IndividualActive
Johnwick Nathan
NPI 1306327770 · Substance Abuse Rehabilitation Facility · Laveen, AZ
Provider details
- NPI number
- 1306327770
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
6736 W Carson Rd
Laveen, AZ 85339-7024
Phone: (860) 938-6845
Street-level locationGet directions
Mailing address
3950 W Chandler Blvd Apt 3049
Chandler, AZ 85226-2662
Additional practice locations (1)
- 7015 N 23rd LnPhoenix, AZ 85021-7605Phone: (860) 938-6845
Registry dates
- Enumerated
- 2018-08-23
- Last updated
- 2018-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.