OrganizationActive
Divergent Recovery LLC
NPI 1104554864 · Community/Behavioral Health Agency · Goodyear, AZ
Divergent Recovery LLC is a Community/Behavioral Health Agency organization in Goodyear, AZ (NPI 1104554864).
Provider details
- NPI number
- 1104554864
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Garrett Deetz, Owner(480) 336-0507
Specialties & taxonomies
Agencies
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15655 W Roosevelt St Ste 100
Goodyear, AZ 85338-9311
Phone: (480) 336-0507
Street-level locationGet directions
Mailing address
8140 W Mission Ln
Peoria, AZ 85345-4829
Registry dates
- Enumerated
- 2022-08-10
- Last updated
- 2022-08-10
- Certified
- 2022-08-10
Frequently asked questions
- What is Divergent Recovery LLC's NPI number?
- Divergent Recovery LLC's National Provider Identifier (NPI) is 1104554864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divergent Recovery LLC?
- Divergent Recovery LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Divergent Recovery LLC located?
- Divergent Recovery LLC's practice location on file with NPPES is 15655 W Roosevelt St Ste 100, Goodyear, AZ 85338-9311.
- What is Divergent Recovery LLC's phone number?
- The practice phone number listed in the NPPES registry for Divergent Recovery LLC is (480) 336-0507.
- Who is the authorized official for Divergent Recovery LLC?
- The authorized official listed on Divergent Recovery LLC's NPPES record is Garrett Deetz, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divergent Recovery LLC's NPI active?
- Yes — Divergent Recovery LLC's NPI (1104554864) is active in the NPPES registry as of the last update on 2022-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.