Recovery Resort Group LLC

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

ME94575 Issued in FL

Legal business name

RECOVERY RESORT GROUP LLC

Practice address

15854 Bent Creek Rd
Wellington, FL 33414-6382

Phone

(561) 370-4921

NPI assigned

Mar 15, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Debra Moser, RN-C

Title

Administrative Director

Phone

(561) 370-4921

Specialties & licenses 5

Addresses

Other names 1

• Recovery Resort Group Other name

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1982145520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15854 BENT CREEK RD STE 202",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146382",
            "telephone_number": "561-370-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15854 BENT CREEK RD",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146382",
            "telephone_number": "561-370-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY RESORT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "561-370-4921",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN-C"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND 2162",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN 9269366",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "FL",
            "license": "ME94575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Resort Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Recovery Resort Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Addiction Psychiatry Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Addiction Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.