MRS. SANDRA BERENICE MENDOZA (NPI# 1417302563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417302563 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA BERENICE MENDOZA |
| Credential | LBSW |
| Practice Address |
72 Gail Harris St Roswell NM 88203-8116 |
| Practice Telephone | 5753473400 |
| Practice Fax Number | 5753473435 |
| Mailing Telephone | 5753473400 |
| Mailing Fax Number | 5753473435 |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
B-09441 | NM | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023295771 | Sandra Mendoza | Case Manager/Care Coordinator | 6715 Sunspot Ct, Las Cruces, NM 88012-9258 | 2008-01-24 |
| 1245716281 | Sandra Mendoza | Licensed Vocational Nurse | 1906 E Tyler Ave Ste G, Harlingen, TX 78550-7109 | 2018-07-12 |
| 1770846628 | Sandra Mendoza | Social Worker | 1983 Marengo St, Los Angeles, CA 90033-1370 | 2012-06-15 |
| 1780893404 | Sandra Mendoza | Dental Hygienist | 10601 S Avenue E, Chicago, IL 60617-6316 | 2007-05-21 |
| Street Address |
72 GAIL HARRIS ST |
| City | ROSWELL |
| State | NM |
| Zip Code | 88203-8116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952659435 | Fatima Granados | Counselor | 72 Gail Harris St, Roswell, NM 88203-8116 | 2012-08-15 |
| 1023618436 | Jose Cruz Zavala | Social Worker | 72 Gail Harris St, Roswell, NM 88203-8116 | 2020-10-27 |
| 1235761024 | Seth Gordon | Physical Therapist | 72 Gail Harris St, Roswell, NM 88203-8116 | 2020-02-10 |
| 1730728809 | Alexandra Beck | Counselor | 72 Gail Harris St, Roswell, NM 88203-8116 | 2020-01-06 |
| 1861033409 | Angel R Gordo | Counselor | 72 Gail Harris St, Roswell, NM 88203-8116 | 2019-10-04 |
| 1639654502 | Monica Marie Saavedra | Social Worker | 72 Gail Harris St, Roswell, NM 88203-8116 | 2018-09-26 |
| 1245713288 | Marianne Noel Moser | Physical Therapist | 72 Gail Harris St, Roswell, NM 88203-8116 | 2018-09-14 |
| 1578075016 | State of New Mexico | Special Hospital | 72 Gail Harris St, Roswell, NM 88203-8116 | 2017-10-24 |
| 1134667496 | Alexandra Hancock | Social Worker | 72 Gail Harris St, Roswell, NM 88203-8116 | 2017-02-07 |
| 1023569472 | Stephan K. Hancock | Counselor | 72 Gail Harris St, Roswell, NM 88203-8116 | 2016-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115586 | Katherine Bolin | Behavior Technician | 333 West Brasher Rd. #200, Roswell, NM 88203 | 2020-02-10 |
| 1437660040 | Pecos Valley Eye Surgery Center, LLC | Clinic/Center | 1610 Se Main Street, Roswell, NM 88203 | 2017-10-23 |
| 1285031286 | Wheelchair and Walker Rentals, Inc. | Durable Medical Equipment & Medical Supplies | 305 W Mcgaffey St, Roswell, NM 88203 | 2014-11-20 |
| 1447585914 | Whole World Health Care, PC | Pediatrics | 109 W. Bland, Roswell, NM 88203 | 2009-10-16 |
| 1780825372 | Complete Rehab Adult Services | Clinic/Center | 109 W Bland, Roswell, NM 88203 | 2009-03-12 |
| 1710127220 | Roswell Medical Care | Health Maintenance Organization | 111 W Hobbs, Roswell, NM 88203 | 2009-02-23 |
| 1336330513 | Savitri Aguiar | Internal Medicine | 1511 South Grand, Roswell, NM 88203 | 2007-08-05 |
| 1750455523 | Francisco Casio Bicol Jr. | Occupational Therapist | 200 W 1st St Ste 527, Roswell, NM 88203 | 2006-11-20 |
| 1699861542 | Susan Lee Voigt | Counselor | 200 W 1st, Ste 532, Roswell, NM 88203 | 2006-10-05 |
| 1245336940 | Founders Healthcare LLC | Durable Medical Equipment & Medical Supplies | 104 N Missouri Ave, Roswell, NM 88203 | 2006-09-16 |
| Find all providers in zip 88203 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497183131 | Ellington Counseling Services, LLC | Counselor | 604 Hermosa Dr, Roswell, NM 88201-6541 | 2013-10-15 |
| 1679911259 | Maria Teresa Fairclough | Counselor | 200 W Hobbs St, Roswell, NM 88203-1868 | 2013-06-05 |
| 1285070318 | Marla Kay Anaya | Counselor | 105 W 3rd St Ste 429, Roswell, NM 88201-4774 | 2013-05-15 |
| 1952659435 | Fatima Granados | Counselor | 72 Gail Harris St, Roswell, NM 88203-8116 | 2012-08-15 |
| 1831325828 | Kimberly Shannon Byrne | Counselor | 400 N Pennsylvania Ave Ste 670b, Roswell, NM 88201-4755 | 2009-06-03 |
| 1497922801 | Stonebraker's, Inc | Counselor | 5110 Old Ellis Pt, Roswell, GA 30076-3863 | 2008-05-14 |
| 1912096520 | Yousef Shams | Counselor | 1902 Macy Dr, Roswell, GA 30076-6339 | 2006-10-12 |
| 1467088013 | Katherine Castillo | Counselor | 1107 S Atkinson Ave, Roswell, NM 88203-7154 | 2020-03-16 |
| 1730728809 | Alexandra Beck | Counselor | 72 Gail Harris St, Roswell, NM 88203-8116 | 2020-01-06 |
| 1861033409 | Angel R Gordo | Counselor | 72 Gail Harris St, Roswell, NM 88203-8116 | 2019-10-04 |
| Find all providers in ROSWELL | ||||
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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.