Kintsugi Behavioral Health LLC
NPI 1568259091 · Community/Behavioral Health Agency · Corrales, NM
Kintsugi Behavioral Health LLC is a Community/Behavioral Health Agency organization in Corrales, NM (NPI 1568259091).
Provider details
- NPI number
- 1568259091
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Vyvian Phan, Co-Owner(505) 702-9080
Specialties & taxonomies
Agencies
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2025-04-21
- Last updated
- 2026-01-28
- Certified
- 2026-01-28
Frequently asked questions
- What is Kintsugi Behavioral Health LLC's NPI number?
- Kintsugi Behavioral Health LLC's National Provider Identifier (NPI) is 1568259091, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kintsugi Behavioral Health LLC?
- Kintsugi Behavioral Health LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Kintsugi Behavioral Health LLC located?
- Kintsugi Behavioral Health LLC's practice location on file with NPPES is 948 Camino De La Tierra, Corrales, NM 87048-6909.
- What is Kintsugi Behavioral Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Kintsugi Behavioral Health LLC is (505) 352-4674.
- Who is the authorized official for Kintsugi Behavioral Health LLC?
- The authorized official listed on Kintsugi Behavioral Health LLC's NPPES record is Vyvian Phan, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kintsugi Behavioral Health LLC's NPI active?
- Yes — Kintsugi Behavioral Health LLC's NPI (1568259091) is active in the NPPES registry as of the last update on 2026-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.