Provive Wellness of Greenwood

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PROVIVE WELLNESS OF GREENWOOD

Practice address

972 Emerson Pkwy Ste a
Greenwood, IN 46143-6202

Phone

(347) 374-1767

NPI assigned

Dec 2, 2025

Last updated

Dec 2, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mayer Weber

Title

Partner

Phone

(347) 374-1767

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1467314971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PERLMAN DR STE 120",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775281",
            "telephone_number": "347-374-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 EMERSON PKWY STE A",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436202",
            "telephone_number": "347-374-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIVE WELLNESS OF GREENWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "MAYER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "347-374-1767"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Substance Abuse Rehabilitation Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.