NMDOH FAMILY INFANT TODDLER PROGRAM


Address: 1190 Saint Francis Drive, Santa Fe, NM 87502-6110
Phone: 5058271711

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 1190 SAINT FRANCIS DRIVE
City SANTA FE
State NM
Zip Code 87502-6110

Providers in the same zip code

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

Providers in the same city

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 Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City SANTA FE
Zip Code 87502

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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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