WINDS OF CHANGE MENTAL HEALTH SERVICES, LLC (NPI# 1548677669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548677669 |
Entity Type | Organization |
Organization Name | WINDS OF CHANGE MENTAL HEALTH SERVICES, LLC |
Practice Address |
108 E High St Grants NM 87020-2453 |
Practice Telephone | 5052904551 |
Practice Fax Number | 5056582398 |
Mailing Telephone | 5052904551 |
Mailing Fax Number | 5056582398 |
Enumeration Date | 2014-07-21 |
Last Update Date | 2014-07-21 |
Authorized Official Name | DR. RENEE HELENE WILKINS (CLINICAL/PRESCRIBING PSYCHOLOGIST) |
Authorized Official Telephone | 5052904551 |
Authorized Official Credential | PSY.D., MP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
0034 | NM | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 88435555 | 05 |
Street Address |
108 E HIGH ST |
City | GRANTS |
State | NM |
Zip Code | 87020-2453 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710519525 | C.o.p.e Counseling LLC | Community/Behavioral Health | 108 E High St, Grants, NM 87020-2453 | 2020-02-10 |
1902055429 | Nicole C Ramirez | Social Worker | 108 E High St, Grants, NM 87020-2453 | 2008-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104453836 | Tiffany Shell Flippen | Counselor | 1016 E. Roosevelt Ave., Grants, NM 87020 | 2020-03-24 |
1295382265 | Janell Marie Villalobos | Registered Nurse | 813 Mesa Blvd., Grants, NM 87020 | 2019-08-23 |
1396243390 | Las Brisas Enterprises, LLC | Clinic/Center | 1209 Bonita Ave Suite A, Grants, NM 87020 | 2018-01-25 |
1407386014 | Wilma Beverly White | Occupational Therapy Assistant | 200 Adams, Grants, NM 87020 | 2017-06-15 |
1063840551 | Patricia Thompson | Nurse Practitioner | 2111 Lobo Canyon Rd, Grants, NM 87020 | 2013-10-22 |
1063778512 | Adobe Foot and Ankle Specialists, P.C. | Podiatrist | 765 E. Roosevelt Ave., Grants, NM 87020 | 2012-04-10 |
1841588506 | Saint Mary Nonemergency Medical Transportatio | Non-emergency Medical Transport (VAN) | 1325 Saddlehorn Trail, Grants, NM 87020 | 2011-07-15 |
1801129416 | Tammy L. White | Social Worker | 2595 West Highway 66, Grants, NM 87020 | 2009-09-14 |
1720236524 | Martha Abeyta | Nurse Practitioner | 1210 Mt. Taylor Ave, Grants, NM 87020 | 2008-09-04 |
1780869255 | Lou G. Mazon-vigil | Homeopath | 1300 Del Norte Blvd, Grants, NM 87020 | 2008-01-03 |
Find all providers in zip 87020 |
Taxonomy Code | 103TP0016X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Prescribing (Medical) |
Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417489378 | Primary Wellness Team Corporation | Psychologist | 5805 Mcnutt Rd, Ste D, Santa Teresa, NM 88008-8001 | 2017-03-30 |
1154877371 | J. Michael Mash Prescribing Psychologist LLC | Psychologist | 4155 State Road 68, Unit 6, Rancho De Taos, NM 87557 | 2016-08-28 |
1003218553 | Integrated Healthcare of New Mexico | Psychologist | 7632 William Moyers Ave Ne, Albuquerque, NM 87122-2765 | 2014-09-16 |
1124466446 | Shekinah Foundation | Psychologist | 3001 S Wyoming Ave, Roswell, NM 88203-2326 | 2013-06-08 |
1902197098 | S M Cobb | Psychologist | 400 N Pennsylvania Ave Ste 990, Roswell, NM 88201-4754 | 2011-04-25 |
1730203860 | Pattijo N Velasquez | Psychologist | 1505 S Don Roser Dr, Ste. A, Las Cruces, NM 88011-4596 | 2007-03-16 |
1285232397 | Dr Tony J Kreuch LLC | Psychologist | 2204 Brothers Rd Ste B, Santa Fe, NM 87505-6975 | 2020-10-12 |
1245856913 | Paul King-miller Psyd Lpcc LLC | Psychologist | 11216 Brentwood Hills Blvd Ne, Albuquerque, NM 87112-3219 | 2020-06-18 |
1982024105 | Drw Behavioral Health Services, LLC | Psychologist | 1395 Missouri Ave, Las Cruces, NM 88001-5327 | 2014-04-27 |
1477585990 | Deborah Leslie Kos | Psychologist | 4810 Hardware Dr Ne, Albuquerque, NM 87109-2013 | 2006-07-07 |
Find all providers with the same taxonomy |
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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.