MODERN RECOVERY, LLC
NPI 1477104362
Clinic/Center - Adolescent and Children Mental Health in Tempe, AZ

Active since September 23, 2019CLIA 03D2174612 · Waiver
4535 S LAKESHORE DR STE 1B, TEMPE, AZ 85282(203) 200-8556 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 11, 2025, Sep 23, 2019 (2 updates tracked since 2019).

About Modern Recovery, Llc NPPES

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

MODERN RECOVERY, LLC (NPI 1477104362) is a healthcare organization registered as an adolescent and children mental health in Tempe, Arizona and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through November 4, 2027 and lists Andrea Stiner, Billing Director, as its authorized official.

NPPES Registry Identity

NPI1477104362
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameMODERN RECOVERY, LLC
Location Address4535 S LAKESHORE DR STE 1BTempe, AZ 85282-7046
Mailing Address11445 E Via Linda Ste 2-617Scottsdale, AZ 85259-2655 · (602) 694-9643
Organization SubpartNo
Authorized OfficialAndrea StinerBilling Director · (602) 694-9643
Enumeration DateSeptember 23, 2019
Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1477104362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
4535 S LAKESHORE DR STE 1B, Tempe, AZ 85282

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 03D2174612

Modern Recovery LLC · Tempe, AZ
Active · expires Nov 4, 2027
CLIA Number03D2174612
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorMichele Murphy
Laboratory Phone(480) 251-1981
Laboratory LocationModern Recovery LLC4535 S Lakeshore Dr Ste 1B, Tempe, AZ 85282
CLIA data matches this NPI record on: Address 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 Modern Recovery, LLC's NPI number?

The NPI number for Modern Recovery, LLC is 1477104362. It was assigned to this organization in the NPPES registry on September 23, 2019.

Where is Modern Recovery, LLC located?

Modern Recovery, LLC is located at 4535 S Lakeshore Dr Ste 1B, Tempe, AZ 85282. The listed phone number is (203) 200-8556.

What is Modern Recovery, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Does Modern Recovery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2174612) is associated with this NPI, valid through November 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Modern Recovery, LLC accept?

Health plans from Blue Cross Blue Shield of Arizona list Modern Recovery, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Modern Recovery, LLC was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.