HEATHER MCCULLOCH, LMFT, LLC (NPI# 1912238965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912238965 |
| Entity Type | Organization |
| Organization Name | HEATHER MCCULLOCH, LMFT, LLC |
| Practice Address |
190 Central Park Sq Suite 216 Los Alamos NM 87544-4001 |
| Practice Telephone | 5056618098 |
| Practice Fax Number | 5056620099 |
| Mailing Telephone | 5056618098 |
| Mailing Fax Number | 5056620099 |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |
| Authorized Official Name | MS. HEATHER MCCULLOCH (OWNER/ LMFT) |
| Authorized Official Telephone | 5056610898 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 0107741 | NM | Hospital Units |
| Street Address |
190 CENTRAL PARK SQ SUITE 216 |
| City | LOS ALAMOS |
| State | NM |
| Zip Code | 87544-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154319788 | Donna Marie Giaquinto | Counselor | 190 Central Park Sq, Suite 105, Los Alamos, NM 87544-4001 | 2005-10-07 |
| 1184794315 | Reva Lee Heron | Psychologist | 190 Central Park Sq, Suite 109, Box 10900, Los Alamos, NM 87544-4001 | 2006-11-08 |
| 1104803675 | Cottontree Center | Clinic/Center | 190 Central Park Sq, Suite 105, Los Alamos, NM 87544-4001 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679945935 | Zia Home Health | Home Health | 1475 Central Ave., Suite 125, Los Alamos, NM 87544 | 2015-10-27 |
| 1295131167 | Sara Pocernik | Dietitian, Registered | 1450 Iris Street, Los Alamos, NM 87544 | 2014-11-05 |
| 1760824890 | Lisa Renee Marr Lyon | Psychologist | 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 | 2013-07-17 |
| 1558629725 | Rachel Meyer | Dentist | 112 Central Park Square, Los Alamos, NM 87544 | 2012-04-25 |
| 1902183908 | Susana T. Chavarria | Occupational Therapist | 5 Quemazon Pl., Los Alamos, NM 87544 | 2011-11-04 |
| 1881998664 | Dr. Tom Child and Adolescent Medicine | Pediatrics | Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 | 2011-01-07 |
| 1952565905 | Dawn Judy Barr | Social Worker | 3 Agila Ct, Los Alamos, NM 87544 | 2008-07-17 |
| 1649452129 | Ellen Vandergust Ballard | Dentist | 111 Longview, Suite B-3, White Rock, NM 87544 | 2007-11-27 |
| 1629290283 | Wildwind Dental | Dentist | 111 Longview Drive, Suite B3, Los Alamos, NM 87544 | 2007-05-03 |
| 1255407342 | Sarah Sue Teasdale | Counselor | 1362 C Trinity Dr, Los Alamos, NM 87544 | 2006-11-28 |
| Find all providers in zip 87544 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679054118 | White Mountain Wellness LLC | Psychiatric Unit | 159 Mescalero Trl Ste 5, Ruidoso, NM 88345-6089 | 2018-08-23 |
| 1649446089 | University of New Mexico | Psychiatric Unit | Department of Psychiatry Som Msc09 5030, Univeristy of New Mexico, Albuquerque, NM 87131-0001 | 2008-05-06 |
| 1801296900 | Va Hospital | Psychiatric Unit | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2014-08-26 |
| 1669736328 | Mmc Cancer Center | Psychiatric Unit | 2530 S Telshor Blvd Ste 201, Las Cruces, NM 88011-4975 | 2012-06-27 |
| 1518137041 | Lovelace Health System Inc | Psychiatric Unit | 601 Martin Luther King Ave Ne, Albuquerque, NM 87102-3619 | 2008-03-12 |
| 1982805222 | Artesia General Hospital | Psychiatric Unit | 702 N 13th St, Artesia, NM 88210-1166 | 2007-05-31 |
| 1619094109 | Gila Regional Medical Center | Psychiatric Unit | 1313 E 32nd St, Silver City, NM 88061 | 2007-03-22 |
| 1619002300 | Unm Hospital | Psychiatric Unit | 1001 Yale Blvd Ne, Albuquerque, NM 87106-3825 | 2007-02-22 |
| 1154477941 | St. Vincent Hospital | Psychiatric Unit | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2007-01-26 |
| 1881742161 | University Psychiatric Hospital-ip | Psychiatric Unit | 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 | 2007-01-05 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMOS |
| Zip Code | 87544 |
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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.