Recover Together, Inc.
Organization Active NPI Psychiatry Physician · Las Vegas, NV
NPI 1871297010 · NPPES record last updated May 22, 2023
Key facts
- NPI
- 1871297010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- RECOVER TOGETHER, INC.
- Practice address
- 1681 E Flamingo Rd Ste 3
Las Vegas, NV 89119-5274 - Phone
- (800) 683-8313
- NPI assigned
- Mar 30, 2023
- Organization subpart
- No
Authorized official
- Name
- Colleen Nicewicz
- Title
- Ceo
- Phone
- (413) 281-3035
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 8
Practitioners 5
-
Mary Elizabeth Medina, APRN
-
Maureen Strohm, MD
-
Jacob Emerson Crothers, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210128002725 | NV | Part B Supplier - Clinic/Group Practice | 7810247533 |
Receives reassigned benefits from 11 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Las Vegas, NV; Reno, NV |
National Provider Directory
- Tax ID family
- Recover Together Inc
Locations
Dept CH 17590
Palatine, IL 60055
Phone (844) 450-3100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Adult Medicine Physician |
207QA0505X | |||
| Internal Medicine Physician |
207R00000X | |||
| Psychiatry Physician |
2084P0800X | Yes | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
1681 E Flamingo Rd Ste 3
Las Vegas, NV 89119-5274
Mailing address
111 S Bedford St Ste 205
Burlington, MA 01803-5145
Phone (512) 439-3547
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250024846 | Medicaid | NV |
Other names
- Groups Recover Together
Other providers in Las Vegas, NV
- Reclaim Mental Health LLC
- Reclaim Mental Health LLC.
- Jean Recomanta
- Gertrudis Evangelina Reconco
- Bobi Record
- Recovery and Clinical Wellness Group LLC
- Recovery Center of Nevada
- Recovery Focused LLC
- Recovery Institute of Nevada LLC
- Recovery Oasis LLC
All providers in Las Vegas, NV · Psychiatry Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.