• Substance Use Disorder Rehabilitation Clinic/Center in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.