NM DEPARTMENT OF HEALTH


Address: 3405 Pan American Fwy Ne, Albuquerque, NM 87107-4786
Phone: 5052220300

NM DEPARTMENT OF HEALTH (NPI# 1407990500) 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) 1407990500
Entity Type Organization
Organization Name NM DEPARTMENT OF HEALTH
Other Organization Name SEQUOYAH ADOLESCENT TREATMENT CENTER
Practice Address 3405 Pan American Fwy Ne
Albuquerque
NM 87107-4786
Mailing Address 3405 W Pan American Fwy Ne
Albuquerque
NM 87107-4786
Practice Telephone 5052220300
Practice Fax Number 5052220301
Mailing Telephone 5052220300
Mailing Fax Number 5052220301
Enumeration Date 2007-02-20
Last Update Date 2017-01-31
Authorized Official Name MS. CARMELA SANDOVAL (ADMINISTRATOR)
Authorized Official Telephone 5052220375
Is Organization Subpart Y
Parent Organization Name NM DEPARTMENT OF HEALTH

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Sequoyah Adolescent Treatment Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1063641819 Nm Department of Health Substance Abuse Rehabilitation Facility 100 Calle De Central, Fort Bayard, NM 88036 2009-07-14
1922094770 Nm Department of Health Special Hospital 72 Gail Harris Ave, Roswell, NM 88203-8116 2005-09-26

Office Location

Street Address 3405 PAN AMERICAN FWY NE
City ALBUQUERQUE
State NM
Zip Code 87107-4786

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972900967 Holly Bauer Residential Treatment Facility, Emotionally Disturbed Children 3405 Pan American Fwy Ne, Albuquerque, NM 87107-4786 2014-11-19
1295069219 Merle Lee Pokempner Counselor 3405 Pan American Fwy Ne, Albuquerque, NM 87107-4786 2009-09-23
1013241140 Bryan Lance Hurt Psychologist 3405 Pan American Fwy Ne, Albuquerque, NM 87107-4786 2009-09-22
1962736173 Jude Christine Payne Social Worker 3405 Pan American Fwy Ne, Albuquerque, NM 87107-4786 2009-09-22
1942534201 William Henry Gardner Psychologist 3405 Pan American Fwy Ne, Albuquerque, NM 87107-4786 2009-09-18
1366775728 Victoria L. Sakshaug Social Worker 3405 Pan American Fwy Ne, Albuquerque, NM 87107-4786 2009-09-16
1093048597 Phyllis Mccurdy Denton Counselor 3405 Pan American Fwy Ne, Albuquerque, NM 87107-4786 2009-09-15
1336261783 Robert Anthony Buser Psychiatry & Neurology 3405 Pan American Fwy Ne, Albuquerque, NM 87107-4786 2007-04-05
1548388291 Kathryn Ann Daily Speech-Language Pathologist 3405 Pan American Fwy Ne, Albuquerque, NM 87107-4786 2007-03-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619589785 Benjamin Argant Behavior Technician 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 2020-08-20
1679138861 Susan Luna, Lpcc LLC Counselor 3221 B Candelaria Ne, Albuquerque, NM 87107 2019-05-03
1407310881 Eleanor Cloe Tibbetts Speech-Language Pathologist 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 2019-01-30
1386174829 Triple D Medical Transportation, LLC. Secured Medical Transport (VAN) 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 2017-06-18
1487100715 Kayleen Weinandt Community/Behavioral Health 3301 Los Arboles Ne, Albuquerque, NM 87107 2016-08-28
1811345549 Inverse Medical, LLC Non-emergency Medical Transport (VAN) 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 2016-06-03
1710349220 Evolv Strong, LLC Specialist/Technologist 3201 Candelaria Rd Ne, Albuquerque, NM 87107 2016-03-23
1982072443 Erik Robinson Social Worker 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 2015-09-14
1033505763 Sam Newmon Ma, Lpcc Counselor 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 2015-04-09
1760896203 Jocelyn Fiaschetti Social Worker 7704 4th Street Nw, Albuquerque, NM 87107 2014-06-12
Find all providers in zip 87107

Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699849794 Cyfd-state of New Mexico Residential Treatment Facility, Emotionally Disturbed Children 3409 Pan American Fwy Ne, 3409 Pan American Frwy, Albuquerque, NM 87107-4786 2006-11-20
1720152838 Cyfd-state of New Mexico-eagles Nest Residential Treatment Facility, Emotionally Disturbed Children 300 San Mateo Blvd Ne Ste 410, Albuquerque, NM 87108-1503 2006-11-20
1972900967 Holly Bauer Residential Treatment Facility, Emotionally Disturbed Children 3405 Pan American Fwy Ne, Albuquerque, NM 87107-4786 2014-11-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407376585 Amikids Sandoval, Inc. Residential Treatment Facility, Emotionally Disturbed Children #20 Pond Road, Sandoval, NM 87013 2017-06-21
1952549875 Youth Odyssey Inc. Residential Treatment Facility, Emotionally Disturbed Children 605 White Mountain Meadows Dr, Ruidoso, NM 88345-5816 2009-01-30
1770721292 Casa Mesita Group Home, Inc Residential Treatment Facility, Emotionally Disturbed Children 4007 Sycamore St, Los Alamos, NM 87544-1728 2009-01-22
1942404090 Zimmerman Consulting, Inc. Residential Treatment Facility, Emotionally Disturbed Children 15 Jemez Drive, Los Lunas, NM 87031-7624 2007-06-13
1497872550 New Vision Group Home Residential Treatment Facility, Emotionally Disturbed Children 919 Rencher St, Clovis, NM 88101-5858 2007-03-23
1124156815 Villa Santa Maria Residential Treatment Facility, Emotionally Disturbed Children 19 Cirquela Rd, Cedar Crest, NM 87008 2007-03-02
1518010222 Assurance Home Inc. Residential Treatment Facility, Emotionally Disturbed Children 1000 E 18th St, Roswell, NM 88201-7532 2007-01-18
1962569640 Our Lady of Mount Carmel Residential Treatment Facility, Emotionally Disturbed Children 300 Mount Carmel Ave, Gallup, NM 87301-7411 2007-01-02
1306910484 Cyfd-state of New Mexico-laplacita Residential Treatment Facility, Emotionally Disturbed Children 3102 N Florida Ave, Alamogordo, NM 88310-9713 2006-11-20
1881767366 Cyfd-state of New Mexico-carlsbad Crf Residential Treatment Facility, Emotionally Disturbed Children 106 N Mesquite St, Carlsbad, NM 88220-4960 2006-11-15
Find all providers with the same taxonomy

Competitor

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City ALBUQUERQUE
Zip Code 87107

Improve Information

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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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