Cornerstone Healing Center
NPI 1780203794 · Addiction Medicine (Family Medicine) Physician · Scottsdale, AZ
Provider details
- NPI number
- 1780203794
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Cornerstone Healing Center LLC
- Organization subpart
- Yes
- Authorized official
- Estil Wallace, Founder/Ceo(602) 544-6832
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Mental Health Occupational Therapist225XM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs 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
- 2020-04-09
- Last updated
- 2020-04-09
- Certified
- 2020-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.