Pinnacle Peak Recovery, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PINNACLE PEAK RECOVERY, LLC

Practice address

8070 E Morgan TRL
Suite 200
Scottsdale, AZ 85258-1227

Phone

(954) 746-8232

NPI assigned

Dec 28, 2015

Organization subpart

No

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

Authorized official

Name

Tyler Tisdale

Title

Owner

Phone

(480) 750-1200

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 3

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

• Steven J. Locnikar, D.O.

  • Addiction Medicine (Family Medicine) Physician
  • Scottsdale, AZ
  • NPI 1184932782
  Medicare reassignment
• Paula D Brungardt, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tempe, AZ
  • NPI 1528551595
  NPD (past)
• Janna T Roberts, F.N.P

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1033536362
  NPD (past)

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1922463496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8070 E MORGAN TRL",
            "address_2": "SUITE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8070 E MORGAN TRL",
            "address_2": "SUITE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581227",
            "telephone_number": "954-746-8232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6145 E Shea Blvd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852545423",
            "country_code": "US",
            "telephone_number": "480-750-1200",
            "fax_number": "480-656-7758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINNACLE PEAK RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "TISDALE",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-750-1200"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH INPATIENT FACILITY",
            "identifier": "IFBH10502",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUTPATIENT TREATMENT CENTER",
            "identifier": "OTC7476",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pinnacle Peak Surgical Assistants LLC
• Pinnacle Perinatal Care, LLC
• Pinnacle Pharmacy 2 Inc
• Pinnacle Pharmacy, Inc.
• Pinnacle Physical Medicine and Chiropractic LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, 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 Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.