MODERN RECOVERY, LLC
NPI 1477104362
Clinic/Center - Adolescent and Children Mental Health in Tempe, AZ
NPI Status: Active since September 23, 2019
Contact Information
4535 S LAKESHORE DR STE 1B
TEMPE, AZ
ZIP 85282
Phone: (203) 200-8556
- Organization
- Clinic/Center
- Adolescent and Children Mental Health
- Accepts Insurance
- CLIA Number: 03D2174612
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 11-04-2027
About MODERN RECOVERY, LLC
This page provides the complete NPI Profile along with additional information for Modern Recovery, Llc, a provider established in Tempe, Arizona operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1477104362 assigned on September 2019. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Andrea Stiner (Billing Director)
- NPI
- 1477104362
- Provider Name
- MODERN RECOVERY, LLC
- Entity Type
- Organization
- Location Address
- 4535 S LAKESHORE DR STE 1B TEMPE, AZ 85282
- Location Phone
- (203) 200-8556
- Mailing Address
- 11445 E VIA LINDA STE 2-617 SCOTTSDALE, AZ 85259
- Mailing Phone
- (602) 694-9643
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-23-2019
- Last Update Date
- 12-11-2025
- Code Navigator
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 Adolescent and Children Mental Health
- Taxonomy Code
- 261QM0855X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AZ Blue AdvanceHealth Bronze Focus (4 Free PCP Visits) - HMO
- AZ Blue AdvanceHealth Bronze Neighborhood (4 Free PCP Visits) - HMO
- AZ Blue AdvanceHealth Gold Focus (4 Free PCP Visits) - HMO
- AZ Blue AdvanceHealth Gold Neighborhood (4 Free PCP Visits) - HMO
- AZ Blue AdvanceHealth Silver Focus (4 Free PCP Visits) - HMO
- AZ Blue AdvanceHealth Silver Neighborhood (4 Free PCP Visits) - HMO
- AZ Blue EverydayHealth Gold Focus (1 Free PCP Visit) - HMO
- AZ Blue EverydayHealth Gold Neighborhood (1 Free PCP Visit) - HMO
- AZ Blue EverydayHealth Silver Focus (1 Free PCP Visit) - HMO
- AZ Blue EverydayHealth Silver Neighborhood (1 Free PCP Visit) - HMO
- AZ Blue Portfolio Bronze HSA Focus - HMO
- AZ Blue Portfolio Bronze HSA Neighborhood - HMO
- AZ Blue StandardHealth Bronze Focus - HMO
- AZ Blue StandardHealth Bronze Neighborhood - HMO
- AZ Blue StandardHealth Gold Focus - HMO
- AZ Blue StandardHealth Gold Neighborhood - HMO
- AZ Blue StandardHealth Silver Focus - HMO
- AZ Blue StandardHealth Silver Neighborhood - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 03D2174612
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- November 05, 2025
- Certificate Expiration Date
- November 04, 2027
- Laboratory Director
- MICHELE MURPHY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Modern Recovery, Llc 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.
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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 1477104362, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477104362, enumerated as an "organization" on September 23, 2019.
The provider is located at 4535 S LAKESHORE DR STE 1B TEMPE, AZ 85282 and the phone number is (203) 200-8556.
Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to verify.
