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Scottsdale Providence Recovery Center

Mental Illness Community Based Residential Treatment Facility in Scottsdale, AZ · enumerated 2022 · authorized official Daniel Nichols, Clinical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1821705104

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Scottsdale Providence Recovery Center
Other name <Unavail>
Parent organization Scottsdale Providence Recovery Center
Practice address 9389 E Via Del Sol Dr, Scottsdale, AZ, 85255
Fax (480) 284-4178
Enumeration date Nov 4, 2022
Last updated in NPPES Dec 5, 2022

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Secondary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary
320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities Primary
324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Secondary

Authorized official

Name Daniel Nichols
Title Clinical Director

Other identifiers

Identifier Type State Issuer
BH8061 Other AZ ADHS LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Scottsdale Providence Recovery Center located?
The practice location on file with NPPES is in Scottsdale, AZ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-12-05. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-12-05.