Healing Grove Integrative Behavioral Medicine

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

Legal business name

HEALING GROVE INTEGRATIVE BEHAVIORAL MEDICINE

Practice address

5655 S Yosemite St Ste 201
Greenwood Village, CO 80111-3220

Phone

(720) 203-6266

Fax

(720) 528-7939

NPI assigned

Aug 4, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Diem Phan, PHD, MSCP

Title

Clinical & Prescribing Psychologist

Phone

(720) 203-6266

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1689597700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 S YOSEMITE ST STE 201",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113220",
            "telephone_number": "720-203-6266",
            "fax_number": "720-528-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 S YOSEMITE ST STE 201",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113220",
            "telephone_number": "720-203-6266",
            "fax_number": "720-528-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING GROVE INTEGRATIVE BEHAVIORAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "DIEM",
        "authorized_official_title_or_position": "CLINICAL & PRESCRIBING PSYCHOLOGIST",
        "authorized_official_telephone_number": "720-203-6266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MSCP"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.