SMC - ARIZONA
NPI 1952062127
Clinic/Center - Methadone in Scottsdale, AZ

Active since January 10, 2022CLIA 03D2200123 · Waiver
10207 N SCOTTSDALE RD, SCOTTSDALE, AZ 85253(480) 998-4673 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 23, 2022, Nov 1, 2022, Jan 10, 2022 (3 updates tracked since 2022).

About Smc - Arizona NPPES

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

SMC - ARIZONA (NPI 1952062127) is a healthcare organization registered as a methadone in Scottsdale, Arizona and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Michelle Siwek, Manager, as its authorized official.

NPPES Registry Identity

NPI1952062127
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameSCOTTSDALE MAT CLINIC
Location Address10207 N SCOTTSDALE RDScottsdale, AZ 85253-1424
Mailing AddressPo Box 15124Scottsdale, AZ 85267-5124 · (480) 998-4673
Organization SubpartNo
Authorized OfficialMichelle SiwekManager · (480) 414-2596
Enumeration DateJanuary 10, 2022
Last NPPES UpdateNovember 23, 20223 updates tracked since enumeration
NPPES CertifiedNovember 23, 2022
NPI 1952062127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
10207 N SCOTTSDALE RD, Scottsdale, AZ 85253

Other Names 1

Doing Business AsSmc - Arizona

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 03D2200123

Scottsdale Mat Clinic LLC Dba, Smc - Arizona · Scottsdale, AZ
Active · expires Nov 12, 2026
CLIA Number03D2200123
Laboratory TypeOtp
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorRandy S. Gelow
Laboratory Phone(480) 414-2596
Laboratory LocationScottsdale Mat Clinic LLC Dba, Smc - Arizona10207 N Scottsdale Rd, Scottsdale, AZ 85258
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Clinic/Center (Methadone)
10207 N SCOTTSDALE RD
SCOTTSDALE, AZ 85253

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 Scottsdale Mat Clinic's NPI number?

The NPI number for Scottsdale Mat Clinic is 1952062127. It was assigned to this organization in the NPPES registry on January 10, 2022. The provider is doing business as Smc - Arizona.

Where is Scottsdale Mat Clinic located?

Scottsdale Mat Clinic is located at 10207 N Scottsdale Rd, Scottsdale, AZ 85253. The listed phone number is (480) 998-4673.

What is Scottsdale Mat Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Scottsdale Mat Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2200123) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Scottsdale Mat Clinic accept?

Health plans from Blue Cross Blue Shield of Arizona list Scottsdale Mat Clinic 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 Scottsdale Mat Clinic was last updated on November 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.