NORTHSIGHT RECOVERY LLC NPI 1558132704

NPI Information

  • NPI: 1558132704
  • Provider Name: NORTHSIGHT RECOVERY LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Doing Business As: NORTHSIGHT RECOVERY- MESA
  • CLIA Number: 03D2289209
  • Address: 605 N GILBERT RD
    MESA, AZ
    ZIP 85203
  • Phone: (480) 544-0283

Map and Directions

Get Directions

NPI Details

NORTHSIGHT RECOVERY LLC is a community behavioral health in Mesa, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. NORTHSIGHT RECOVERY LLC NPI is 1558132704. The provider is registered as an organization entity type.
The provider Is Doing Business As Northsight Recovery- Mesa.

The provider's business location address is:

605 N GILBERT RD
MESA, AZ
ZIP 85203-629
Phone: (480) 544-0283

The provider's authorized official is Jeremy Vincent Bloom .
The authorized official title is President/ceo and has the following contact phone number (480) 544-0283.

The CLIA number assigned to this NPI record is 03D2289209 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/15/2024 and was last updated on 7/29/2024.

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 License Number License State Primary
1251B00000XCase ManagementNo
2251S00000XCommunity/Behavioral HealthYes
3261QH0100XClinic/CenterHealth ServiceNo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
5261QM0850XClinic/CenterAdult Mental HealthNo
6261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
7291U00000XClinical Medical LaboratoryNo
8343900000XNon-emergency Medical Transport (VAN)No

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 Other Provider Identifier Issuer
103D2289209OTHERCLIA
2185032MEDICAIDARIZONA
3OTC13229OTHERARIZONADEPARTMENT OF HEALTH LICENSE

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI