OrganizationActive
Aj Southwest Ventures Inc
NPI 1164233417 · Marriage & Family Therapist · Tempe, AZ
Provider details
- NPI number
- 1164233417
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Allyson Fernstrom, Owner(602) 502-3806
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
3920 S Rural Rd Ste 112
Tempe, AZ 85282-5500
Phone: (480) 674-9220
Fax: (480) 674-9231
Street-level locationGet directions
Mailing address
3920 S Rural Rd Ste 112
Tempe, AZ 85282-5500
Other names (DBA / former)
- Doing business as
- Revibe Mental Health
- Doing business as
- Revibe Mental Health Tempe
Registry dates
- Enumerated
- 2025-01-16
- Last updated
- 2025-09-04
- Certified
- 2025-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.