Corebella Health and Wellness LLC

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

Legal business name

COREBELLA HEALTH AND WELLNESS LLC

Doing business as

Brightview Health

Practice address

6565 E Greenway Pkwy Ste 102
Scottsdale, AZ 85254-2056

Phone

(602) 649-0677

Fax

(877) 559-2816

NPI assigned

Oct 31, 2022

Last updated

Dec 2, 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

Mr. Chad Smith

Title

Ceo

Phone

(833) 510-4357

Specialties & licenses 4

Addresses

Other names 1

• Brightview Health Doing business as

Tax ID family

Brightview Health2 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.

• Corebella Health and Wellness LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Glendale, AZ
  • NPI 1871200907
  NPD tax ID

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1831806744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 E GREENWAY PKWY STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542056",
            "telephone_number": "602-649-0677",
            "fax_number": "877-559-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREBELLA HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-510-4357",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightview Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Mary Corcoran, PT
• Brett D Cordes
• Colleen C Cordes, PHD
• Alexandria Cording
• Jerome Jeremy Cordova, M.D.
• Jan-Michael B Corella, AG-ACNP
• John J Corey, M.D.
• Rebecca Lynn Corey, PHARM.D.
• Corinthian Infusion Group LLC
• Angelia Marie Corley

• Addiction Medicine (Internal Medicine) Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Addiction Medicine (Internal Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.