Active NPI
Summit BHC Mesa LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Mesa, AZ
National Provider Identifier
1871128520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- SUMMIT BHC MESA LLC
- Doing business as
- Canyon Vista Recovery Center
- Practice address
- 846 N Center St.
Mesa, AZ 85201-4201 - Phone
- (480) 464-5764
- Fax
- (480) 834-5372
- NPI assigned
- Mar 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Stephen Hinkle
- Title
- General Counsel & Secretary
- Phone
- (615) 637-7218
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
846 N Center St.
Mesa, AZ 85201-4201
Mailing address
860 N Center St
Mesa, AZ 85201-4201
Phone (480) 464-5764
Other names 1
- Canyon Vista Recovery Center
National Provider Directory
National Provider Directory- Tax ID family
- Canyon Vista Recovery Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Mesa, AZ
- NPI 1861025876
-
- Substance Abuse Rehabilitation Facility
- Mesa, AZ
- NPI 1881120558
Locations
860 N Center St
Bldg 13
Mesa, AZ 85201
846 N Center St
Mesa, AZ 85201
Phone (480) 464-5764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782345600000",
"number": "1871128520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 N CENTER ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852014201",
"telephone_number": "480-464-5764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "846 N CENTER ST.",
"city": "MESA",
"state": "AZ",
"postal_code": "852014201",
"telephone_number": "480-464-5764",
"fax_number": "480-834-5372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT BHC MESA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-03",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A",
"authorized_official_last_name": "HINKLE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "STEPHEN",
"authorized_official_title_or_position": "GENERAL COUNSEL & SECRETARY",
"authorized_official_telephone_number": "615-637-7218"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Canyon Vista Recovery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Canyon Vista Recovery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.