Active NPI
Summit BHC Mesa LLC
- Substance Abuse Rehabilitation Facility
- Mesa, AZ
National Provider Identifier
1881120558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- SUMMIT BHC MESA LLC
- Doing business as
- Canyon Vista Recovery Center
- Practice address
- 860 N Center St
Mesa, AZ 85201-4201 - Phone
- (877) 463-3553
- NPI assigned
- May 2, 2017
- 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 Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
860 N Center St
Mesa, AZ 85201-4201
Mailing address
860 N Center St
Mesa, AZ 85201-4201
Other names 1
- Canyon Vista Recovery Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2025983 | Summit BHC Mesa, LLC | Certificate of waiver | Jun 21, 2027 |
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 Use Disorder Rehabilitation Clinic/Center
- Mesa, AZ
- NPI 1871128520
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Phoenix, AZ
- NPI 1568534741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781827200000",
"number": "1881120558",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 N CENTER ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852014201",
"telephone_number": "877-463-3553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT BHC MESA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-02",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"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": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"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 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.