SANTA FE DIALECTICAL BEHAVIOR THERAPY, LLC (NPI# 1023355252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023355252 |
| Entity Type | Organization |
| Organization Name | SANTA FE DIALECTICAL BEHAVIOR THERAPY, LLC |
| Practice Address |
411 Saint Michaels Dr Suite 2 Santa Fe NM 87505-7655 |
| Practice Telephone | 5059838502 |
| Mailing Telephone | 5059838502 |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2016-06-09 |
| Authorized Official Name | MS. JILL M TIEDEMANN (TEAM LEADER) |
| Authorized Official Telephone | 5059838502 |
| Authorized Official Credential | LPCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
411 SAINT MICHAELS DR SUITE 2 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-7655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427143965 | Howard M. Ottenheimer | Psychologist | 411 Saint Michaels Dr, Suite, 8, Santa Fe, NM 87505-7655 | 2006-10-03 |
| 1083964613 | Felicia Marohn | Social Worker | 411 Saint Michaels Dr, Suite 2, Santa Fe, NM 87505-7655 | 2012-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160685 | Nancy Benigsohn | Counselor | 4001 Office Courte., Suite 603, Santa Fe, NM 87507 | 2020-10-02 |
| 1619584182 | Marybeth Hallman | Counselor | 1219 Luisa St Ste 10, Santa Fe, NM 87505-4176 | 2020-09-28 |
| 1619583366 | Kelsey Ullrich | Counselor | 409 Alejandro Street, Guest House, Santa Fe, NM 87501-8750 | 2020-09-18 |
| 1598370116 | Katie Monroe Therapy Services | Counselor | 5210 Via Del Valle, Santa Fe, NM 87507-3652 | 2020-09-10 |
| 1174131833 | James Ryan Dunn | Counselor | 15 Balsa Dr, Santa Fe, NM 87508-8317 | 2020-07-20 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1992345904 | Noranik Zadeyan | Counselor | 338 Rosario Hl, Santa Fe, NM 87501-1773 | 2020-01-08 |
| 1760024822 | Gary L Field | Counselor | 317 Staab St, Santa Fe, NM 87501-1844 | 2019-10-10 |
| 1962054833 | Julie Price | Counselor | 1435 S Saint Francis Dr Ste 101c, Santa Fe, NM 87505-4202 | 2019-07-11 |
| 1750940938 | Amanda Elizabeth Taylor | Counselor | 5686 Agua Fria St # B, Santa Fe, NM 87507-9001 | 2019-06-11 |
| Find all providers in SANTA FE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.