NPIMap

Organization Active NPI

Pinnacle Peak Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Scottsdale, AZ
National Provider Identifier
1780201772
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PINNACLE PEAK RECOVERY, LLC
Practice address
8070 E Morgan TRL Ste 125
Scottsdale, AZ 85258-1228
Phone
(480) 430-6744
NPI assigned
Jun 25, 2020
Organization subpart
Yes
Parent organization
PINNACLE PEAK RECOVERY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Authorized official

Name
Tyler Tisdale
Title
Founder
Phone
(480) 750-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

8070 E Morgan TRL Ste 125
Scottsdale, AZ 85258-1228

Mailing address

8070 E Morgan TRL Ste 200
Scottsdale, AZ 85258-1229
Phone (480) 430-6744

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Peak Recovery LLC3 organizations share this tax ID, including this one
Part of
Pinnacle Peak Recovery LLC

Other organizations with this tax ID 2

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

Locations

8070 E Morgan Trl
Ste 200
Scottsdale, AZ 85258
Phone (480) 750-1200

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1780201772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8070 E MORGAN TRL STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581229",
            "telephone_number": "480-430-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8070 E MORGAN TRL STE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581228",
            "telephone_number": "480-430-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PEAK RECOVERY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE PEAK RECOVERY, LLC",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "TISDALE",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "480-750-1200"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.