MEDICINE MAN INC
NPI 1659083178
Clinic/Center - Medical Specialty in Scottsdale, AZ

Q: What is Medicine Man Inc's NPI number?

The NPI number for Medicine Man Inc is 1659083178. It was assigned to this organization in the NPPES registry on December 15, 2022.

Q: What is Medicine Man Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Q: When was this NPI record last updated?

The NPPES record for Medicine Man Inc was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since December 15, 2022

9700 N 91ST ST STE A115, SCOTTSDALE, AZ 85258(623) 246-4900 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2023, Aug 27, 2023, Dec 15, 2022 (3 updates tracked since 2022).

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About Medicine Man Inc NPPES

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

MEDICINE MAN INC (NPI 1659083178) is a healthcare organization registered as a medical specialty in Scottsdale, Arizona and active in the NPI registry since December 2022. The organization lists Micah Hale, President, as its authorized official.

NPPES Registry Identity

NPI1659083178

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameMEDICINE MAN INC

Location Address9700 N 91ST ST STE A115Scottsdale, AZ 85258-5036

Mailing Address27418 N 93rd StScottsdale, AZ 85262-9015 · (623) 439-8620 · Fax (480) 806-2832

Phone(623) 246-4900

Organization SubpartNo

Authorized OfficialMicah HalePresident · (831) 818-9833

Enumeration DateDecember 15, 2022

Last NPPES UpdateAugust 28, 20233 updates tracked since enumeration

NPPES CertifiedAugust 28, 2023

✔ NPI 1659083178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X

Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

Also ListedEmergency Response System CompaniesTaxonomy 333300000X

Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X

Also ListedPrivate VehicleTaxonomy 347C00000X

9700 N 91ST ST STE A115, Scottsdale, AZ 85258

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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 20

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

MISS KIMARA VAUGHN APRN-BC

Nurse Practitioner (Psychiatric/Mental Health)