Active NPI
Michael L Vines, MD
- Psychiatry Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 23992
- 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, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431974 | Medicaid | AZ |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23992 | AZ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denova Collaborative Health, LLC | Current | Accepting new patients | |
| Alevea Mental Health LLC | Psychiatry | Current | Accepting new patients |
| Denova Collaborative Health, LLC | Current | Accepting new patients | |
| Uhs of Phoenix, LLC | Current | Accepting new patients | |
| Denova Collaborative Health, LLC | Psychiatry | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1609300854
-
- Multi-Specialty Clinic/Center
- Peoria, AZ
- NPI 1740079060
-
dba Bayless Healthcare Group
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1871915827
Psychiatry
-
- Psychiatry Physician
- Phoenix, AZ
- NPI 1700637196
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1962143255
Psychiatry
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1710283593
-
dba Mountain Health & Wellness
- Community/Behavioral Health Agency
- Oracle, AZ
- NPI 1659458750
-
- Federally Qualified Health Center (FQHC)
- Globe, AZ
- NPI 1689436412
-
- Federally Qualified Health Center (FQHC)
- Oracle, AZ
- NPI 1710366737
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.