TAHLIA RAINBOLT, PHD, LLC (NPI# 1023413788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023413788 |
| Entity Type | Organization |
| Organization Name | TAHLIA RAINBOLT, PHD, LLC |
| Practice Address |
460 Saint Michaels Dr Suite 505 Santa Fe NM 87505-7619 |
| Practice Telephone | 5059893340 |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |
| Authorized Official Name | TAHLIA RAINBOLT (OWNER) |
| Authorized Official Telephone | 5059893340 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1308 | NM | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 37686232 | 05 |
| Street Address |
460 SAINT MICHAELS DR SUITE 505 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-7619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609808005 | Alston C Lundgren | Family Medicine | 460 Saint Michaels Dr, Ste. 801, Santa Fe, NM 87505-7619 | 2006-07-07 |
| 1801243290 | Shirley Lam | Hearing Instrument Specialist | 460 Saint Michaels Dr, Ste 901, Santa Fe, NM 87505-7619 | 2016-05-16 |
| 1043680028 | Whole Body Wellness | Specialist | 460 Saint Michaels Dr, Suite 601, Santa Fe, NM 87505-7619 | 2015-10-02 |
| 1245641638 | Jack Jones Hearing Center, Inc. | Audiologist-Hearing Aid Fitter | 460 Saint Michaels Dr, Ste 901, Santa Fe, NM 87505-7619 | 2014-05-19 |
| 1073856530 | Emanuel, LLC | In Home Supportive Care | 460 Saint Michaels Dr, Suite 1104, Santa Fe, NM 87505-7619 | 2013-04-03 |
| 1093055816 | Deborah Schweiger-whalen and Associates, LLC | Clinic/Center | 460 Saint Michaels Dr, Suite 1101, Santa Fe, NM 87505-7619 | 2013-02-15 |
| 1922315068 | Northland Hearing Centers Inc | Audiologist-Hearing Aid Fitter | 460 Saint Michaels Dr, Suite 1204, Santa Fe, NM 87505-7619 | 2010-09-10 |
| 1194969220 | Dennis M Jackson Md Inc | Family Medicine | 460 Saint Michaels Dr, #1005, Santa Fe, NM 87505-7619 | 2009-04-20 |
| 1194966747 | Caroline Kingston Md Mph Family Practice LLC | Clinic/Center | 460 Saint Michaels Dr, 1204, Santa Fe, NM 87505-7619 | 2009-03-11 |
| 1215173000 | New Mexico Pain Management, LLC | General Practice | 460 Saint Michaels Dr, Building 200, Santa Fe, NM 87505-7619 | 2008-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on TAHLIA RAINBOLT, PHD, LLC.
| 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.