RESURGE RECOVERY LLC NPI 1548843360

NPI Information

NPI: 1548843360
Provider Name: RESURGE RECOVERY, LLC
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 36D2230794

Address:
5241 MONTGOMERY ROAD
CINCINNATI, OH
ZIP 45212
Phone: (513) 993-5241
Get Directions

RESURGE RECOVERY, LLC is an addiction medicine psychiatry neurology in Cincinnati, OH. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine RESURGE RECOVERY, LLC NPI is 1548843360. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5241 MONTGOMERY ROAD
CINCINNATI, OH
ZIP 45212
Phone: (513) 993-5241

The provider's authorized official is Nicole Litvak .
The authorized official title is Director Of Operations and has the following contact phone number (216) 225-4464.

The CLIA number assigned to this NPI record is 36D2230794 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2021 and was last updated on 8/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	104100000X	Social Worker		No
3	106H00000X	Marriage & Family Therapist		No
4	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	No
5	163WC1600X	Registered Nurse	Continuing Education/Staff Development	No
6	163WP0808X	Registered Nurse	Psychiatric/Mental Health	No
7	163WP2201X	Registered Nurse	Ambulatory Care	No
8	175T00000X	Peer Specialist		No
9	3336C0002X	Pharmacy	Clinic Pharmacy	No
10	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
11	2084A0401X	Psychiatry & Neurology	Addiction Medicine	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1679702294	MEDICAID	OHIO
2	1992382444	MEDICAID	OHIO
3	1447704416	MEDICAID	OHIO
4	1710197173	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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