OrganizationActive
Modern Recovery, LLC
NPI 1477104362 · Adolescent and Children Mental Health Clinic/Center · Tempe, AZ
Provider details
- NPI number
- 1477104362
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrea Stiner, Billing Director(602) 694-9643
Specialties & taxonomies
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
4535 S Lakeshore Dr Ste 1b
Tempe, AZ 85282-7046
Phone: (203) 200-8556
Street-level locationGet directions
Mailing address
11445 E Via Linda Ste 2-617
Scottsdale, AZ 85259-2655
Registry dates
- Enumerated
- 2019-09-23
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.