RISE UP NEW MEXICO BEHAVIORAL HEALTH LLC (NPI# 1295371714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295371714 |
| Entity Type | Organization |
| Organization Name | RISE UP NEW MEXICO BEHAVIORAL HEALTH LLC |
| Practice Address |
8815 Tradewind Rd Nw Albuquerque NM 87121-7021 |
| Practice Telephone | 5056041244 |
| Mailing Telephone | 5056041244 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2020-03-17 |
| Authorized Official Name | THOMAS J PUTNAM (OWNER) |
| Authorized Official Telephone | 5056041244 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
8815 TRADEWIND RD NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87121-7021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326560020 | Thomas J. Putnam | Social Worker | 8815 Tradewind Rd Nw, Albuquerque, NM 87121-7021 | 2017-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144196 | Mireya Molina | Technician | 2911 Cabral Trl Sw, Albuquerque, NM 87121 | 2019-09-27 |
| 1093282725 | Tomasita Sedillo | Registered Nurse | 4050 118th St Sw, Albuquerque, NM 87121 | 2018-10-31 |
| 1285112748 | Wesley Ross Hanchett | Dentist | 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 | 2018-08-06 |
| 1699266106 | Michael Thomas Lauer | Dentist | 120 98th St Sw Suite C-3, Albuquerque, NM 87121 | 2018-05-21 |
| 1992295299 | Kimberlee Ann Dutton | Registered Nurse | 3715 Las Estancias Ct Sw, Albuquerque, NM 87121 | 2018-05-14 |
| 1376069385 | Lisa Dudasik | Day Training/Habilitation Specialist | 2300 Diamond Mesa Trail Sw, 8805, Albuquerque, NM 87121 | 2017-08-22 |
| 1497297444 | Jeffrey Romero I | Behavior Technician | 1015 Alexandra St Sw, Albuquerque, NM 87121 | 2016-11-08 |
| 1912457151 | Deamber Yonker | Technician, Other | 309 Bristol Nw, Albuquerque, NM 87121 | 2016-10-12 |
| 1457727125 | Perfect Teeth / Coors & Central P.C. | Dentist | 6660 Central Ave Sw, Albuquerque, NM 87121 | 2015-08-18 |
| 1053719344 | South Valley Children's Dentistry | Dentist | 3510 Coors Blvd., Sw, Albuquerque, NM 87121 | 2014-12-18 |
| Find all providers in zip 87121 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447873757 | Healing Pathways Psychotherapy | Clinic/Center | 315 Alameda Blvd Ne, Albuquerque, NM 87113-1569 | 2020-05-20 |
| 1184246902 | Avenidas Nuevas Counseling LLC | Clinic/Center | 324 Cornell Dr Se, Albuquerque, NM 87106-5513 | 2020-05-14 |
| 1437783529 | Telemental Health Link LLC | Clinic/Center | Telemental Health Link LLC, 5700 Harper Dr Ne, #27, Albuquerque, NM 87109-3573 | 2020-02-27 |
| 1255963898 | New Haven Behavioral Health Services LLC | Clinic/Center | 2900 Louisiana Blvd Ne Ste C1, Albuquerque, NM 87110-3576 | 2020-02-11 |
| 1730736505 | Bonni Amsden LLC | Clinic/Center | 200 Rosemont Ave Ne Suite C, Albuquerque, NM 87102-6171 | 2019-08-26 |
| 1124591490 | New Growth Counseling LLC | Clinic/Center | 2901 Juan Tabo Blvd Ne Ste 101c, Albuquerque, NM 87112-1886 | 2019-01-09 |
| 1902340607 | A New Path Counseling | Clinic/Center | 10417 San Jacinto Ave Ne, Albuquerque, NM 87112-5341 | 2016-12-14 |
| 1598000721 | Neuromental Health Services, Inc | Clinic/Center | 711 Encino Pl Ne Ste F, Albuquerque, NM 87102-2649 | 2012-11-28 |
| 1740428879 | Cynthia Sontag, Lisw, PC | Clinic/Center | 1300 Lomas Blvd Nw, Albuquerque, NM 87104-1234 | 2009-01-28 |
| 1477193118 | Blue Mesa Psychiatry and Counseling LLC | Clinic/Center | 7007 Wyoming Blvd Ne Ste F1, Albuquerque, NM 87109-3983 | 2020-01-10 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87121 |
Please comment or provide details below to improve the information on RISE UP NEW MEXICO BEHAVIORAL HEALTH LLC.
| 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.