NPIMap

Organization Active NPI

Prevention and Recovery Center, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pearland, TX
National Provider Identifier
1962072850
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PREVENTION AND RECOVERY CENTER, INC.
Practice address
10907 Memorial Hermann Dr Ste 430
Pearland, TX 77584-4115
Phone
(714) 828-1800
Fax
(714) 882-1186
NPI assigned
Jul 1, 2021
Organization subpart
Yes
Parent organization
PREVENTION AND RECOVERY CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Authorized official

Name
Magdalen Gustilo
Title
Director of Payer Relations
Phone
(714) 568-7667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

10907 Memorial Hermann Dr Ste 430
Pearland, TX 77584-4115

Mailing address

18401 Von Karman Ave Ste 500
Irvine, CA 92612-8531
Phone (714) 828-1800

Other practice location 1

3033 Gessner Rd
Houston, TX 77080-1000
Phone (714) 828-1800

Other practice location 2

1300 Bay Area Blvd Ste B-145
Houston, TX 77058-2505
Phone (714) 828-1800

Other practice location 3

3043 Gessner Rd
Houston, TX 77080-1000
Phone (714) 828-1800

Other practice location 4

1733 Woodstead Ct Ste 102
The Woodlands, TX 77380-3401
Phone (714) 828-1800

Other names 1

  • Prevention and Recovery Center, Pearland IOP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prevention and Recovery Center Inc7 organizations share this tax ID, including this one
Part of
Prevention and Recovery Center Inc

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1300 Bay Area Blvd
#B145
Houston, TX 77058

3043 Gessner Rd
Houston, TX 77080
Phone (713) 744-2000

10907 Memorial Hermann Dr
Ste 430
Pearland, TX 77584

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1962072850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18401 VON KARMAN AVE STE 500",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926128531",
            "telephone_number": "714-828-1800",
            "fax_number": "714-882-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10907 MEMORIAL HERMANN DR STE 430",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844115",
            "telephone_number": "714-828-1800",
            "fax_number": "714-882-1186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3033 Gessner Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770801000",
            "country_code": "US",
            "telephone_number": "714-828-1800",
            "fax_number": "714-882-1186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Bay Area Blvd Ste B-145",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770582505",
            "country_code": "US",
            "telephone_number": "714-828-1800",
            "fax_number": "714-882-1186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3043 Gessner Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770801000",
            "country_code": "US",
            "telephone_number": "714-828-1800",
            "fax_number": "714-882-1186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1733 Woodstead Ct Ste 102",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773803401",
            "country_code": "US",
            "telephone_number": "714-828-1800",
            "fax_number": "714-882-1186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREVENTION AND RECOVERY CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREVENTION AND RECOVERY CENTER, INC.",
        "enumeration_date": "2021-07-01",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "GUSTILO",
        "authorized_official_first_name": "MAGDALEN",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER RELATIONS",
        "authorized_official_telephone_number": "714-568-7667"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prevention and Recovery Center, Pearland IOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.