UNM MEDICAL GROUP INC (NPI# 1851614432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851614432 |
Entity Type | Organization |
Organization Name | UNM MEDICAL GROUP INC |
Other Organization Name | CENTER FOR DEVELOPMENT & DISABILITY |
Practice Address |
2300 Menaul Blvd Ne Albuquerque NM 87107-1851 |
Mailing Address |
933 Bradbury Dr Se Suite 2222 Albuquerque NM 87106-4374 |
Practice Telephone | 5052723000 |
Enumeration Date | 2010-03-10 |
Last Update Date | 2010-03-10 |
Authorized Official Name | CATHERINE MCCLAIN (DIRECTOR) |
Authorized Official Telephone | 5052720322 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 98686364 | 05 |
Other Name | Type Code |
---|---|
Center for Development & Disability | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770879694 | Unm Medical Group Inc | Clinic/Center | 1801 Camino De Salud Ne, Suite 1100, Albuquerque, NM 87102-4516 | 2011-06-20 |
1679865125 | Unm Medical Group Inc | Nurse Practitioner | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2745 | 2011-05-03 |
1821317355 | Unm Medical Group Inc | Clinic/Center | 1201 Camino De Salud Ne, Albuquerque, NM 87131-0001 | 2010-05-24 |
1013239565 | Unm Medical Group Inc | Pathology | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2745 | 2010-02-25 |
1831218627 | Unm Medical Group Inc | Surgery | 2211 Lomas Ne, Albuquerque, NM 87106 | 2007-03-29 |
Street Address |
2300 MENAUL BLVD NE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87107-1851 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700876216 | Pamela A Hanson | Pediatrics | 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 | 2005-10-26 |
1568933950 | Unm Medical Group, Inc. | In Home Supportive Care | 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 | 2018-12-10 |
1265964183 | Vanessa Trujillo | Occupational Therapist | 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 | 2017-03-30 |
1447602560 | Janeth Nunez Del Prado | Social Worker | 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 | 2016-07-13 |
1083094114 | Thomas Jack Boxall | Speech-Language Pathologist | 2300 Menaul Blvd Ne, Albuquerque, NM 87107 | 2015-06-03 |
1205233640 | Brandon Jared Rennie | Counselor | 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 | 2014-12-01 |
1366854903 | Shauntel Adams | Social Worker | 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 | 2014-06-02 |
1427475581 | Unm Cdd Supports Intensity Scale | Case Management | 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 | 2014-03-26 |
1912336892 | Joanna Cosbey | Occupational Therapist | 2300 Menaul Blvd Ne, Center for Development and Disability, Albuquerque, NM 87107 | 2013-11-01 |
1598108581 | Damaris Donado | Social Worker | 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 | 2013-04-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619589785 | Benjamin Argant | Behavior Technician | 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 | 2020-08-20 |
1679138861 | Susan Luna, Lpcc LLC | Counselor | 3221 B Candelaria Ne, Albuquerque, NM 87107 | 2019-05-03 |
1407310881 | Eleanor Cloe Tibbetts | Speech-Language Pathologist | 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 | 2019-01-30 |
1386174829 | Triple D Medical Transportation, LLC. | Secured Medical Transport (VAN) | 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 | 2017-06-18 |
1487100715 | Kayleen Weinandt | Community/Behavioral Health | 3301 Los Arboles Ne, Albuquerque, NM 87107 | 2016-08-28 |
1811345549 | Inverse Medical, LLC | Non-emergency Medical Transport (VAN) | 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 | 2016-06-03 |
1710349220 | Evolv Strong, LLC | Specialist/Technologist | 3201 Candelaria Rd Ne, Albuquerque, NM 87107 | 2016-03-23 |
1982072443 | Erik Robinson | Social Worker | 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 | 2015-09-14 |
1033505763 | Sam Newmon Ma, Lpcc | Counselor | 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 | 2015-04-09 |
1760896203 | Jocelyn Fiaschetti | Social Worker | 7704 4th Street Nw, Albuquerque, NM 87107 | 2014-06-12 |
Find all providers in zip 87107 |
Taxonomy Code | 261QD1600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Developmental Disabilities |
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639496631 | 3h Integrated, LLC | Clinic/Center | 8320 2nd St Nw, Albuquerque, NM 87114-1037 | 2010-04-29 |
1134260904 | Unm Developmental Care Program | Clinic/Center | Msc10 5590, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2007-02-12 |
1689703191 | Liferoots, Inc | Clinic/Center | 1111 Menaul Blvd Ne, Albuquerque, NM 87107-1614 | 2007-03-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790818714 | Ramah Navajo School Board, Inc. | Clinic/Center | Bia Rt. 125, Pine Hill School Campus, Pinehill, NM 87357-0010 | 2007-03-13 |
1376695387 | Taos County Arc | Clinic/Center | 1030 Salazar Rd, Taos, NM 87571 | 2007-01-18 |
1124101365 | Enmrsh, Inc. | Clinic/Center | 2700 E 7th St, Clovis, NM 88101-1708 | 2006-10-23 |
1326195769 | Pms Dba Roundtree Childrens' Development Services | Clinic/Center | 608 Reilly Ave, Farmington, NM 87499 | 2007-01-05 |
City | ALBUQUERQUE |
Zip Code | 87107 |
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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.