# CLEARVISTA RECOVERY ASSOCIATES PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821281973
- **Authorized official:** MR. TIMOTHY J KELLY M.D. (OWNER)
- **Authorized official phone:** (317) 621-7390

## Contact information

- **Practice address:** 7250 CLEARVISTA DR, SUITE 327A, INDIANAPOLIS, IN 46256-4692
- **Practice address phone:** (317) 621-7390
- **Practice address fax:** (317) 621-4494
- **Mailing address:** 7250 CLEARVISTA DR, SUITE 327A, INDIANAPOLIS, IN 46256-4692
- **Mailing address phone:** (317) 621-7390
- **Mailing address fax:** (317) 621-4494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 01028972 | IN | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | 01028972 | IN | Yes |

## Other

- **Enumeration date:** 08/22/2007
- **Last updated:** 06/11/2014