Individual provider Active NPI

Michael L Vines, MD

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1881641272
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
23992 Issued in AZ
Practice address
3118 E McDowell Rd
Phoenix, AZ 85008-3742
Phone
(602) 685-6000
Fax
(602) 685-6001
NPI assigned
May 30, 2006
Last updated
Aug 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 23992 AZ Primary

Addresses

Primary practice location

3118 E McDowell Rd
Phoenix, AZ 85008-3742

Mailing address

3003 N Central Ave
Suite 200
Phoenix, AZ 85012-2902
Phone (602) 685-6000

Other identifiers 1

IdentifierTypeStateIssuer
431974MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050502000516 AZ Practitioner - Psychiatry 9830138544 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Mercer University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uhs of Phoenix LLCGroup PAC ID 2264656701, 10 clinicians

Practice addresses (Care Compare)

2545 W Quail Ave
Phoenix, AZ 85027-2418
Phone (602) 455-5745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23992AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denova Collaborative Health, LLC Current Accepting new patients
Alevea Mental Health LLC Psychiatry CurrentSince Nov 26, 2022 Accepting new patients
Denova Collaborative Health, LLC CurrentSince Aug 20, 2022 Accepting new patients
Uhs of Phoenix, LLC CurrentSince Feb 7, 2015 Accepting new patients
Denova Collaborative Health, LLC Psychiatry CurrentSince Aug 20, 2022 Accepting new patients
Magellan Health Services of Arizona, Inc Past Accepting new patients
Horizon Health and Wellness, Inc. Psychiatry Past Accepting new patients
Terros Inc Past Accepting new patients
Horizon Health & Wellness, Inc. Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Camelback Physicians Group LLC Psychiatry Past Accepting new patients
Denova Collaborative Health, LLC Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Camelback Physicians Group LLC Psychiatry Past Accepting new patients

Locations

2204 S Dobson Rd
Ste 102
Mesa, AZ 85202

2545 W Quail Ave
Phoenix, AZ 85027
Phone (602) 455-5700

3033 N Central Ave
Ste 700
Phoenix, AZ 85012
Phone (602) 281-7289

3101 N Central Ave
Ste 500
Phoenix, AZ 85012

3330 N 2nd St
Ste 601
Phoenix, AZ 85012
Phone (602) 234-3444

2034 E Southern Ave
Ste D
Tempe, AZ 85282
Phone (480) 779-8319

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGCDDD

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1881641272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122902",
            "telephone_number": "602-685-6000",
            "fax_number": "602-685-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850083742",
            "telephone_number": "602-685-6000",
            "fax_number": "602-685-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINES",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "23992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431974",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.