Kintsugi Behavioral Health LLC
NPI 1568259091ActiveOrganization· Community/Behavioral Health· Corrales, NM
Community/Behavioral Health in Corrales, New Mexico, registered in NPPES in April 2025. The authorized official on file is Vyvian Phan, LCSW, Co-Owner.
Overview
| NPI | 1568259091 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 21, 2025 |
| Last updated in NPPES | Jan 28, 2026 |
| Certified by provider | Jan 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Community/Behavioral Health Primary | 251S00000X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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