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Kintsugi Behavioral Health LLC

Community/Behavioral Health Agency in Corrales, NM · enumerated 2025 · authorized official Vyvian Phan, Co-Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568259091

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Registry record

Entity type Organization (Type 2)
Legal business name Kintsugi Behavioral Health LLC
Practice address 948 Camino De La Tierra, Corrales, NM, 87048
Phone (505) 352-4674
Enumeration date Apr 21, 2025
Last updated in NPPES Jan 28, 2026

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
251S00000X Community/Behavioral Health Agency Agencies Primary

Authorized official

Name Vyvian Phan
Title Co-Owner
Phone (505) 702-9080

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Kintsugi Behavioral Health LLC?
Kintsugi Behavioral Health LLC is registered in NPPES as a Community/Behavioral Health Agency (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-28.