BODHI THERAPEUTIC SPECIALISTS LLC


Address: 709 Central Ave Nw, Albuquerque, NM 87102-3007
Phone: 5059077436

BODHI THERAPEUTIC SPECIALISTS LLC (NPI# 1528544343) 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) 1528544343
Entity Type Organization
Organization Name BODHI THERAPEUTIC SPECIALISTS LLC
Practice Address 709 Central Ave Nw
Albuquerque
NM 87102-3007
Practice Telephone 5059077436
Enumeration Date 2018-07-15
Last Update Date 2018-07-15
Authorized Official Name CAMILLE PARSONS (CFO)
Authorized Official Telephone 5059077436
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
N 225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
Allopathic & Osteopathic Physicians

Office Location

Street Address 709 CENTRAL AVE NW
City ALBUQUERQUE
State NM
Zip Code 87102-3007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043357569 Victoria Van Dame Occupational Therapist 709 Central Ave Nw, Albuquerque, NM 87102-3007 2007-01-31
1245704964 New Mexico Therapeutic Specialists LLC Counselor 709 Central Ave Nw, Albuquerque, NM 87102-3007 2019-01-16
1588928337 And Me Therapy LLC Occupational Therapist 709 Central Ave Nw, Albuquerque, NM 87102-3007 2012-06-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407454937 Julie Wood Acupuncturist 1600 Luna Circle Nw, Albuquerque, NM 87102 2020-10-16
1770121410 Emily Perez Counselor 218 Broadway Ne, Albuquerque, NM 87102 2019-12-12
1417503392 Tess Holtry Behavior Technician 1424 Walter St Nw, Albuquerque, NM 87102 2019-08-15
1942867486 Christy E Cheromiah Behavioral Analyst Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 2019-05-21
1730744103 Faith Petra Maxwell Behavior Technician 900 Arno St, Albuquerque, NM 87102 2019-05-01
1568923761 Storm Swinford Behavioral Analyst Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 2019-03-29
1093276651 Tina Marie Trujillo Behavioral Analyst Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 2019-03-27
1861950370 Meghan Montoya Student in an Organized Health Care Education/Training Program 801 Camino De Salud, Albuquerque, NM 87102 2019-03-05
1174099329 Dilshani N Tyson Counselor 600 1st Street Nw Ste 200, Albuquerque, NM 87102 2018-10-15
1962987925 Tania L Goldfeder Social Worker New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 2018-09-26
Find all providers in zip 87102

Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982219499 Chrysalis Healthcare LLC Psychiatry & Neurology 2632 Mesilla St Ne Ste 6, Albuquerque, NM 87110-3614 2020-09-11
1922646595 Psychogenesis LLC Psychiatry & Neurology 3900 Eubank Blvd Ne Ste 18, Albuquerque, NM 87111-3427 2019-12-14
1134515737 Amanda S Valone Psychiatry & Neurology 1501 San Pedro Dr Se Rm 145, Albuquerque, NM 87108-5180 2015-04-09
1932514288 Christine M Clark Psychiatry & Neurology 1 University of New Mexico # 95030, Albuquerque, NM 87131-0001 2014-06-25
1790105369 Monique Elise Ethne Simpson Psychiatry & Neurology 320 Gold Ave Sw Ste 1001, Albuquerque, NM 87102-3228 2014-04-22
1386083368 Jeannette Elizabeth Ferguson Psychiatry & Neurology Child Psychiatric Center 1001 Yale Blvd Ne, Albuquerque, NM 87131 2013-06-23
1245573476 Dyani Loo Psychiatry & Neurology Msc 09 5030 University of New Mexico, Albuquerque, NM 87131 2013-04-06
1346528866 Christie Anne Cline Psychiatry & Neurology 8905 Osuna Rd Ne, Albuquerque, NM 87111-2139 2011-08-01
1083904023 Nina E Higgins Psychiatry & Neurology Msc 09 5030 1 University of New Mexico, Albuquerque, NM 87131 2011-04-11
1003111873 Melissa A Merhege Psychiatry & Neurology 500 Walter St Ne Ste 213, Albuquerque, NM 87102 2011-01-25
Find all providers in ALBUQUERQUE

Competitor

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City ALBUQUERQUE
Zip Code 87102

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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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