MMC PSYCHOTHERAPY LLC (NPI# 1295365260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295365260 |
| Entity Type | Organization |
| Organization Name | MMC PSYCHOTHERAPY LLC |
| Practice Address |
5800 Mcleod Rd Ne Ste F Albuquerque NM 87109-2467 |
| Mailing Address |
9601 Giddings Ave Ne Albuquerque NM 87109-6414 |
| Practice Telephone | 5057501229 |
| Mailing Telephone | 5057501229 |
| Enumeration Date | 2020-01-18 |
| Last Update Date | 2020-01-18 |
| Authorized Official Name | DR. MICHAEL MORAD-MCCOY (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 5057501229 |
| Authorized Official Credential | PH.D., LPCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
5800 MCLEOD RD NE STE F |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-2467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548398225 | Hope Ann Krasner | Psychologist | 5800 Mcleod Rd Ne Ste F, Albuquerque, NM 87109 | 2007-03-02 |
| 1760957377 | Victory Through Hope | Psychologist | 5800 Mcleod Rd Ne Ste F, Albuquerque, NM 87109-2467 | 2018-10-10 |
| 1447469101 | Michael Morad-mccoy | Counselor | 5800 Mcleod Rd Ne Ste F, Albuquerque, NM 87109-2467 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345328 | The People's Counseling and Consulting, LLC | Community/Behavioral Health | 4718 Idlewilde Ln Se, Albuquerque, NM 87108-3424 | 2020-10-28 |
| 1689271413 | Thriving Mind LLC | Community/Behavioral Health | 4612 Huyana Dr Nw, Albuquerque, NM 87120-5597 | 2020-10-05 |
| 1922612951 | Connections Counseling LLC | Community/Behavioral Health | 11920 Dahlia Ave Se, Albuquerque, NM 87123-2470 | 2020-09-08 |
| 1396360871 | Integrity Behavior Improvement Services, LLC | Community/Behavioral Health | 1916 Amherst Dr Ne, Albuquerque, NM 87106-1105 | 2020-06-10 |
| 1023647096 | Inner Peace Outreach LLC | Community/Behavioral Health | 3107 San Mateo Blvd Ne, Albuquerque, NM 87110-1921 | 2020-04-02 |
| 1285278242 | Albuquerque United LLC | Community/Behavioral Health | 1100 4th St Nw Ste A, Albuquerque, NM 87102-1416 | 2019-11-03 |
| 1376184150 | True Color Counseling, LLC | Community/Behavioral Health | 3539 Thaxton Ave Se # 3, Albuquerque, NM 87106-1628 | 2019-10-03 |
| 1164073102 | The Growth Place, LLC | Community/Behavioral Health | 301 Graceland Dr Se Ste B, Albuquerque, NM 87108-2778 | 2019-09-20 |
| 1952960312 | Love Is Healing, LLC | Community/Behavioral Health | 120 Dartmouth Dr Se Apt D, Albuquerque, NM 87106-2261 | 2019-06-10 |
| 1144786146 | Seed To Tree Counseling, LLC | Community/Behavioral Health | 104 Serenity Hills Pl Se, Albuquerque, NM 87123-3970 | 2019-02-14 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
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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.