Healvine LLC
NPI 1396413720 · Adult Mental Health Clinic/Center · Tempe, AZ
Healvine LLC is a Adult Mental Health Clinic/Center organization in Tempe, AZ (NPI 1396413720).
Provider details
- NPI number
- 1396413720
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mohamed Othman, Owner(602) 815-3293
Specialties & taxonomies
Ambulatory Health Care Facilities
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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
Mailing address
Additional practice locations (2)
- 2138 E Broadway RdPhoenix, AZ 85040-2500Phone: (602) 601-6655Fax: (602) 601-6656
- 9221 W Mackenzie DrPhoenix, AZ 85037-2047Phone: (623) 440-4714
Registry dates
- Enumerated
- 2021-08-31
- Last updated
- 2022-08-16
- Certified
- 2022-08-16
Frequently asked questions
- What is Healvine LLC's NPI number?
- Healvine LLC's National Provider Identifier (NPI) is 1396413720, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Healvine LLC?
- Healvine LLC is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Healvine LLC located?
- Healvine LLC's practice location on file with NPPES is 1204 E Baseline Rd Ste 106, Tempe, AZ 85283-1447.
- What is Healvine LLC's phone number?
- The practice phone number listed in the NPPES registry for Healvine LLC is (877) 755-8040.
- Who is the authorized official for Healvine LLC?
- The authorized official listed on Healvine LLC's NPPES record is Mohamed Othman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Healvine LLC's NPI active?
- Yes — Healvine LLC's NPI (1396413720) is active in the NPPES registry as of the last update on 2022-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.