DR TONY J KREUCH LLC


Address: 2204 Brothers Rd Ste B, Santa Fe, NM 87505-6975
Phone: 5052699015

DR TONY J KREUCH LLC (NPI# 1285232397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285232397
Entity Type Organization
Organization Name DR TONY J KREUCH LLC
Practice Address 2204 Brothers Rd Ste B
Santa Fe
NM 87505-6975
Mailing Address 3201 Zafarano Dr Ste C
Santa Fe
NM 87507-2672
Practice Telephone 5052699015
Mailing Telephone 5052699015
Enumeration Date 2020-10-12
Last Update Date 2020-10-13
Authorized Official Name TONY KREUCH (CEO)
Authorized Official Telephone 5052699015
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TP0016X Psychologist
Specialization: Prescribing (Medical)
Behavioral Health & Social Service Providers

Office Location

Street Address 2204 BROTHERS RD STE B
City SANTA FE
State NM
Zip Code 87505-6975

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467471953 William F Johnson Psychiatry & Neurology 2204 Brothers Rd Ste B, Santa Fe, NM 87505-6975 2006-07-18

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NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 103TP0016X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Prescribing (Medical)

Taxonomy Definition

Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders.
Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417489378 Primary Wellness Team Corporation Psychologist 5805 Mcnutt Rd, Ste D, Santa Teresa, NM 88008-8001 2017-03-30
1154877371 J. Michael Mash Prescribing Psychologist LLC Psychologist 4155 State Road 68, Unit 6, Rancho De Taos, NM 87557 2016-08-28
1003218553 Integrated Healthcare of New Mexico Psychologist 7632 William Moyers Ave Ne, Albuquerque, NM 87122-2765 2014-09-16
1124466446 Shekinah Foundation Psychologist 3001 S Wyoming Ave, Roswell, NM 88203-2326 2013-06-08
1902197098 S M Cobb Psychologist 400 N Pennsylvania Ave Ste 990, Roswell, NM 88201-4754 2011-04-25
1730203860 Pattijo N Velasquez Psychologist 1505 S Don Roser Dr, Ste. A, Las Cruces, NM 88011-4596 2007-03-16
1245856913 Paul King-miller Psyd Lpcc LLC Psychologist 11216 Brentwood Hills Blvd Ne, Albuquerque, NM 87112-3219 2020-06-18
1548677669 Winds of Change Mental Health Services, LLC Psychologist 108 E High St, Grants, NM 87020-2453 2014-07-21
1982024105 Drw Behavioral Health Services, LLC Psychologist 1395 Missouri Ave, Las Cruces, NM 88001-5327 2014-04-27
1477585990 Deborah Leslie Kos Psychologist 4810 Hardware Dr Ne, Albuquerque, NM 87109-2013 2006-07-07
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Competitor

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City SANTA FE
Zip Code 87505

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Dataset Information

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.

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