SCOTTSDALE PROVIDENCE RECOVERY CENTER
NPI 1740641612
Clinic/Center - Rehabilitation, Substance Use Disorder in Scottsdale, AZ
NPI Status: Active since March 18, 2016
Contact Information
8889 E VIA LINDA
SCOTTSDALE, AZ
ZIP 85258
Phone: (480) 284-7440
Fax: (480) 284-4178
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- CLIA Number: 03D2113737
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 05-30-2028
About SCOTTSDALE PROVIDENCE RECOVERY CENTER
This page provides the complete NPI Profile along with additional information for Scottsdale Providence Recovery Center, a provider established in Scottsdale, Arizona operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1740641612 assigned on March 2016. The practitioner's primary taxonomy code is 261QR0405X with license number BH4837 (AZ). The provider is registered as an organization and their NPI record was last updated 6 years ago. Scottsdale Providence Recovery Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Daniel Joseph Nichols Lcsw (Clinical Director)
- NPI
- 1740641612
- Provider Name
- SCOTTSDALE PROVIDENCE RECOVERY CENTER
- Entity Type
- Organization
- Location Address
- 8889 E VIA LINDA SCOTTSDALE, AZ 85258
- Location Phone
- (480) 284-7440
- Location Fax
- (480) 284-4178
- Mailing Address
- 8889 E VIA LINDA SCOTTSDALE, AZ 85258
- Mailing Phone
- (480) 284-7440
- Mailing Fax
- (480) 284-4178
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-18-2016
- Last Update Date
- 01-23-2020
- 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 Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
- License No.
- BH4837
- License State
- AZ
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 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | BH4837 (AZ) |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | BH4837 (AZ) |
| 3 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | BH4837 (AZ) |
| 4 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | BH4837 (AZ) |
| 5 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | BH4837 (AZ) |
| 6 | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | BH4837 (AZ) |
| 7 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | BH4837 (AZ) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 03D2113737
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- May 31, 2026
- Certificate Expiration Date
- May 30, 2028
- Laboratory Director
- DANIEL J. NICHOLS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Scottsdale Providence Recovery Center 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 SCOTTSDALE PROVIDENCE RECOVERY CENTER
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1740641612, 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.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
SCOTTSDALE, AZ 85258
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740641612, enumerated as an "organization" on March 18, 2016.
The provider is located at 8889 E VIA LINDA SCOTTSDALE, AZ 85258 and the phone number is (480) 284-7440.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
