Mogollon Treatment Center
NPI 1245908763 · Substance Use Disorder Rehabilitation Clinic/Center · Payson, AZ
Mogollon Treatment Center is a Substance Use Disorder Rehabilitation Clinic/Center organization in Payson, AZ (NPI 1245908763).
Provider details
- NPI number
- 1245908763
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tyri Blondal, Chief Operations Officer(602) 516-2414
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Other names (DBA / former)
- Doing business as
- Paradise Valley Recovery
- Doing business as
- Paradise Valley Recovery
Registry dates
- Enumerated
- 2021-08-31
- Last updated
- 2023-11-01
- Certified
- 2023-09-21
Frequently asked questions
- What is Mogollon Treatment Center's NPI number?
- Mogollon Treatment Center's National Provider Identifier (NPI) is 1245908763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mogollon Treatment Center?
- Mogollon Treatment Center is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mogollon Treatment Center located?
- Mogollon Treatment Center's practice location on file with NPPES is 306 W Aero Dr, Payson, AZ 85541-5405.
- What is Mogollon Treatment Center's phone number?
- The practice phone number listed in the NPPES registry for Mogollon Treatment Center is (714) 910-4286.
- Who is the authorized official for Mogollon Treatment Center?
- The authorized official listed on Mogollon Treatment Center's NPPES record is Tyri Blondal, Chief Operations Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mogollon Treatment Center's NPI active?
- Yes — Mogollon Treatment Center's NPI (1245908763) is active in the NPPES registry as of the last update on 2023-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.