NMDOH FAMILY INFANT TODDLER PROGRAM (NPI# 1639382542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639382542 |
Entity Type | Organization |
Organization Name | NMDOH FAMILY INFANT TODDLER PROGRAM |
Practice Address |
1190 Saint Francis Drive Santa Fe NM 87502-6110 |
Mailing Address |
1190 Saint Francis Drive Po Box 26110 Santa Fe NM 87502-6110 |
Practice Telephone | 5058271711 |
Practice Fax Number | 5058272455 |
Mailing Telephone | 5058271711 |
Mailing Fax Number | 5058272455 |
Enumeration Date | 2007-05-07 |
Last Update Date | 2020-08-22 |
Authorized Official Name | ANDREW GOMM (EARLY CHILDHOOD COORDINATOR) |
Authorized Official Telephone | 5058272578 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
1190 SAINT FRANCIS DRIVE |
City | SANTA FE |
State | NM |
Zip Code | 87502-6110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255479309 | Chad Smelser | Pediatrics | 1190 St Francis Dr, Santa Fe, NM 87502 | 2007-02-01 |
1639289416 | Felicia Abeyta | Physical Therapist | 786a N St Francis Dr, Santa Fe, NM 87502 | 2006-08-30 |
1366523722 | Jimmie R Charlie | Family Medicine | 85 West Highway 22, Santo Domingo, NM 87502-0340 | 2006-10-18 |
1629066634 | Jessica M Brewster | Dentist | 1035 Alto Street, Santa Fe, NM 87502-2406 | 2005-10-12 |
1679641260 | Judith G. Jenkins | Dentist | 1035 Alto Street, Santa Fe, NM 87502-5395 | 2006-12-01 |
1033241310 | Tierney Anne Murphy | Family Medicine | 1190 S Saint Francis Dr, Runnels Building, N1305, Santa Fe, NM 87502-6110 | 2007-03-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972104115 | Eleonora Trujillo | Nurse Practitioner | 60 Balsa Rd, Santa Fe, NM 87508-8736 | 2020-11-04 |
1093316390 | Cynthia Lois Meyers | Pharmacy | 2709 Cerrillos Road, Santa Fe, NM 87507 | 2020-11-03 |
1750981973 | Sara Drake Harsh | Massage Therapist | 2074 Galisteo St Ste A5, Santa Fe, NM 87505-2104 | 2020-10-27 |
1356940498 | Paula Boody | Registered Nurse | 4721 S Tower Rd, Santa Fe, TX 77517-2515 | 2020-10-20 |
1477151116 | Lauren Jones Sparks | Nurse Practitioner | 9 Calle Venado, Santa Fe, NM 87506-0153 | 2020-10-14 |
1770181869 | Thomas Spencer Baldinger | Case Manager/Care Coordinator | 880b Chicoma Vis, Santa Fe, NM 87507-7671 | 2020-10-12 |
1457958001 | Denise De La Cruz | Behavior Technician | 3300 Siringo Rd, Santa Fe, NM 87507-5053 | 2020-10-07 |
1578160685 | Nancy Benigsohn | Counselor | 4001 Office Courte., Suite 603, Santa Fe, NM 87507 | 2020-10-02 |
1427665934 | Karmela Bower | Behavior Technician | 2324 Calle Pacifica, Santa Fe, NM 87505-5504 | 2020-09-29 |
1619584182 | Marybeth Hallman | Counselor | 1219 Luisa St Ste 10, Santa Fe, NM 87505-4176 | 2020-09-28 |
Find all providers in SANTA FE |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538771357 | Ariane Mahmud-ghazi, LLC | Community/Behavioral Health | 1604 Young St, Santa Fe, NM 87505-3504 | 2020-08-21 |
1255967550 | Carrie Eberhardy, Lcsw LLC | Community/Behavioral Health | 3600 Cerrillos Rd Ste 724e, Santa Fe, NM 87507-2690 | 2020-03-18 |
1437701539 | Courtney C. Lee Psychotherapy LLC | Community/Behavioral Health | 1010 Marquez Pl Ste D11, Santa Fe, NM 87505-1724 | 2019-07-10 |
1538644133 | Jennifer Peres Lcsw LLC | Community/Behavioral Health | 300 Paseo De Peralta, Santa Fe, NM 87501-5501 | 2018-09-28 |
1255818720 | Youth Works | Community/Behavioral Health | 1504 Cerrillos Rd, Santa Fe, NM 87505-3550 | 2018-07-26 |
1558856104 | Daybreak Counseling, Inc. | Community/Behavioral Health | 4001 Office Court Dr Ste 403, Santa Fe, NM 87507-4906 | 2018-06-26 |
1366949398 | Fernandez Counseling, LLC | Community/Behavioral Health | 117 N Guadalupe St Ste D, Santa Fe, NM 87501-6526 | 2018-04-06 |
1124530969 | Renee Borsberry Lpcc Lpat | Community/Behavioral Health | 2723 Paseo De Tularosa, Santa Fe, NM 87505-5801 | 2017-11-02 |
1558805895 | Neurogenesis | Community/Behavioral Health | 613 Canyon Rd, Santa Fe, NM 87501-2721 | 2016-12-06 |
1891146742 | Kamal Therapy | Community/Behavioral Health | 6442 Cerros Grandes Dr, Santa Fe, NM 87507-1813 | 2016-06-22 |
Find all providers in SANTA FE |
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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.