PINNACLE PEAK RECOVERY, LLC – NPI #1922463496
Clinic/Center

PINNACLE PEAK RECOVERY, LLC is an AHC clinic located in SCOTTSDALE, AZ. NPPES has assigned the NPI number 1922463496 to PINNACLE PEAK RECOVERY, LLC on December 28, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QR0405X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation, Substance Use Disorder

The NPI profile was previously updated about 3 years ago on Feb 09, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PINNACLE PEAK RECOVERY, LLC below.

NPI Profile for
PINNACLE PEAK RECOVERY, LLC

NPI Number
1922463496
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PINNACLE PEAK RECOVERY, LLC
Primary location
8070 E MORGAN TRL
SUITE 200
SCOTTSDALE, AZ 85258-1227
Phone: (954) 746-8232 Fax:
1 Other location(s):
6145 E Shea Blvd
Scottsdale, AZ 85254-5423
Phone: (480) 750-1200
Fax: (480) 656-7758
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TYLER TISDALE
OWNER
Phone: (480) 750-1200
Updated
Certification Date
Feb 09, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PINNACLE PEAK RECOVERY, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBEHAVIORAL HEALTH INPATIENT FACILITYAZIFBH10502
otherOUTPATIENT TREATMENT CENTERAZOTC7476
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder (Primary)
324500000X
- Substance Abuse Rehabilitation Facility

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.