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RECOVERY TECHNOLOGY,LLC
NPI 1205004298
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jackson, MI

Active since February 13, 2008
1200 N WEST AVE, SUITE 400, JACKSON, MI 49202(517) 780-3336(517) 796-4561 Get Directions Write a Review

NPPES record last updated: April 30, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Recovery Technology,llc NPPES

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

RECOVERY TECHNOLOGY,LLC (NPI 1205004298) is a healthcare organization registered as a mental health (including community mental health center) in Jackson, Michigan and active in the NPI registry since February 2008. The organization lists Gregory F Gallagher, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205004298
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameRECOVERY TECHNOLOGY,LLC
Location Address1200 N WEST AVE, SUITE 400Jackson, MI 49202-2179
Mailing Address1200 N West Ave, Suite 400Jackson, MI 49202-2179 · (517) 780-3336 · Fax (517) 796-4561
Phone(517) 780-3336
Fax(517) 796-4561
Organization SubpartNo
Authorized OfficialGregory F GallagherCeo · (517) 780-3336
Enumeration DateFebruary 13, 2008
Last NPPES UpdateApril 30, 2008
✔ NPI 1205004298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1200 N WEST AVE, Jackson, MI 49202
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Other Identifiers 3

Medicare PIN0P54680MI
Medicaid4970942MI
Medicare PIN0N93250MI

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Recovery Technology,llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Recovery Technology,llc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Devin Dombrowski, LLMSW
Clinical Social Worker
NPI 1003143512
1200 N WEST AVE SUITE 400
Jackson, MI 49202
(517) 780-3316
✔ PECOS✔ Accepts MedicareSame address
Violetta Kaminska-Galecka, M.D.
Psychiatry
NPI 1053425736
1200 N WEST AVE
Jackson, MI 49202
(517) 789-2481
✔ PECOSSame address
Masood Ahmad, M.D.
Psychiatry
NPI 1366481905
205 N EAST AVE
Jackson, MI 49201
(517) 205-4730
✔ PECOS✔ Accepts Medicare1.0 mi
Jill Brown, DNP
Nurse Practitioner
NPI 1316432032
1200 N WEST AVE STE 400
Jackson, MI 49202
(517) 780-3336
✔ PECOS✔ Accepts Medicare1.6 mi
Dawn Del Rio, PHD
Clinical Social Worker
NPI 1952356081
1200 N WEST AVE SUITE 809
Jackson, MI 49202
(517) 300-7570
✔ PECOS✔ Accepts Medicare1.6 mi
Mitzi Diesing, MSW, LMSW
Clinical Social Worker
NPI 1073568374
1200 N. WEST AVE. SUITE 810
Jackson, MI 49202
(517) 300-3985
✔ PECOS✔ Accepts Medicare1.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Recovery Technology,llc's NPI number?

The NPI number for Recovery Technology,llc is 1205004298. It was assigned to this organization in the NPPES registry on February 13, 2008.

Where is Recovery Technology,llc located?

Recovery Technology,llc is located at 1200 N West Ave Suite 400, Jackson, MI 49202. The listed phone number is (517) 780-3336.

What is Recovery Technology,llc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Recovery Technology,llc enrolled in Medicare?

Yes. Recovery Technology,llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Recovery Technology,llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Recovery Technology,llc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (3), Psychiatry (2) and Nurse Practitioner (1). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Recovery Technology,llc was last updated on April 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.