Recovery Insights PLLC

Key facts

NPI

1982909768

Entity type

Organization (NPI type 2)

Primary specialty

Psychiatry Physician 2084P0800X

License

42593 (AZ)

Legal business name

RECOVERY INSIGHTS PLLC

Practice address

6015 W Peoria Ave
Glendale, AZ 85302-1213

Phone

(623) 344-4400

Fax

(623) 344-4450

NPI assigned

Jan 25, 2011

Organization subpart

No

Authorized official

Name

Jose I Reyes, MD

Title

Owner

Phone

(480) 747-2824

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 25, 2011.

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1982909768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 E CAMPBELL AVE APT 259",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165598",
            "telephone_number": "480-747-2824",
            "fax_number": "623-344-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 W PEORIA AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021213",
            "telephone_number": "623-344-4400",
            "fax_number": "623-344-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY INSIGHTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-747-2824",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "42593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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