PARADISE VALLEY RECOVERY
NPI 1245908763
Clinic/Center - Rehabilitation, Substance Use Disorder in Payson, AZ

NPI Status: Active since August 31, 2021

Contact Information

306 W AERO DR
PAYSON, AZ
ZIP 85541
Phone: (714) 910-4286

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • Accepts Insurance
  • CLIA Number: 03D2302826
  • CLIA Cert. Type: Other - SUBACCUTE DETOX FACILITY
  • CLIA Exp. Date: 04-15-2028

About PARADISE VALLEY RECOVERY

This page provides the complete NPI Profile along with additional information for Paradise Valley Recovery, a provider established in Payson, Arizona operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1245908763 assigned on August 2021. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Paradise Valley Recovery. The authorized official of this NPI record is Mr. Tyri Norman Blondal (Chief Operations Officer)

NPI
1245908763
Provider Legal Name
MOGOLLON TREATMENT CENTER
Other Organization Name
PARADISE VALLEY RECOVERY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
306 W AERO DR PAYSON, AZ 85541
Location Phone
(714) 910-4286
Mailing Address
306 W AERO DR PAYSON, AZ 85541
Mailing Phone
(714) 910-4286
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2021
Last Update Date
11-01-2023
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AZ Blue ACA StandardHealth Silver with Health Choice - HMO
  • AZ Blue AdvanceHealth Bronze Focus (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Gold Focus (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Silver Focus (4 Free PCP Visits) - HMO
  • AZ Blue EverydayHealth Gold Focus (1 Free PCP Visit) - HMO
  • AZ Blue EverydayHealth Silver Focus (1 Free PCP Visit) - HMO
  • AZ Blue Portfolio Bronze HSA Focus - HMO
  • AZ Blue StandardHealth Bronze Focus - HMO
  • AZ Blue StandardHealth Gold Focus - HMO
  • AZ Blue StandardHealth Silver Focus - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. TYRI NORMAN BLONDAL

Authorized Official Title
CHIEF OPERATIONS OFFICER
Authorized Official Phone
(602) 516-2414

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2302826
Facility Type
Other - SUBACCUTE DETOX FACILITY
Certificate Effective Date
April 16, 2026
Certificate Expiration Date
April 15, 2028
Laboratory Director
TYRI BLONDAL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Paradise Valley Recovery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PARADISE VALLEY RECOVERY

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1245908763, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 9 → 18 → 9 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 1 + 8 + 0 + 1 + 6 + 7 + 1 + 2 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1245908763.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Social Worker
306 W AERO DR
PAYSON, AZ 85541
Nurse Practitioner (Family)
306 W AERO DR
PAYSON, AZ 85541

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245908763, enumerated as an "organization" on August 31, 2021.

The provider is located at 306 W AERO DR PAYSON, AZ 85541 and the phone number is (714) 910-4286.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to verify.