Recovery Innovations of Pennsylvania

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RECOVERY INNOVATIONS OF PENNSYLVANIA

Practice address

4040 Market St Ste 100
Philadelphia, PA 19104-3003

Phone

(814) 330-1010

NPI assigned

Feb 24, 2009

Last updated

Feb 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Brody, LCSW

Title

Rsa

Phone

(814) 330-1010

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1932349487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N 16TH ST STE 316",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061266",
            "telephone_number": "602-650-1212",
            "fax_number": "602-636-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 MARKET ST STE 100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043003",
            "telephone_number": "814-330-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY INNOVATIONS OF PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "BRODY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "RSA",
        "authorized_official_telephone_number": "814-330-1010",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Recovery Lab LLC
• Recovery Space
• Recovery Transit LLC
• Ian Rodel Agnote Recto, DNP, CRNA
• Vincent Dante Recupido, LSW

• Community/Behavioral Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.