PMS DBA ROUNDTREE CHILDRENS' DEVELOPMENT SERVICES (NPI# 1326195769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326195769 |
| Entity Type | Organization |
| Organization Name | PMS DBA ROUNDTREE CHILDRENS' DEVELOPMENT SERVICES |
| Practice Address |
608 Reilly Ave Farmington NM 87499 |
| Practice Telephone | 5053277720 |
| Practice Fax Number | 5059924990 |
| Mailing Telephone | 5053277720 |
| Mailing Fax Number | 5059924990 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-12-13 |
| Authorized Official Name | MRS. ROBERT LEE (CFO) |
| Authorized Official Telephone | 5059895575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | E7132 | 05 |
| Street Address |
608 REILLY AVE |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003977869 | Presbyterian Medical Services | Hospice Care, Community Based | 608 Reilly Ave, Farmington, NM 87401 | 2006-12-13 |
| 1821339987 | Joshua Bancroft | Counselor | 608 Reilly Ave, Farmington, NM 87401-2634 | 2013-03-13 |
| 1558602615 | Brittany Montoya | Counselor | 608 Reilly Ave, Farmington, NM 87401-2634 | 2013-03-13 |
| 1942466289 | Ruth Adele Burd | Physical Therapist | 608 Reilly Ave, Farmington, NM 87401-2634 | 2008-08-06 |
| 1104033539 | Wendy D Bircher | Physical Therapist | 608 Reilly Ave, Farmington, NM 87401-2634 | 2007-05-16 |
| 1518029644 | Presbyterian Medical Services | Home Health | 608 Reilly Ave, Farmington, NM 87401 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902140932 | Charles L Wallace | Counselor | 2901 E. 20th Suite 104, Farmington, NM 87499 | 2012-11-15 |
| 1831588771 | Maria Bundy | Counselor | 1615 Ojo Court, Farmington, NM 87499 | 2015-01-15 |
| 1710020300 | Ernestine Platero | Counselor | 1615 Ojo Court, Farmington, NM 87499 | 2007-02-14 |
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| 1093316333 | Barbara J Dadisman | Technician | 364 Parrish Run Rd, Farmington, WV 26571-8097 | 2020-11-03 |
| 1508466368 | Amalia Jo Folland Harvey | Nurse Practitioner | 19883 Evensong Ct, Farmington, MN 55024-8688 | 2020-10-29 |
| 1649870056 | Great Oaks Academy | Local Education Agency (LEA) | 6300 212th St W, Farmington, MN 55024-8903 | 2020-10-27 |
| 1912507153 | Legacy Heights Oral & Facial Surgery Pllc | Clinic/Center | 193 S 200 W Ste B, Farmington, UT 84025-2406 | 2020-10-27 |
| 1548869068 | Marian Kinsel | Behavior Technician | 5107 Loma Alto Dr, Farmington, NM 87402-8344 | 2020-10-26 |
| 1366041360 | Christine Mullin | Social Worker | 883 Plainville Ave, Farmington, CT 06032-3121 | 2020-10-21 |
| 1093314254 | Elise Vallejos | Behavior Technician | 6905 Alyssa Ct, Farmington, NM 87402-5088 | 2020-10-20 |
| 1356940787 | Carrie Boehm | Dental Hygienist | 2844 E Main St Ste 106-145, Farmington, NM 87402-5260 | 2020-10-16 |
| 1063010726 | Daniela Villagran | Behavior Technician | 303 N Lorena Ave, Farmington, NM 87401-5858 | 2020-10-15 |
| Find all providers in FARMINGTON | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639496631 | 3h Integrated, LLC | Clinic/Center | 8320 2nd St Nw, Albuquerque, NM 87114-1037 | 2010-04-29 |
| 1790818714 | Ramah Navajo School Board, Inc. | Clinic/Center | Bia Rt. 125, Pine Hill School Campus, Pinehill, NM 87357-0010 | 2007-03-13 |
| 1134260904 | Unm Developmental Care Program | Clinic/Center | Msc10 5590, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2007-02-12 |
| 1376695387 | Taos County Arc | Clinic/Center | 1030 Salazar Rd, Taos, NM 87571 | 2007-01-18 |
| 1124101365 | Enmrsh, Inc. | Clinic/Center | 2700 E 7th St, Clovis, NM 88101-1708 | 2006-10-23 |
| 1851614432 | Unm Medical Group Inc | Clinic/Center | 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 | 2010-03-10 |
| 1689703191 | Liferoots, Inc | Clinic/Center | 1111 Menaul Blvd Ne, Albuquerque, NM 87107-1614 | 2007-03-02 |
| City | FARMINGTON |
| Zip Code | 87499 |
Please comment or provide details below to improve the information on PMS DBA ROUNDTREE CHILDRENS' DEVELOPMENT SERVICES.
| 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.