Regency Recovery and Wellness Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

REGENCY RECOVERY AND WELLNESS CENTER

Practice address

1301 E Gurley St Unit a
Prescott, AZ 86301-3313

Phone

(928) 460-7001

Fax

(928) 277-0804

NPI assigned

Sep 30, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicholas Spaniak

Title

President

Phone

(949) 630-5253

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Regency Recovery and Wellness Center Doing business as

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1891467684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ROBINSON DR UNIT D",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863033320",
            "telephone_number": "928-460-7001",
            "fax_number": "928-277-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E GURLEY ST UNIT A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013313",
            "telephone_number": "928-460-7001",
            "fax_number": "928-277-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY RECOVERY AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "SPANIAK",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-630-5253"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "OTC11153",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@regencyrecovery.com",
            "affiliation": "N",
            "endpointDescription": "Business Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1301 E Gurley St Unit A",
            "city": "Prescott",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863013313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@regencyrecovery.com",
            "affiliation": "N",
            "endpointDescription": "Business Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1301 E Gurley St Unit A",
            "city": "Prescott",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863013313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Regency Recovery and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Regency Recovery and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.