Hidden Paradox, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

HIDDEN PARADOX, LLC

Practice address

4144 E Broadway Blvd
Tucson, AZ 85711-3455

Phone

(520) 954-5454

NPI assigned

Oct 22, 2019

Organization subpart

No

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

Authorized official

Name

Cynthia Miller-Potter, MA,LASAC,CCTP,ADC

Title

Ceo

Phone

(520) 954-5454

Specialties & licenses 1

Addresses

Other names 1

• A Living Room On Broadway Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Potter, MA, LISAC, CSP, NCC

  • Mental Health Counselor
  • Tucson, AZ
  • NPI 1841705043
  NPD

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1902449077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113455",
            "telephone_number": "520-954-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113455",
            "telephone_number": "520-954-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN PARADOX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "MILLER-POTTER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-954-5454",
        "authorized_official_credential": "MA,LASAC,CCTP,ADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Living Room On Broadway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelby Taylor Hicks
• Thomas H Hicks, MD
• Vicki T Hicks
• Heather L Hickson, O.D.
• Alicia Hidalgo, MD
• Michael Arthur Hieber, MT-BC
• Patricia Hiebert, FNP
• Higa Bariatrics LLC
• Guillermo Higa Sansone, M.D.
• Kelcy Higa, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.