OrganizationActive
Cmj Recovery Az LLC
NPI 1558988246 · Substance Abuse Rehabilitation Facility · Phoenix, AZ
Provider details
- NPI number
- 1558988246
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Janice Vaysberg, Authorized Representative(847) 345-5541
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
4122 N 17th St Bldg a
Phoenix, AZ 85016-5922
Phone: (818) 304-8071
Street-level locationGet directions
Mailing address
1590 S Congress Ave
Palm Springs, FL 33406-5957
Registry dates
- Enumerated
- 2020-06-29
- Last updated
- 2025-05-20
- Certified
- 2025-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.