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KINTSUGI BEHAVIORAL HEALTH LLC
NPI 1568259091
Community/Behavioral Health in Corrales, NM

Active since April 21, 2025
948 CAMINO DE LA TIERRA, CORRALES, NM 87048(505) 352-4674 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kintsugi Behavioral Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINTSUGI BEHAVIORAL HEALTH LLC (NPI 1568259091) is a healthcare organization registered as a community/behavioral health in Corrales, New Mexico and active in the NPI registry since April 2025. The organization lists Vyvian Phan, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1568259091
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameKINTSUGI BEHAVIORAL HEALTH LLC
Location Address948 CAMINO DE LA TIERRACorrales, NM 87048-6909
Mailing Address948 Camino De La TierraCorrales, NM 87048-6909 · (505) 352-4674
Phone(505) 352-4674
Organization SubpartNo
Authorized OfficialVyvian PhanCo-owner · (505) 702-9080
Enumeration DateApril 21, 2025
Last NPPES UpdateJanuary 28, 2026
NPPES CertifiedJanuary 28, 2026
✔ NPI 1568259091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
948 CAMINO DE LA TIERRA, Corrales, NM 87048
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAITLYN J MARTINEZ CSE
Counselor (Addiction (Substance Use Disorder))
948 CAMINO DE LA TIERRA
CORRALES, NM 87048
Sandoval County (505) 352-4674
LOVING HANDS SUPPORTIVE LIVING, LLC
In Home Supportive Care
948 CAMINO DE LA TIERRA
CORRALES, NM 87048
Sandoval County (505) 803-5664
SAGEBRUSH HOMECARE LLC
In Home Supportive Care
948 CAMINO DE LA TIERRA
CORRALES, NM 87048
Sandoval County (956) 516-0270
DENISSE M ALVAREZ MUNIZ
Community Health Worker
948 CAMINO DE LA TIERRA
CORRALES, NM 87048
Sandoval County (505) 352-4674
JESUS GARCIA
Community Health Worker
948 CAMINO DE LA TIERRA
CORRALES, NM 87048
Sandoval County (505) 352-4674

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kintsugi Behavioral Health LLC's NPI number?

The NPI number for Kintsugi Behavioral Health LLC is 1568259091. It was assigned to this organization in the NPPES registry on April 21, 2025.

Where is Kintsugi Behavioral Health LLC located?

Kintsugi Behavioral Health LLC is located at 948 Camino De La Tierra, Corrales, NM 87048. The listed phone number is (505) 352-4674.

What is Kintsugi Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Kintsugi Behavioral Health LLC was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.