Organization Active NPI

Summit BHC Mesa LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mesa, AZ
National Provider Identifier
1871128520
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
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

Updated by the provider on Jun 25, 2026

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Canyon Vista Recovery Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.