CODAC AT BROADWAY
NPI 1801207642
Clinic/Center - Adult Mental Health in Tucson, AZ

Q: What is Codac Health, Recovery & Wellness, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Active since May 14, 2014

3130 E BROADWAY BLVD, TUCSON, AZ 85716(520) 327-4505(520) 202-1889 Get Directions Write a Review

NPPES record last updated: September 25, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Codac At Broadway NPPES

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

CODAC AT BROADWAY (NPI 1801207642) is a healthcare organization registered as an adult mental health in Tucson, Arizona and active in the NPI registry since May 2014. The organization lists Dennis Regnier, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801207642

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameCODAC HEALTH, RECOVERY & WELLNESS, INC.

Location Address3130 E BROADWAY BLVDTucson, AZ 85716-5863

Mailing Address1650 E Fort Lowell Rd, Ste 202Tucson, AZ 85719-2374 · (520) 327-4505 · Fax (520) 202-1889

Phone(520) 327-4505

Fax(520) 202-1889

Organization SubpartNo

Authorized OfficialDennis RegnierCeo · (520) 327-4505

Enumeration DateMay 14, 2014

Last NPPES UpdateSeptember 25, 2015

✔ NPI 1801207642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

3130 E BROADWAY BLVD, Tucson, AZ 85716

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Other Names 1

Doing Business AsCodac At Broadway

Other Identifiers 1

Medicaid968685AZ

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LETTY FIELDS LPC

Counselor (Professional)

3130 E BROADWAY BLVD
TUCSON, AZ 85716

Pima County (520) 318-9222

MR. JAY EDWIN SEPPANEN LPC

Counselor (Professional)

3130 E BROADWAY BLVD
TUCSON, AZ 85716

Pima County (520) 327-4505

AMY L. LOGAN PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

3130 E BROADWAY BLVD
TUCSON, AZ 85716

Pima County (520) 333-4947

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 Codac Health, Recovery & Wellness, Inc.'s NPI number?

The NPI number for Codac Health, Recovery & Wellness, Inc. is 1801207642. It was assigned to this organization in the NPPES registry on May 14, 2014. The provider is doing business as Codac At Broadway.

Where is Codac Health, Recovery & Wellness, Inc. located?

Codac Health, Recovery & Wellness, Inc. is located at 3130 E Broadway Blvd, Tucson, AZ 85716. The listed phone number is (520) 327-4505.

What is Codac Health, Recovery & Wellness, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Codac Health, Recovery & Wellness, Inc. was last updated on September 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.