PHOENIX RISING RECOVERY
NPI 1033580113
Substance Abuse Rehabilitation Facility in Palm Desert, CA

Q: What is Executive Recovery Group, Inc's NPI number?

The NPI number for Executive Recovery Group, Inc is 1033580113. It was assigned to this organization in the NPPES registry on October 14, 2015. The provider is doing business as Phoenix Rising Recovery.

Q: What is Executive Recovery Group, Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since October 14, 2015CLIA Certified · 2 labs

35450 PEGASUS CT, PALM DESERT, CA 92211(602) 003-8397 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Phoenix Rising Recovery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX RISING RECOVERY (NPI 1033580113) is a healthcare organization registered as a substance abuse rehabilitation facility in Palm Desert, California and active in the NPI registry since October 2015. The organization holds 2 active CLIA laboratory certificates and lists Amy Crichton, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1033580113

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameEXECUTIVE RECOVERY GROUP, INC

Location Address35450 PEGASUS CTPalm Desert, CA 92211

Mailing Address35450 Pegasus CtPalm Desert, CA 92211-1604 · (760) 409-1287

Phone(602) 003-8397

Organization SubpartNo

Authorized OfficialAmy CrichtonExecutive Director · (760) 200-3839

Enumeration DateOctober 14, 2015

Last NPPES UpdateAugust 7, 2018

✔ NPI 1033580113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

35450 PEGASUS CT, Palm Desert, CA 92211

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Other Names 1

Doing Business AsPhoenix Rising Recovery

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2129742

Executive Recovery Group Dba Phoenix Rising Recovery · Palm Desert, CA

Active · expires Apr 24, 2027

CLIA Number05D2129742

Laboratory TypeSubacute Detox And Reside

Certificate Effective DateApril 25, 2025

Certificate Expiration DateApril 24, 2027

Laboratory DirectorSiri Sat K. Khalsa

Laboratory Phone(415) 827-8269

Laboratory LocationExecutive Recovery Group Dba Phoenix Rising Recovery35450 Pegasus Ct, Palm Desert, CA 92211

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2169061

Phoenix Rising Recovery Iop · Palm Desert, CA

Active · expires Jul 14, 2027

CLIA Number05D2169061

Laboratory TypeBehavioral Health Rehab

Certificate Effective DateJuly 15, 2025

Certificate Expiration DateJuly 14, 2027

Laboratory DirectorNeda Javaherian

Laboratory Phone(805) 302-3651

Laboratory LocationPhoenix Rising Recovery Iop77725 Enfield Lane, Palm Desert, CA 92211

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Executive Recovery Group, Inc's NPI number?

The NPI number for Executive Recovery Group, Inc is 1033580113. It was assigned to this organization in the NPPES registry on October 14, 2015. The provider is doing business as Phoenix Rising Recovery.

Where is Executive Recovery Group, Inc located?

Executive Recovery Group, Inc is located at 35450 Pegasus Ct, Palm Desert, CA 92211. The listed phone number is (602) 003-8397.

What is Executive Recovery Group, Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Executive Recovery Group, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Executive Recovery Group, Inc was last updated on August 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.