MS. SARAH SUE TEASDALE (NPI# 1255407342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255407342 |
| Entity Type | Individual |
| Full Name | MS. SARAH SUE TEASDALE |
| Credential | LPCC LADAC MA |
| Practice Address |
1362 C Trinity Dr Los Alamos NM 87544 |
| Mailing Address |
1362 C Trinity Dr Corazon Los Alamos NM 87544 |
| Practice Telephone | 5056623600 |
| Practice Fax Number | 5056620937 |
| Mailing Telephone | 5056623600 |
| Mailing Fax Number | 5056620937 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3661 | NM | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
0472 | NM | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417478967 | Sarah M Teasdale | Pharmacist | 669 W 900 N, North Salt Lake, UT 84054-2602 | 2017-07-05 |
| 1285895177 | Sarah Teasdale | Pediatrics | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2008-06-23 |
| Street Address |
1362 C TRINITY DR |
| City | LOS ALAMOS |
| State | NM |
| Zip Code | 87544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679945935 | Zia Home Health | Home Health | 1475 Central Ave., Suite 125, Los Alamos, NM 87544 | 2015-10-27 |
| 1295131167 | Sara Pocernik | Dietitian, Registered | 1450 Iris Street, Los Alamos, NM 87544 | 2014-11-05 |
| 1760824890 | Lisa Renee Marr Lyon | Psychologist | 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 | 2013-07-17 |
| 1558629725 | Rachel Meyer | Dentist | 112 Central Park Square, Los Alamos, NM 87544 | 2012-04-25 |
| 1902183908 | Susana T. Chavarria | Occupational Therapist | 5 Quemazon Pl., Los Alamos, NM 87544 | 2011-11-04 |
| 1881998664 | Dr. Tom Child and Adolescent Medicine | Pediatrics | Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 | 2011-01-07 |
| 1952565905 | Dawn Judy Barr | Social Worker | 3 Agila Ct, Los Alamos, NM 87544 | 2008-07-17 |
| 1649452129 | Ellen Vandergust Ballard | Dentist | 111 Longview, Suite B-3, White Rock, NM 87544 | 2007-11-27 |
| 1629290283 | Wildwind Dental | Dentist | 111 Longview Drive, Suite B3, Los Alamos, NM 87544 | 2007-05-03 |
| 1366514861 | Corazon Behavioral Health Services Inc | Clinic/Center | 1362 C Trinity Drive, Los Alamos, NM 87544 | 2006-11-14 |
| Find all providers in zip 87544 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255374021 | Los Alamos Family Council, Inc. | Counselor | 1505 15th St., Suite C, Los Alamos, NM 87544 | 2006-06-13 |
| 1154319788 | Donna Marie Giaquinto | Counselor | 190 Central Park Sq, Suite 105, Los Alamos, NM 87544-4001 | 2005-10-07 |
| 1750520599 | Robert Joseph Coyne Sr. | Counselor | 127 Eastgate Dr, Ste 212 H, Los Alamos, NM 87544-3300 | 2009-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260964 | New Mexico Guided Healing, LLC | Counselor | 4061 Ridge Rock Rd Se Ste C, Rio Rancho, NM 87124-7627 | 2020-09-19 |
| 1366068025 | Benjamin Fields | Counselor | 1208 Paseo Del Pueblo Norte, El Prado, NM 87529-8752 | 2020-06-18 |
| 1699395368 | Roadrunner Recovery Services LLC | Counselor | 505 13th St Sw Apt A, Albuquerque, NM 87102-2873 | 2020-04-22 |
| 1558980763 | Jason L Ferrell | Counselor | 195 Juniper Rd, Ruidoso, NM 88345-6636 | 2020-04-09 |
| 1104453836 | Tiffany Shell Flippen | Counselor | 1016 E. Roosevelt Ave., Grants, NM 87020 | 2020-03-24 |
| 1245865468 | Bonnie Marie Catanach | Counselor | 3136 Jemez Rd, Santa Fe, NM 87507-8004 | 2020-03-09 |
| 1710519731 | Brenda Sue Burgard | Counselor | 1424 Deborah Rd Se Ste 205, Rio Rancho, NM 87124-6619 | 2020-02-07 |
| 1780216101 | Ross Jenkins | Counselor | 579 White Swan Road, Ohkay Owingeh, NM 87566 | 2020-02-05 |
| 1033740469 | Rhianna Alexandra Feeney | Counselor | County Rd 49 Pvt Dr 1098, Velarde, NM 87582-1596 | 2020-02-04 |
| 1104465152 | Laura Aubert | Counselor | 1108 Vassar Dr Se, Albuquerque, NM 87106-2959 | 2019-12-21 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMOS |
| Zip Code | 87544 |
Please comment or provide details below to improve the information on MS. SARAH SUE TEASDALE.
| 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.